teaching statistics with stata in emergency medicine (em) journal club
DESCRIPTION
Teaching Statistics with Stata in Emergency Medicine (EM) Journal Club. Muhammad Waseem, MD Research Director Emergency Medicine Lincoln Medical & Mental Health Center Bronx, New York. Disclosure. Financial disclosures: None. Background. - PowerPoint PPT PresentationTRANSCRIPT
![Page 1: Teaching Statistics with Stata in Emergency Medicine (EM) Journal Club](https://reader033.vdocument.in/reader033/viewer/2022042718/56816930550346895de07b81/html5/thumbnails/1.jpg)
1
Teaching Statistics with Stata in Emergency Medicine (EM) Journal Club
Muhammad Waseem, MD
Research DirectorEmergency Medicine
Lincoln Medical & Mental Health CenterBronx, New York
![Page 2: Teaching Statistics with Stata in Emergency Medicine (EM) Journal Club](https://reader033.vdocument.in/reader033/viewer/2022042718/56816930550346895de07b81/html5/thumbnails/2.jpg)
2
Disclosure
• Financial disclosures: None
![Page 3: Teaching Statistics with Stata in Emergency Medicine (EM) Journal Club](https://reader033.vdocument.in/reader033/viewer/2022042718/56816930550346895de07b81/html5/thumbnails/3.jpg)
3
Background
• Evidence based medicine has become an integral part of medical education and training
• Critically reading and evaluating a research paper is an important skill learnt during emergency medicine (EM) residency training
![Page 4: Teaching Statistics with Stata in Emergency Medicine (EM) Journal Club](https://reader033.vdocument.in/reader033/viewer/2022042718/56816930550346895de07b81/html5/thumbnails/4.jpg)
4
EM Journal Club
• In order to learn this skill the EM curriculum incorporates a journal club
• The objective of the journal club is to learn necessary skills to find, appraise and implement practice changing advancements in the medical literature
![Page 5: Teaching Statistics with Stata in Emergency Medicine (EM) Journal Club](https://reader033.vdocument.in/reader033/viewer/2022042718/56816930550346895de07b81/html5/thumbnails/5.jpg)
5
EM Journal Club
• It provides an opportunity to read, present and discuss some noteworthy papers in the field of emergency medicine
![Page 6: Teaching Statistics with Stata in Emergency Medicine (EM) Journal Club](https://reader033.vdocument.in/reader033/viewer/2022042718/56816930550346895de07b81/html5/thumbnails/6.jpg)
6
EM Journal Club
• To improve critical literature appraisal skills
• To discuss controversies
• To generate ideas for future research studies
![Page 7: Teaching Statistics with Stata in Emergency Medicine (EM) Journal Club](https://reader033.vdocument.in/reader033/viewer/2022042718/56816930550346895de07b81/html5/thumbnails/7.jpg)
7
EM Journal Club
• Appropriate research design
• Appropriate tests & statistics
![Page 8: Teaching Statistics with Stata in Emergency Medicine (EM) Journal Club](https://reader033.vdocument.in/reader033/viewer/2022042718/56816930550346895de07b81/html5/thumbnails/8.jpg)
8
Objectives
• Does introduction of a statistical program in EM journal club improve understanding of research paper?
![Page 9: Teaching Statistics with Stata in Emergency Medicine (EM) Journal Club](https://reader033.vdocument.in/reader033/viewer/2022042718/56816930550346895de07b81/html5/thumbnails/9.jpg)
9
Methods
• Design: Observational
• Setting: Emergency Department of an Urban Teaching Hospital
• Participants: Emergency Medicine Residents
![Page 10: Teaching Statistics with Stata in Emergency Medicine (EM) Journal Club](https://reader033.vdocument.in/reader033/viewer/2022042718/56816930550346895de07b81/html5/thumbnails/10.jpg)
10
Methods
• ACGME fully accredited 3 year Emergency Medicine Residency Training Program
• 33 EM residents (11 / year)
![Page 11: Teaching Statistics with Stata in Emergency Medicine (EM) Journal Club](https://reader033.vdocument.in/reader033/viewer/2022042718/56816930550346895de07b81/html5/thumbnails/11.jpg)
11
Methods
• Journal club– Every other month
– Duration: One hour
![Page 12: Teaching Statistics with Stata in Emergency Medicine (EM) Journal Club](https://reader033.vdocument.in/reader033/viewer/2022042718/56816930550346895de07b81/html5/thumbnails/12.jpg)
Methods
• Research Question – What is the question this study was
designed to answer? • Study Design
– What type of study is this? • Randomized clinical trial• Cohort study • Case-control study • Cross-sectional study
12
![Page 13: Teaching Statistics with Stata in Emergency Medicine (EM) Journal Club](https://reader033.vdocument.in/reader033/viewer/2022042718/56816930550346895de07b81/html5/thumbnails/13.jpg)
Methods
• Study Subjects – Who was enrolled in the study?– How were subjects selected? – Are results valid? (internal validity) – Are results generalizable? (external
validity)
13
![Page 14: Teaching Statistics with Stata in Emergency Medicine (EM) Journal Club](https://reader033.vdocument.in/reader033/viewer/2022042718/56816930550346895de07b81/html5/thumbnails/14.jpg)
Methods
• Results– What did investigators find?– Discuss findings which are statistically
significant• Conclusions
– What do the investigators think the results mean?
– Provide conclusions independent of the investigators’ conclusions
14
![Page 15: Teaching Statistics with Stata in Emergency Medicine (EM) Journal Club](https://reader033.vdocument.in/reader033/viewer/2022042718/56816930550346895de07b81/html5/thumbnails/15.jpg)
Methods
• Discuss the pros and cons
• What would be the next important study to confirm, extend or refute the findings?
15
![Page 16: Teaching Statistics with Stata in Emergency Medicine (EM) Journal Club](https://reader033.vdocument.in/reader033/viewer/2022042718/56816930550346895de07b81/html5/thumbnails/16.jpg)
16
Methods
• We supplement journal club with a program in statistics to support residents acquisition and use of skills required for critical review and clinical application of evidence from EM literature
![Page 17: Teaching Statistics with Stata in Emergency Medicine (EM) Journal Club](https://reader033.vdocument.in/reader033/viewer/2022042718/56816930550346895de07b81/html5/thumbnails/17.jpg)
17
Methods
• We discussed the statistical tests and their application
• Also showed how to perform those tests using stata
![Page 18: Teaching Statistics with Stata in Emergency Medicine (EM) Journal Club](https://reader033.vdocument.in/reader033/viewer/2022042718/56816930550346895de07b81/html5/thumbnails/18.jpg)
18
Methods
• Only pull-down menus were shown– No discussion on commands
![Page 19: Teaching Statistics with Stata in Emergency Medicine (EM) Journal Club](https://reader033.vdocument.in/reader033/viewer/2022042718/56816930550346895de07b81/html5/thumbnails/19.jpg)
19
![Page 20: Teaching Statistics with Stata in Emergency Medicine (EM) Journal Club](https://reader033.vdocument.in/reader033/viewer/2022042718/56816930550346895de07b81/html5/thumbnails/20.jpg)
20
![Page 21: Teaching Statistics with Stata in Emergency Medicine (EM) Journal Club](https://reader033.vdocument.in/reader033/viewer/2022042718/56816930550346895de07b81/html5/thumbnails/21.jpg)
Results
• This format was well received by both residents and faculty
• This experience provided an opportunity to demonstrate and practice evidence- based skill
21
![Page 22: Teaching Statistics with Stata in Emergency Medicine (EM) Journal Club](https://reader033.vdocument.in/reader033/viewer/2022042718/56816930550346895de07b81/html5/thumbnails/22.jpg)
22
Conclusions
• Integrating a statistical software program such as stata in journal club can serve as an important tool to enhance learning and understanding of statistical tests
• A simple and effective measure promoted their awareness of research methods and statistical analysis
![Page 23: Teaching Statistics with Stata in Emergency Medicine (EM) Journal Club](https://reader033.vdocument.in/reader033/viewer/2022042718/56816930550346895de07b81/html5/thumbnails/23.jpg)
23
Limitations
• Observational study– No standardized method
• Small sample
• Single center study
![Page 24: Teaching Statistics with Stata in Emergency Medicine (EM) Journal Club](https://reader033.vdocument.in/reader033/viewer/2022042718/56816930550346895de07b81/html5/thumbnails/24.jpg)
24
Implications
• Journal club (with statistical program) is an excellent opportunity for residents to gain experience presenting research papers and for learning statistics in an informal group setting