How to Succeed in Medical Research

How to Succeed in Medical Research
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How to Succeed in Medical Research is a practical resource for medical students and junior doctors across all specialties. Designed for busy readers seeking to distinguish themselves in a highly competitive environment, this concise yet comprehensive guide provides step-by-step advice on selecting a project, finding a mentor, conducting a study, analysing results, publishing a paper, communicating findings, and much more. Presented in an accessible and conversational style, 14 succinct chapters walk readers through the essential stages of their research journey, from the initial steps to getting involved in research as a medical student, to effectively balancing clinical work, scientific research, and other academic pursuits early in your career as a healthcare professional. The book is packed with real-world case studies and expert tips to help readers apply the content directly in their own studies and careers. Straightforward and easy-to-use, this valuable guide: Covers a variety of clinical research and presentation skills using clear and engaging language Provides detailed guidance on writing a paper, conducting a clinical audit, creating a CV and portfolio, and other key proficiencies Develops writing skills for literature reviews, critical appraisals, and case reports Discusses how to further medical careers through research electives, PhD studies, teaching, and quality improvement projects Offers a range of helpful learning features including objectives, key points, case studies, review questions, and links to references and further readings Includes PowerPoint templates for oral presentations and posters via a companion website How to Succeed in Medical Research: A Practical Guide is an ideal resource for medical students, junior doctors and other early career medical professionals .

Оглавление

Robert Foley Andrew. How to Succeed in Medical Research

Table of Contents

List of Tables

List of Illustrations

Guide

Pages

How to Succeed in Medical Research. A Practical Guide

Foreword

Preface

About the Companion Website

Chapter 1 How to get involved in research. 1.1 Why do research?

1.2 What can I become involved in?

1.3 Different types of research. 1.3.1 Case report

1.3.2 Case series

1.3.3 Commentary

1.3.4 Interesting approach

1.3.5 Letter

Case Study 1.1 Letter to the editor [1]

1.3.6 Collaborative

Case Study 1.2 MIMIC collaborative study [3]

Case Study 1.3 Prostate cancer research collaborative

Case Study 1.4 Learning outcomes in surgery collaborative [4]

1.3.7 Case–control study and cohort study

1.3.8 Randomised controlled trial

1.3.9 Systematic review and meta‐analysis

1.4 Clinical vs laboratory

1.5 Getting ideas for research

Case Study 1.5 Identifying areas for research

References

Chapter 2 Conducting a study. 2.1 How to find a research project

2.1.1 Use your interests

2.1.2 Speak to your colleagues

2.1.3 Meeting your potential mentor

2.1.4 Research programmes

Case Study 2.1 University college dublin student summer research

2.1.5 Is this the right project for me?

2.2 How to approach a mentor

Case Study 2.2 The direct approach

Case Study 2.3 The indirect approach

2.3 Planning your study. 2.3.1 Defining a research question

Case Study 2.4 Acoustic neuroma study

Case Study 2.5 Prostate cancer biomarkers

2.3.2 Literature search and literature review

2.3.3 Study design

2.3.4 Analysis plan

Case Study 2.6 Analysis plan

2.3.5 Sample size

Case Study 2.7 Surgical learning activities

2.3.6 How to write a research proposal

2.3.7 Ethical approval

2.3.8 Other considerations. 2.3.8.1 Timelines

2.3.8.2 Motivation

2.3.8.3 Speak to the previous researcher

2.3.8.4 Grant applications

Case Study 2.8 Grant application

2.4 Data collection

2.4.1 Plan

2.4.2 Where is the data?

2.4.3 Practical aspects

2.4.4 Time

2.4.5 Storage and safety

Chapter 3 Literature review and critical appraisal

3.1 Literature review

3.2 Search terms

Case Study 3.1 Medical electives study

3.2.1 Tips for search terms

3.3 Where to search

3.4 How to search

3.5 Critical appraisal

3.5.1 Bias

3.5.1.1 Selection bias

3.5.1.2 Performance bias

3.5.1.3 Recall bias

3.5.1.4 Attrition bias

3.5.1.5 Reporting bias

3.5.1.6 Nonresponse bias

3.5.2 Confounding factors

3.5.3 Validity

3.5.3.1 Internal validity

3.5.3.2 External validity

3.5.4 Models of critical appraisal

3.5.5 Notes on critical appraisal

Case Study 3.2 Critical appraisal of a paper

Chapter 4 Ethics and the ethical application. 4.1 What is medical ethics and why is it important?

4.2 Main ethical considerations in medical research

4.2.1 Honesty

4.2.2 Objectivity

4.2.3 Carefulness

4.2.4 Openness

4.2.5 Respect for intellectual property

4.2.6 Confidentiality

4.2.7 Responsible mentoring

4.2.8 Respect for colleagues and personal conduct

4.2.9 Social responsibility

4.2.10 Competence

4.2.11 Legality

4.2.12 Animal care

4.2.13 Human subjects protection

4.2.14 Informed consent

4.3 Practical ethical applications

Example 1

Example 2

Example 3

4.4 Dealing with conflicts in ethics

4.4.1 Identify and recognise the ethical conflict

4.4.2 Seek alternative courses of action

4.4.3 Seek help or advice

4.4.4 Decide on a definite course of action

4.5 Ethical applications

Chapter 5 Analysing your data

5.1 What I need to know and how to find it

Case Study 5.1 Learning statistics

5.2 Variables

5.2.1 Categorical variables

5.2.2 Continuous variables

5.2.3 Describing a continuous variable

5.2.4 Displaying your variables

5.2.5 Normal distribution

5.2.6 Paired or unpaired data

5.3 Analysis of categorical and continuous variables in two groups

5.3.1 The p‐value

Case Study 5.2 Analysing and displaying your data

5.4 Sensitivity and specificity

5.4.1 Sensitivity

5.4.2 Specificity

5.4.3 Interpretation

5.5 Positive predictive value and negative predictive value

5.6 Receiver operating characteristic curves

5.6.1 95% confidence intervals

Case Study 5.3 Comparing two variables with ROC curves

5.7 Logistic regression analysis

Case Study 5.4 Logistic regression

5.8 Other types of analysis

5.8.1 Comparing two continuous variables

5.8.2 Comparing three or more groups

5.8.3 Inter‐observer variability

5.8.4 Time to event data

5.9 How to present your results

Case Study 5.5 Radar chart

5.10 Conclusion

References

Chapter 6 Conferences and presentations: the next step in the research journey

6.1 Types of conferences

6.2 Prices and prizes

Case Study 6.1 Conferences

6.3 Abstract submission

6.4 Title

6.5 Introduction

6.6 Methods

6.7 Results

6.8 Conclusion

Case Study 6.2 Abstract 1. Title

Introduction

Methods

Results

Conclusion

Case Study 6.3 Abstract 2. Title

Introduction

Methods

Results

Conclusion

Case Study 6.4 Abstract 3

Title

Introduction

Case report

Conclusion

6.9 Poster presentation. 6.9.1 Poster design

6.9.2 Poster presentation sessions

6.10 Podium presentation

Chapter 7 Writing a paper

7.1 Title

Case Study 7.1 Title

7.2 Abstract

Case Study 7.2 Abstract

Objectives

Patients and methods

Results

Conclusion

7.3 Introduction

7.4 Methods

7.5 Results

7.6 Discussion

7.7 Conclusion

7.8 References

7.9 Sending to seniors for review

Reference

Chapter 8 How to get published. 8.1 Which journal?

8.1.1 The scope and readership of the journal

8.1.2 Indexing

8.1.3 Impact factor

8.1.4 Open access publication

Case Study 8.1 Selecting a journal for submission

8.2 Authorship

8.3 Getting your paper ready for the journal

8.4 Dealing with reviewer comments

Case Study 8.2 Response to reviewers

Reviewer 1: Comments to the author

Response to reviewer 1

Reviewer 2: Comments to the author

Response to reviewer 2

Reviewer 3: Comments to the author

Response to reviewer 3

8.5 Dealing with rejection

Case Study 8.3 Acoustic neuroma paper submission [4]

References

Chapter 9 Writing a case report

9.1 How to begin

9.1.1 Why this particular case?

9.1.2 Is it the most efficient use of my time?

9.1.3 Does it need to be written?

Case Study 9.1 Should I write this case report?

9.2 Preparing to write the case report. 9.2.1 Case notes

9.2.2 Patient consent

Case Study 9.2 Consent for case reports

9.2.3 Images

9.2.3.1 Clinical photographs

9.2.3.2 Radiological studies

9.2.3.3 Histology slides

9.2.4 Data protection

9.3 Writing the case report

9.3.1 Introduction

Case Study 9.3 Introduction

9.3.2 Case presentation

Case Study 9.4 The case presentation

9.3.3 Discussion

Case Study 9.5 Discussion

9.3.4 Conclusion

Case Study 9.6 Conclusion

References

Chapter 10 Basic laboratory research. 10.1 Introduction to laboratory research and translational research

10.2 Basic research versus clinical research

10.3 Laboratory hierarchy

10.4 Day to day of working in the lab

10.4.1 Documentation

10.4.2 Lab meetings

10.4.3 Lab upkeep

10.4.4 Reading

Case Study 10.1 Troubleshooting experiments

10.5 How to choose your lab

Chapter 11 Expanding your horizons in research

11.1 Research elective

Case Study 11.1 Neurological research elective

11.2 Intercalated research degree

Case Study 11.2 Intercalated master of science

11.3 Postgraduate diplomas/certificates

Case Study 11.3 Graduate certificate in mathematics and statistics

11.4 Postgraduate degree

Case Study 11.4 Master’s in surgery

Case Study 11.5 Undertaking a PhD

Chapter 12 Teaching. 12.1 How to get involved in teaching

12.2 Teaching as an undergraduate student

Case Study 12.1 University teaching – the early years

Case Study 12.2 University teaching – the later years

12.3 Teaching as a postgraduate student

Case Study 12.3 Teaching as a postgraduate

12.4 Teaching at work

Case Study 12.4 Teaching in the workplace

Case Study 12.5 Informal teaching on the wards

12.5 Planning a lesson

12.5.1 The audience

12.5.2 The objectives

Case Study 12.6 Teaching in clinical practice

12.6 Getting the most out of your teaching

12.6.1 Feedback

12.6.2 Research

12.7 Running a teaching course

12.8 How to set up a novel teaching course

Case Study 12.7 Medical elective suitcase

12.9 How to run an established course

Chapter 13 Conducting an audit. 13.1 What is clinical audit?

13.1.1 Audit cycle

13.1.2 Benefits of audit

13.1.3 Levels of audit

13.2 Conducting an audit

13.2.1 Topic choice

13.2.1.1 What are you interested in?

13.2.1.2 What is not working for you and/or your patients?

13.2.1.3 Follow the money

13.2.1.4 Ask your seniors for suggestions

13.2.1.5 Take on an audit someone else has started

13.2.1.6 Contact the audit department

Case Study 13.1 Surgical drain usage

13.2.2 Audit criteria

Case Study 13.2 Outpatient clinic audit

13.2.3 Data collection

13.2.3.1 Amount of data/duration

13.2.3.2 Specificity of data

13.2.3.3 Retrospective versus prospective

13.2.4 Results comparison

13.2.5 Feedback and discussion

13.2.6 Change implementation

13.2.7 Closing the loop and maintaining change

Case Study 13.3 Medical management of miscarriage audit

Chapter 14 Portfolio/CV. 14.1 Keeping a portfolio

Case Study 14.1 Audit Section

Case Study 14.2 Academic Courses Section

14.2 Curriculum vitae (CV)

Case Study 14.3 Publications Within Your CV

Chapter 15 Maintaining a good balance

15.1 Stress and burnout

15.1.1 Take a timeout

15.1.2 Focus on the positives

15.1.3 Realise that you are not perfect

15.1.4 Mindfulness meditation and self‐compassion meditation

15.1.5 Breaks

15.1.6 Stress log

Case Study 15.1 Burnout in the workplace

15.2 Improving your mindset to promote resilience

15.2.1 Mindset

Case Study 15.2 A growth mindset

15.3 Other methods for resilience

15.3.1 Passion projects

Case Study 15.3 AfroEights

15.3.2 Health

15.3.3 Relationships

15.4 Practical tips

15.4.1 Organise

15.4.2 Be realistic

15.4.3 Seek help

15.4.4 Decompress

15.4.5 Socialise

References

Index

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Отрывок из книги

Robert Foley, MB BCh BAO, MSc, MCh, GradCert (Statistics), MRCS

Specialist Registrar in Radiology

.....

One alternative to becoming involved in a collaborative research project is to lead your own collaborative study. It is without doubt more work to do so, so I would recommend becoming involved as a collaborator first. However, the rewards can be immense, and if you have the time and the motivation, leading a collaborative is a great experience.

During some dedicated research time, I had the opportunity to lead a nationwide study throughout Ireland that sought to collect information on men undergoing prostate biopsy and to create an Irish prostate cancer risk assessment tool. Under the guidance of my MSc supervisor, I met with each of the department leads in urology at all eight tertiary urology centres operating under the National Cancer Control Programme in Ireland. I presented a research proposal to the heads of department, seeking to recruit patients for the study from each centre. I then completed the ethical review board applications for each hospital and recruited members to assist with the data collection. The number of patients recruited to this study was more than 4000. My role also included working on the statistical analysis of the data and enlisting the help of the biostatistics department at my university. The next step was the dissemination of the research findings and presentations at local, national, and international meetings. The project has led to a number of publications, and the research project has continued with patient recruitment and the development of more refined risk models, an ongoing interest in my research team.

.....

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