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LMMHC Medicine Research rotation

LMMHC Medicine Research rotation. B Kanna MD, MPH, FACP Associate Program Director of Internal Medicine Associate Director of Graduate Medical Education for Research. Part I. Introduction Goals & Objectives Structure of rotation Required Elements Topics Required reading Research plan.

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LMMHC Medicine Research rotation

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  1. LMMHC MedicineResearch rotation B Kanna MD, MPH, FACP Associate Program Director of Internal Medicine Associate Director of Graduate Medical Education for Research

  2. Part I Introduction Goals & Objectives Structure of rotation Required Elements Topics Required reading Research plan

  3. Introduction • Research education is a requirement for all residents as per ACGME • Research project requirement at LMMHC • Research rotation • Educating residents in research • Provides a customized learning experience • Assists in “kick off “ of research ideas

  4. Goals & Objectives • The goals of the curriculum in Evidence Based Medicine and Research elective is to ensure that All Internal Medicine residents are able to: • 1.Ascertain limitations in their critical appraisal of literature and means to address those deficiencies. • 2.Understand the limitations and advantages of original peer-reviewed medical literature. • 3.Discuss and understand sensitivity, specificity and predictive values of diagnostic tests, how they are used, and how tests are selected and interpreted; understand the impact of the underlying prevalence of disease on the predictive values (and the interpretation) of a diagnostic test. • 4.Understand the meaning of statistical significance and differentiate it from clinical significance. • 5.To know the ways to evaluate risk and prognosis, including the differences between observational study designs such as cross-sectional, case-control, and cohort studies. • 6.Understand the anatomy of the randomized control trial, its strengths and weaknesses; discuss the importance of power and the number-needed-to-treat in the interpretation of a treatment. • 7.Comprehend if a treatment actually works or not based on the medical literature; Adapted and modified for our residents from Ref: http://www.medinfo.ufl.edu/year2/ebm/compentencies.htm

  5. Structure of rotation • 2 week rotation • Could be repeated based on assessment & needs • Rotation supervisor • Mentor • No clinics • Calls as per Schedule • Holidays off • ACGME competency based evaluation

  6. Elements of the rotation • Critique of a study • Recent • Randomized trial • Area of interest • Research topics review • Research module test • Designing a study • Initiate and organize a study plan

  7. Research Topics review • p-value • Confidence Intervals • Odds ratio & Relative risk • Study designs • Number needed to treat & Number needed to harm • Sensitivity, specificity, PPV, NPV • Measures of central tendency- mean, median, mode • How to critique an article with randomized controlled trial • Bias • Confounding and how to analyze the effect of confounding in studies • How to write a research protocol

  8. Required reading • Available in a research rotation binder • Will be based on critique of literature

  9. Resident research portfolio • Research portfolio meetings annually • Research rotation elements to be completed • Case reports • QA/PI projects • Publications • Research presentations • LMMHC • Local/regional • National • Designing a study • Protocol • Time lines • IRB approval • Research assistant / volunteer support available

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