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How to start research at NNMC April, 2011 Marina Borovok, PhD Head of Research Education,

National Naval Medical Center (NNMC) Directorate for Professional Education Clinical Investigations Department. How to start research at NNMC April, 2011 Marina Borovok, PhD Head of Research Education, Clinical Investigations Department, NNMC. "There is always a better way to do it.

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How to start research at NNMC April, 2011 Marina Borovok, PhD Head of Research Education,

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  1. National Naval Medical Center (NNMC)Directorate for Professional EducationClinical Investigations Department How to start research at NNMC April, 2011 Marina Borovok, PhD Head of Research Education, Clinical Investigations Department, NNMC

  2. "There is always a better way to do it. Find it !!!" — Thomas A. Edison

  3. How we can find “a better way to do it”? Only through the best available scientific knowledge, and research-based decision making.

  4. Presentation Outline I. How to start research at NNMC: - Obtaining a DKO/AKO account, - Registering with IRBNet, - Completion of CITI training, - Research topic selection, - Research protocol/publication preparation, - Research protocol/publication submission. II. NNMC Research Resources : - Responsible Conduct of Research Service (RCRS), - Darnall Biomedical Learning Resource Center (DBLRC), - Research Protocol/Publication Help, - Education/Mentoring Resources, - ICEBERG;

  5. Research Cue Card

  6. I. How to start research at NNMC Step 1: Obtaining a DKO/AKO account at https://www.us.army.mil/suite/page/596540 (DMRN page on DKO/AKO website). Cue Card Reference: 6

  7. Step 1: Obtaining a DKO/AKO account(cont.) Login using your AKO/DKO username and password

  8. Step 1: Obtaining a DKO/AKO account(cont.) You are at the DMRN site at https://www.us.army.mil/suite/page/596540 Click on the IRBNet Entry button

  9. Step 1: Obtaining a DKO/AKO account(cont.) Instructions are at the RCRS website https://nnmcintra/SiteDirectory/RCRS/IRBNet/Forms/AllItems.aspx. Questions? Please contact Mr. Luis Calvo at Luis.Calvo@med.navy.mil, 301 295-2269.

  10. Step 2: Registering with IRBNet, e-portal for publications and protocol submission. Cue Card Reference: Instructions are at the RCRS website https://nnmcintra/SiteDirectory/RCRS/IRBNet/Forms/AllItems.aspx.

  11. Step 2: Registering with IRBNet, e-portal for publications and protocol submission (cont.) Questions? Please contact Mr. Luis Calvo at Luis.Calvo@med.navy.mil, 301 295-2269.

  12. Step 3: Completion of CITI training Cue Card Reference: Principal Investigators, Associate Investigators, Research Staff, as well as anyone coming into contact with Human Subjects or involved with the consent process or study design are required to complete this course.

  13. Step 3: Completion of CITI training The course is available at https://www.citiprogram.org

  14. Completion of CITI training First Time Users need to register at https://www.citiprogram.org/enroll/courseregistration1.asp?language=english. Questions? Please contact Mrs. Toby Perkins at Toby.Perkins@med.navy.mil, 301 319-8994.

  15. Now you are done with the registrations and training. What is next?

  16. Next steps: 4-5 The entire research writing process can be divided into easily manageable and clear steps: STEP 4: Develop a Research Question Select a topic Find Sources to support your ideas STEP 5: Research Protocol Preparation: Literature Review Start Writing Statistical Analysis Complete Detailed Study Protocol STEP 6: Submit your proposal via

  17. Step 4: Research topic selection Cue Card Reference: In order to do that you need to consult with your Department Chair/Supervisor/Mentor. Need help to choose your Mentor? Please contact Dr. Marina Borovok at marina.borovok@med.navy.mil, 301 295-2876.

  18. Good research question: could the "FINER" criteria be applied to it?F- Feasible.  Is the question answerable?  Do you have access to all the materials you will need to do the study?  Do you have access to enough subjects?  Will you have enough time and money?  Do you have the expertise to do this study or can you collaborate with someone who does?I- Interesting.  The question has to be interesting to the investigator, but should also be interesting to others.N- Novel.  Has this study been done before?  Does it add to the current body of medical knowledge?E- Ethical.  Risk/benefit ratio? Can the study be done with a minimal risk?  Will an IRB approve the study?R- Relevant.  Will it further medical science?  Will the results change clinical practice, health policy or point towards further avenues of research?If your question fails on any one of these 5 criteria, it is probably not worth putting much effort into.Additional reading:http://familymed.uthscsa.edu/facultydevelopment/elearning/ResearchQuestions.swfAppendix 3

  19. Step 5: Research Protocol Preparation Cue Card Reference: Literature Search help: Mr. Fredric Simms, MLS Medical Researcher, Phone: (301) 295-0080 E-mail address: James.Simms@med.navy.mil Bldg. 1, 1st floor, rm 1633 Ms. Kimberly D. Adams, M.A., M.S., M.L.S. Reference Librarian at WRAMC Phone: (202) 782-6547 E-mail address: kimberly.adams3@amedd.army.mil Statistical Data Analysis help: Dr. Francois O. Tuamokumo Mathematical Statistician Phone: (301) 319 8788 Email: francois.tuamokumo@med.navy.mil Bldg. 1, 4th floor, rm 4342 19

  20. Step 6: Protocol submission via Cue Card Reference: Submission instructions are available on the IRBNet portal, under Forms and Templates. Questions? Please contact RCRS at NNMC-ResearchQuestions@med.navy.mil, 301 295-2275.

  21. Next steps are: SRP,IRB approval These steps will be successful if you worked on the Research Protocol with help of the NNMC specialists (Step 5) 

  22. IMPORTANT TO REMEMBER !!! Cue Card Reference:  You may not begin your research until you have received an IRB Approval andApproval Letter from the Commander, NNMC.

  23. The Walter Reed Army Medical Center (WRAMC) The Walter Reed Army Medical Center (WRAMC) processes are very similar to NNMC, since both centers follow most of the same regulations.

  24. The National Capital Region Military Medical Centers POCs: National Naval Medical Center (NNMC) , Responsible Conduct of Research Service Sheila Gaines 301-295-6512 Walter Reed Army Medical Center (WRAMC), Department of Clinical Investigation Verna Parchment 202-782-7828 Malcolm Grow Medical Center (MGMC), IRB Office Cheryl James 240-857-8216 The Uniformed Services University (USU), Research Office Maggie Pickerel 301-295-0819

  25. Questions?

  26. II. NNMC Research Resources Research Integrity Resources Responsible Conduct of Research Service (RCRS) – HUMAN SUBJECT PROTECTION Darnall Biomedical Learning Resource Center (DBLRC) Research Protocol/Publication Help, Education/Mentoring Resources, ICEBERG;

  27. Research Integrity Resources It is a policy of Navy Medicine that all personnel will uphold highest principles of ethics promoting research integrity and the responsible conduct of research (RCR). RCR RESOURCES (hard copies and web links): TEXT (available at RCRS) On Being A Scientist, National Academy of Sciences Committee on the Conduct of Science, 3rd Ed., Also available on the web at http://www.nap.edu/openbook.php?isbn=0309119707 DVD “THE LAB” (available at RCRS,) an interactive educational DVD has been developed by ORI for education regarding research misconduct. Also available on the web at http://ori.dhhs.gov/TheLab, RCRS site at https://nnmcintra/SiteDirectory/RCRS/default.aspx (under the RCRS links), ANTI-PLAGIARISM SOFTWARE TURNITIN (web-based, http://turnitin.com/static/index.php) Free access available to the NNMC researchers. WEB RESOURCES PROVIDED ON THE RCRS WEBSITE (INTRANET) at:https://nnmcintra/SiteDirectory/RCRS/default.aspx (under RCRS Links): RESEARCH INTEGRITY THE LAB: Interactive Movie on Research Misconduct AVOID PLAGIARISM: 26 Guidelines at a glance Research Ethics Resources provided by The Navy Medicine Institute On Being a Scientist: A Guide to Responsible Conduct in Research: Third Edition (2009)

  28. HUMAN SUBJECT PROTECTIONCue Card Reference: RCRS

  29. RCRS information Bldg. 1, 4th floor, room 4394 RCRS Intranet https://nnmcintra/SiteDirectory/RCRS/default.aspx RCRS Internet http://www.bethesda.med.navy.mil/professional/research/Responsible_Conduct/index.aspx Questions: 301 295-2275 NNMC-ResearchQuestions@med.navy.mil Head of the Clinical Investigation Department: CAPT Jeffrey Lenert, MD Jeffrey.Lenert@med.navy.mil

  30. Darnall Biomedical Learning Resource Center (DBLRC) Cue Card Reference: Bldg. 1, 3rd floor, room 3458 Intranet https://nnmcintra/SiteDirectory/STITT/default.aspx Internet http://www.bethesda.med.navy.mil/professional/stitt_library Questions: 301 295-1184 NNMC-DBLRC@med.navy.mil Darnall Biomedical Learning Resource Center (DBLRC)

  31. Darnall Biomedical Learning Resource Center (DBLRC) Bldg. 1, 3 rd floor, room 3458 • Hours Main Number Monday-Thursday   0700-1730Friday                    0700-1600 301-295-1184 • After Hours Access is availableContact Ann Holman at Ann.Holman@med.navy.mil,  or visit the Circulation Desk to sign up for an access account, and we'll contact you when your card is ready.  Library Access Card

  32. Research Protocol/Publication Help Literature Search: Comprehensive DB specialist: Mr. Fredric Simms, MLS James.Simms@med.navy.mil 301 295-0080 Ms. Kimberly D. Adams, M.A., M.S., M.L.S. Reference Librarian at WRAMC Phone: (202) 782-6547 E-mail address: kimberly.adams3@amedd.army.mil Statistical Data Analysis: Mathematical Statistician: Francois O. Tuamokumo, PhD francois.tuamokumo@med.navy.mil301 319-8788 Cue Card Reference:

  33. Education/Mentoring Resources Research Course: 9 CME/CE, 2 days (0630-1100); 2011: 3/21-22, 5/2-3, 7/7-8, 9/22-23, 11/8-9 Hands-on Research Preparation Course: April-December, 2011, Th., noon-1400. PubMed Search Course: December 10, 2010 Head of Research Education: Marina Borovok, PhD marina.borovok@med.navy.mil 301 295-2876 Cue Card Reference:

  34. Interdepartmental Collaborative BethesdaResearch Group http://nnmcresearch.wikispaces.com/

  35. ICEBERG Mission Help National Naval Medical Center to become a premier research organization in the Department of Defense. 35

  36. Questions?

  37. Thank You! My Contact Information: Marina Borovok, PhD Head of Research Education Clinical Investigation Department Professional Education Directorate National Naval Medical Center 8901 Wisconsin Avenue, Bldg. 1, Rm. 4372, Bethesda, MD 20889 Phone: 301-295-2876 Fax: 301-295-1490 E-mail: marina.borovok@med.navy.mil 37

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