Conducting a Directed Study in a Private Practice
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Conducting a Directed Study in a Private Practice
Michael H. Oros CPOResidency Director
Scheck and Siress
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Implementing a Directed Study process in a Private Practice
• Selecting a topic• Designing the study• Developing a timeline for completion• Gathering information/materials list• Study assembly • Producing the written document
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Start the dialogue early!
•During the interview process
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Choosing a topic(8-12 weeks into Residency)
Question: What area of the field are you interested in???
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Choosing a topic(8-12 weeks into Residency)
• Prosthetics – Orthotics• Diagnosis vs. Device• People or Materials• Retrospective or Prospective
Decision Tree
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Ownership of the Report
Ownership = Commitment
Quality of effort Time Spent
Company time At home
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Designing the study(13-20 weeks into the Residency)
RULE #1: Know thyselfBoth Director & Resident:What are the existing
clinical/technical/research skill sets??
What are the strengths of the practice??
What support systems are in place to conduct this study??
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Designing the study(13-20 weeks into the Residency)
Directed Study Options:• Literature Review• Case Study w/ Subjects• Scientific Study• Scientific Study w/IRB• Other
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Designing the study(13-20 weeks into the Residency)
Directed Study Options:
• Really important to discuss the design limits of the project.
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Designing the study(13-20 weeks into the Residency)
•Program pays for misc. expenses: mass mailings, copying documentation, downloadable article reprints etc.)
•Small 1 time equipment expenses (i.e. stopwatch)
•Fabrication of “test’ devices for patients
•Cash for patients participating in trials when necessary
•TIME!!! (of both Resident and Staff)
Establish a Budget:
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Primary Resources Available:
• Library
• Internet
• Patient Records
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Draft a specific timeline for completion of the project/study
(concept to completion)
Literature Review Submit
Abstract to NCOPE
Assemble Materials List Data Collection
Subject recruitment(if necessary)
1st Draft of PaperInitiate study Submission of
Final Report to NCOPE
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Gathering Materials-Data-Information
Must have regardless of study format:
• NCOPE cover page
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Gathering Materials-Data-Information
Must have if involving Human subjects :
• Subject or subjects• Signed letter of informed
consent • IRB approval if done at a
Qualified Research Organization
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Presentation of the abstract to our Certified staff
• “Opportunity” to get feedback on the size and scope of the study
• Frequently an offer to help w/ data collection or subject recruitment
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Conducting the study:
Patient Trials:• Speed•Stride length•Velocity
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Conducting the study
Surveys(other category):• Patients• Physician• Practitioner• Technician• High School Students
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Conducting the study
Patient Records:
•Diagnosis
•Device
•Age
•Gender
•Length of Treatment
•“Life” of device
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Producing the written document
Review key elements:• Presentation of literature• Discussion of the results• Careful evaluation of
conclusions drawn• Suggestions for future
work
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Producing the written document
• After reviewing the final draft for spelling & grammar—The entire document is shipped to NCOPE
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Implementing a Directed Study process in a Private Practice
• Selecting a topic• Designing the study• Developing a timeline for completion• Gathering information/materials list• Study assembly • Producing the written document
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Questions??