1. LMMHC Medicine Research 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:

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