Resident Research Getting Started Melissa Schiff MD MPH

Resident Research: Getting Started Melissa Schiff, MD, MPH DOIM Thursday School August 22, 2019

Who has been involved in a research project before?

Who has presented their research project at a conference?

Who has published their research project in a journal?

Learning Objectives 1. Understand the steps in the research pathway 2. Describe where research ideas come from 3. Understand the process for finding a research mentor 4. Describe the timeline for your research project

Research Pathway Research Idea Literature Review Design Study Refine Question & Hypothesis Collect & Analyze Data Present Findings

Research Pathway Research Idea Literature Review Design Study Refine Question & Hypothesis Collect & Analyze Data Present Findings

Where do research ideas come from?

Clinical Scenario: 23 y. o. G 1 P 1 woman who had a Nexplanon contraceptive implant inserted 6 months ago. Patient noticed that implant was not in its usual position. She reported that she fell recently on her arm. Patient denied any partner violence. Her main concerned was if the implant was still going to be effective. On exam, patient’s upper arm had a bruise over the implant site and the implant itself was bent. Gyn doc recommended removal and replacement with another implant.

Interesting clinical question (5 minutes) • Write down an interesting clinical question • Share your question with your neighbor • Discuss how you might use a research study to answer your question

Research Ideas – where do they come from? • Clinical encounter with patient • Question or problem about lab test, disease process, treatment plan • Patient safety issue • Colleague /faculty working on research project • Journal article – “…further studies should evaluate…. ”

• Clinical presentation – M&M conference, morning rounds • Poster presentation at scientific meeting • Reverse engineering an idea • Existing database used for answering new question

Databases for IM Research Projects • Health Facts – Cerner EMR data for UNM hospital, 600 hospitals • Truven – 240 million patients, pharmaceuticals • New Mexico Tumor Registry (SEER) – all cancer cases in NM • New Mexico Death Certificates

• Selected National Databases • National Inpatient Sample (NIS) – 7 million hospital stays • National Ambulatory Medical Care Survey • Veteran’s Administration

Research interest • Important to find topic of interest to you • Interesting case Case Report • Medicine specialty area Future fellowship • Medical education Curriculum • Social media use in medicine Technology application • Patient safety issue QI Project

• Focus on new area to promote personal knowledge and growth • Develop new skills • Literature searching • Designing a survey • Collecting and analyzing data • Writing a scientific paper or poster • Presentation skills

Research Pathway Research Idea Literature Review Design Study Refine Question & Hypothesis Collect & Analyze Data Present Findings

Literature Review • Health Sciences Library and Informatics Center • Your Lit Search Expert: Sarah Morley, Ph. D

Research Pathway Research Idea Literature Review Design Study Refine Question & Hypothesis Collect & Analyze Data Present Findings

How to turn your idea into a research question?

Identify the W’s • Who - Study Population • What – • • Disease Exposures/Risk Factors/Interventions Outcomes The Problem (QI projects) • Where – Clinical Setting • When – Time Period

• Types of questions • Descriptive – describe an interesting case or case series • Quantitative – assess relationship between 2 variables • Identify population • Identify exposure/intervention (independent variable) • Identify outcome (dependent variable) • Formulate your question • Develop a hypothesis

• Technical aspects of research question • Well-defined – answerable • Feasible • Limited time frame • Research takes longer than anticipated • Consider deadlines – research elective, abstract submission, scientific meeting date, graduation • Project success

Finding a Research Mentor • Ongoing research study by faculty member • New research question – faculty mentor assistance • Approach faculty with your research question • Prepare ahead of time • Know the literature • Refine your question • Brief written summary if possible

• Input from faculty for • Refinement • Data sources • Experience with your topic

Faculty Mentors • Meeting with Division Chiefs • UNM projects – • Jens Langsjoen, MD, • Knowledge about UNM faculty research interests, ongoing projects • jlangsjoen@salud. unm. edu • VA projects • David Olson, MD • Knowledge about VA faculty research interests, ongoing projects • david. olson 3@va. gov

Faculty Mentors • Patient Safety / Mortality • Tony Worsham, MD • aworsham@salud. unm. edu • Glucose control / Ease of practice / IT usability • Kendall Rogers, MD, • krogers@salud. unm. edu • C diff prevention / Reducing unnecessary hospital interventions / High value care • Mary Lacy, MD • melacy@salud. unm. edu

Research Project Timeline Tasks Develop research idea, literature search, find mentor Time Frame August-May 1 st year Develop research proposal (research elective) May-June 1 st year Obtain or collect data, analyze data, preliminary write-up July – June 2 nd year Develop abstract for submission January-June 2 nd year Presentation at scientific meeting 2 nd or 3 rd year Manuscript preparation, submission July – March 3 rd year

Timeline • Additional considerations • IRB approval time frame • Coordination of work load with light rotations • Availability of others on research team, mentor • Data analysis takes significant amount of time • Fellowship interviews – completed project, presentation listed on CV

DOIM Chief Residents’ Website https: //imchiefs. unm. edu/

Questions? Melissa Schiff, MD, MPH mschiff@salud. unm. edu