We believe that learning research methods during the program makes residents better consumers of medical literature, helps with career decision making, and generates new knowledge.
During their residency at Dartmouth-Hitchcock, residents are required to complete an academic project or scholarly activity undertaken to ask and attempt to answer a specific question. The project may take the form of a critical literature review with or without a case report, an original basic science project, a quality improvement or epidemiologic project, or an independent or collaborative clinical trial.
During the intern year, each resident is assigned two weeks to complete the Research Training Module, a self-directed curriculum with specific reading and problems sets about clinical research design. During this research block, your only assigned clinical duties are your continuity clinic. The other nine half-days are dedicated to:
- Reviewing our research curriculum regarding research methods, study design, starting a project, available mentors, research ethics, funding, and writing up results. This is available through online resources and a supplied textbook.
- Completing IRB training
- Meeting with our Residency Research Director, Dr. Duc Do, to begin to identify potential projects and mentors. Subsequently, the Research Director is available to review a project's progress and help to identify forums for communicating project results.
- Meeting with possible mentors to discuss projects
Work on the research project can be spread across the three years of residency training. Non-clinical elective time (up to three months over three years) can be devoted to your research project with prior approval from the Program Director and Research Director. Statistical and logistical support are available to help residents.
In the spring of the senior resident year, each resident is asked to submit a written summary of their project in the form of a poster presentation. Residents are also encouraged to submit their work for presentation at other regional or national meetings, and funding is awarded to projects accepted for presentation to defray travel costs. On Residency Research Day in May each year, several outstanding presentations are selected for oral presentation at Medical Grand Rounds.
Examples of recent research projects
|Outcomes after endoscopic suturing for GERD (comparison with other treatment modalities)||SAR||GI|
|Risk factors for death, nursing home residence in elderly pts1 yr after ICU stay||SAR||Pulmonary/Critical Care|
|The validity of "disease-specific mortality" as an endpoint for cancer screening||SAR||CECS|
|Morbidity, mortality and economic costs in the 12 months following S. aureus infection||JAR||ID|
|Impact on gas exchange of the addition of an end-inspiratory pause during mechanical ventilation of patients with severe COPD||SAR||Pulmonary/Critical Care|
|Use of skin test to explore the potential association between Crohn's disease and MAC infection||SAR||GI and ID|
|Intravascular ultrasound study of atherosclerotic plaques||JAR||Cardiology|
|Factors associated with a decision to discontinue dialysis in patients with End Stage Renal Disease||JAR||Nephrology|
|Study of the prevalence of celiac sprue in pregnant women using the anti-gliaden antibody test||Intern||GI|
|Effects of nicotine on glucose metabolism||JAR||GIM|
|Cost-benefit analysis of different treatment strategies for atrial fibrillation||JAR||Cardiology|
|Use of heart rate variability to predict Post Traumatic Stress Disorder||JAR||Psychiatry|
|Use of back-scatter Echo||CMR||Cardiology|
|Effect of availability of a standardized tool for recording prevention activities in primary care on frequency of performance||SAR||GIM|
|Effect of using a standardized flow sheet in the outpatient management of diabetes in an offsite clinic||JAR||Community Physician|
|Review of diseases caused by M. marinum||SAR||ID|
|Assessment of impact of Evidence Based Medicine Journal Club database on resident knowledge||JAR||GIM|
|Assessment of adverse outcomes associated with different Sotolol induction schedules||Intern||Cardiology|
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