Research Curriculum for Internal Medicine Residency at UCSF Fresno Paul K Mills, Ph.D., M.P.H., Robin Whitney, RN, Ph.D., Ivy Darden, MD, Simon Paul, MD, and Nancy Oloizia June 29, 2017

Our motto is…” Let there be Light”

Every categorical resident in the Internal Medicine Residency Program at UCSF Fresno shall complete a scholarly activity or research project during their three year residency, either individually or as part of a team. Results from that activity shall be presented at the Annual Research Day Program, in late May.

Evidence Based Medicine The Continuum of Research, Quality Improvement and Evidence Based Medicine at UCSF Fresno, Department of Medicine Quality Improvement Evidence Based Medicine Clinical Research

Types of Research Designs Evidence Hierarchy Systematic Reviews & Meta-Analyses of RCTs Randomized Controlled Trials (RCTs) Cohort Studies Case-Control Studies Cross-Sectional Surveys Case Reports Perspectives

Anatomy of research: What it’s made of Research question, significance Study design Study subjects and how they will be sampled Variables and how they will be measured Predictor Outcome Analysis plan, sample size calculation Implementation, data management, quality control

Stages of Study Hypothesis generation (knowledge, insight) Descriptive studies (case series, surveillance data, secondary data) Analytic studies (tests of causal hypotheses) Hypotheses are like nets; only he who casts will catch. -- Novalis (c) B. Gerstman 2007 Chapter 9

“This is a (design) study to examine the relationship between (predictor variable) and (outcome variable) in (population).”

Physiology of research: How it works Using measurements in a sample to draw inferences about phenomena in a population

Is RQ FINER? Feasible Interesting Novel Ethical Relevant

Examples of Previous or Ongoing Internal Medicine Resident Research Projects Frequent Premature Atrial Contractions and their Association with Incident Heart Failure. Demographics, Clinical Factors and Outcomes of Acute Coccidiomycosis Infection at CRMC , 2011-2016 Prevalence of Diabetic Retinopathy in Pregnant Hispanic Women with Pre-Existing DM or Gestational DM.

Steps to Be Completed During Your Three Year IM Residency Research Experience CITI training IRB Approval Mentor identification Feedback Session attendance Abstract and poster preparation Research Day presentation

https://www.citiprogram.org/

Research Mentor Form

UCSF Fresno Internal Medicine Residency Research Activities to be Completed in PGY 1-2-3 PGY – 1-2-3 Name Introductory Session Research Lectures C.I.T.I. Training Completed Project - Mentor Form Signed Project Approved Meeting w/ Dr Mills / Dr. Whitney/ Dr Paul Research Study Abstract Submitted Research Day!   Cheng, Michael Cohen, Jacob Danopoulos, Panos De Jesus, Emerson Deguzman, Jacki Kalra, Amita Khatri, Bhavik Khemthong, Apinunt

Questions????