CDEM/CORD 2022 Special Issue

Page 38

Longitudinal Research Curriculum for Pediatric EM

Taneja et al. The group conducted a search for disseminated/ published research curricula and reviewed the ABP’s four core-knowledge content areas. Building upon those four areas, we structured six key topic areas to follow a longitudinal semester-type format over the three years of fellowship: Ethics in Research; Principles of Epidemiology

and Clinical Research Design; Principles of Biostatistics in Research; Statistical Testing; Measurement of Association and Effect; and Cost Benefit, Cost Effectiveness, and Outcomes. We then developed learning objectives within each of the topic areas (Table 1). To provide content for each of those objectives, we performed a search of formal

Table 1. Pediatric emergency medicine research curriculum learning objectives and milestones by postgraduate year. Semester

Learning objectives

Semester 1 July - Dec PGY 4

Understand the principles of ethical conduct of human subjects research Acquire a familiarity with univariate statistical testing techniques

Semester 2 Jan - June PGY 4

Understand the importance of study design and pros and cons to different types of study designs

Semester 3 July - Dec PGY 5

Learn to formulate a proper hypothesis Understand and recognize different types of common data distributions

Semester 4 Jan - June PGY 5

Milestones for scholarly project Institutional IRB training

1. Professionalism and misconduct in research 2. Principles of research with human subjects 3. Principles of consent and assent 4. Diagnostic tests 5. Including “gold standard” in testing, sensitivity, specificity

Identify mentor / topic / hypothesis

Principles of Epidemiology and Clinical Research Design

IRB approval for project

1.Assessment of study design, performance and analysis (internal validity) 2. Assessment of generalizability (external validity) 3.Bias and confounding 4. Causation a. Understand the difference between association and causation 5. Incidence and prevalence a. Distinguish disease incidence from disease prevalence

Introduction to manuscript written and approved by mentors and research rotation director

Principles of Use of Biostatistics in Research

Data abstraction completed

1. Types of variables 2. Distribution of data 3. Hypothesis testing Statistical Tests

Data analysis completed

Apply knowledge learned to date to interpretation of results for scholarly research project

Semester 5 July - Dec PGY 6

Learning content Ethics in research

Submission of abstract to national conference Measurement of Association and Effect

Understand the rationale for and be able to interpret results of advanced statistical tests including multivariate tests

Semester 6

1. Relative risk, risk ratio, odds ratio 2. Regression analysis

Initial draft of entire scholarly manuscript due to research rotation director

Cost Benefit, Cost Effectiveness, and Outcomes

Submission of scholarly manuscript for publication in a peer-reviewed journal

Jan- June PGY6

Become familiar with the vocabulary and variables used for economic evaluation of health services and outcomes PGY, postgraduate year; IRB, institutional review board.

Volume 23, no. 1: January 2022

27

Western Journal of Emergency Medicine


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Articles inside

Integration of Lung Point-of-care Ultrasound into Clinical Decision Making for Medical Students in Simulated Cases

46min
pages 136-155

COVID-19 Conferences: Resident Perceptions of Online Synchronous Learning Environments

10min
pages 127-130

Global Emergency Medicine Fellowships: Survey of Curricula and Pre-Fellowship Experiences

17min
pages 131-135

A Virtual Book Club for Professional Development in Emergency Medicine

22min
pages 120-126

Medical and Physician Assistant Student Competence in Basic Life Support: Opportunities to Improve Cardiopulmonary Resuscitation Training

21min
pages 113-119

Emergency Medicine Residents Experience Acute Stress While Working in the Emergency Department

22min
pages 106-112

Establishment of an Undergraduate FOAM Initiative: International Emergency Medicine (iEM) Education Project for Medical Students

26min
pages 75-82

A Novel Approach to Neonatal Resuscitation Education for Senior Emergency Medicine Residents

8min
pages 86-88

More is More: Drivers of the Increase in Emergency Medicine Residency Applications

27min
pages 89-97

A Nationwide Survey of Program Directors on Resident Attrition in Emergency Medicine

25min
pages 98-105

There’s an App for That: A Mobile Procedure Logging Application Using Quick Response Codes

9min
pages 83-85

Does a Standardized Discharge Communication Tool Improve Resident Performance and Overall Patient Satisfaction?

23min
pages 64-71

A Community Mural Tour: Facilitating Experiential Learning About Social Determinants of Health

9min
pages 72-74

Transitioning Traditions in the Time of COVID

5min
pages 62-63

Response to “Implementation of a Physician Assistant Emergency Medicine Residency Within a Physician Residency”

2min
page 61

Implementation of a Physician Assistant Emergency Medicine Residency Within a Physician Residency

10min
pages 57-60

A Comparison of Standardized Letters of Evaluation for Emergency Medicine Applicants

17min
pages 32-37

Resident Self-Assessment and the Deficiency of Individualized Learning Plans in Our Residencies

11min
pages 45-48

Addressing Racism in Medicine Through a Resident-Led Health Equity Retreat

11min
pages 53-56

Impact of Resident-Paired Schedule on Medical Student Education and Impression of Residency Programs

17min
pages 27-31

Calming Troubled Waters: A Narrative Review of Challenges and Potential Solutions in the Residency Interview Offer Process

22min
pages 13-18

A Standardized Patient Experience: Elevating Interns to Expected Level of Clinical Competency

7min
pages 49-52

Residents’ Perceptions of Effective Features of Educational Podcasts

23min
pages 38-44

Wellness Interventions in Emergency Medicine Residency Programs: Review of the Literature Since 2017

21min
pages 19-26
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