Scholarly Support & Expectations
The Department of Obstetrics and Gynecology, Kaiser San Francisco supports an active research program which supplements the resident educational experience. While not all members of the teaching staff are investigators, everyone supports on-going scholarly activity.
This environment of inquiry and scholarship is further nurtured by a structured resident research curriculum. The core curriculum includes a dedicated didactic research series from experienced faculty that provides support and education in research design and statistical analysis and where continuous guidance is offered for on-going resident research projects.
Our organization in Kaiser Permanente Northern California (KPNC) models the practice of evidence-based medicine, facilitating and encouraging the search for the best evidence-based guidelines and adapting these guidelines to the management of their practice. KPNC strongly supports clinical research with recent emphasis being placed on resident research.
One significant measure of success and competency is fulfilling the resident research project requirements. It is expected that through the process of completing the research project, residents will learn first hand about the realities of conducting clinical research and are better able to interpret the medical literature, an important objective of our residency program. Historically residents have consistently produced quality research, and often presented at regional or national conferences and published in peer-reviewed journals.
Resident Research: Overall Goal
- To foster lifelong self-directed learning habits and to develop a lifelong pattern of independent self-assessment.
Specific Objectives: upon completion of this residency that the resident will be able to:
- Systematically evaluate and understand the differences as well as the relative scientific value of reviews, case reports, descriptive studies, analytic studies (e.g. cohort, case-control), experimental studies (e.g. randomized clinical trials), systematic reviews and meta-analyses.
- Analyze critically and interpret correctly statistical data from their research and in the literature.
- Systematically review the medical literature with both traditional search tools (e.g. medline) and evidence-based databases (e.g. Cochrane) and evaluate the quality of the data.
- After evaluating the medical literature in a systematic manner, be able to translate this into clinically useful information, and subsequently incorporate this knowledge into their practice and/or apply results to specific patient care issues.
A resident research project is a requirement for completing the program. It is expected that all residents will develop and complete a research project judged to be of publishable quality prior to completion of their residency. It is not required that this research be published, but it is encouraged. Submission of an abstract of this research project for presentation at the KPNC Resident Research Symposium by Chief Year is required. Additionally all residents are required to make a Grand Rounds Presentation during their third year of residency training on a CME topic related to their area of research.
During the research project, residents will gain experience in the research process from idea generation through project development and execution, data analysis, and presentation/publication. The project must be an analytic or experimental study (while case reports and critical reviews of the literature are encouraged, they do not fulfill research requirements). The Department strongly encourages and supports the presentation of these projects at regional and national scientific meetings and the publication of results in peer reviewed journals. Any resident whose paper is accepted for presentation will have his/her expenses for that conference reimbursed.
Resident Research Requirement and Support
Residents are encouraged to pick their research topics in their first year. Residents will work with staff physicians who have interest and expertise in the area chosen to complete the project.
The resident meet with their mentor as frequently as necessary to make appropriate progress on their research.
The following systems have been established to aid the resident in their research:
- Residents are required to make a formal presentations at monthly Resident Research Meeting with Dr. Jacobson. Residents are strongly encouraged to have their research mentor attend this as well.
- R1- present once in second half of year
- R2- present twice, in first half and again in second half
- R3- present twice, in first half and again in second half
- R4- present twice, in first half and again in second half
- A research manual has been developed for reference for residents to use in their research project.
- During each of the eleven months of the Ob-Gyn clinic rotations scheduled throughout the program there is one half day a week reserved for working on the research project.
- Dr. Michelle Morrill is an experienced journal Editor as well as reviewer- all residents are strongly encouraged to submit their manuscripts for mock peer-review before submitting.
- Subspecialist faculty deliver a series of 6 didactic lectures on clinical research methodology, repeated every 2 years. Topics include: Cohort studies; Case-Control studies & Cross-Sectional Studies; Experimental Study Designs/Clinical Trials; Basic statistics; and Advanced Statistics.
Aida Shirazi R.Ph., M.S., Ph.D. Kaiser San Francisco Medical Center Research Project Manager
We are excited to welcome Dr. Shirazi to specifically support our residency research curriculum and individual residents with their research projects. Dr. Shirazi received her Ph.D. in Public Health from Oregon State University, she also has an M.S. in nutritional science and is a registered pharmacist. Over the past decade she has been a Program Director and Co-Principle Investigator at the University of California, Berkeley School of Public Health and the California Breast Cancer Research Program. She has experience with quantitative and qualitative research methodologies, and has extensive experience working with diverse linguistic and cultural communities to develop effective interventions to reduce health disparities.
Division of Research Support and Resources
Statistical support and consultation is available as a service to the residents through the Kaiser Permanente Division of Research (DOR) in Oakland. Our nationally recognized DOR consists of our 400 investigators (MD’s and PhD’s) and support staff (biostatisticians and editors). MaryAnn Armstrong, and her support staff, at the DOR, with support from our Institutional Graduate Medical Education Department, is prepared to support residents design and analyze their study. They are fully prepared to support the resident and their mentor in all phases of a study, including study design, data abstraction, statistical analysis and even manuscript preparation.
When you are starting a research project it is most efficient if DOR works with the resident from the beginning, starting with IRB proposal/exemption preparation. DOR also provides assistance with electronic data abstraction, data base development, data analysis and interpretation, preparation of presentations and manuscripts.
The DOR has developed a series of online research training modules that residents are expected to complete in their first 2 years of training. These structured lessons are 30-45 minutes each. These web-based, self-taught course are a set of targeted educational lessons that helps residents understand the basics of planning for and conducting effective clinical research. This program provides the learner with a strong foundation in research principles and the application of those principles in designing and conducting research. It also teaches basic statistical knowledge needed to understand the design and conduct of a research protocol and different methods to analyze the results.
Each PGY-I should complete both the Introduction to Clinical Research and Research Statistics. These courses cover:
- Choosing a Research Question
- Observational Study Designs
- Experimental Study Designs/Clinical Trials
- Selecting Study Subjects
- Choosing and Measuring Variables
- Confounding and Bias
- Kaiser Permanente Data Sources for Research
- Descriptive Statistics
- Hypothesis Testing and P-values
- Sample Size and Power
Each PGY-2 should complete Multivariable Statistics course, which covers:
- Linear Regression
- Logistic Regression
- Multivariable analysis
- Cox and poisson regression
The following attachments exemplify the breadth and quality of resident research success in our training program.