Sunday, December 22, 2013
Last week at CROW, we were talking about social media and the convention to put the symbol "#" in front of key words to support searching and indexing. The question came up: what is that hash tag character (the number sign, the pound sign, the musical sharp sign) really called? The answer is ... the octothorpe. For more than you ever needed to know on the octothorpe, click here.
Posted by Ben Littenberg at 12/22/2013 10:10:00 AM
Wednesday, December 18, 2013
Winter 2014 Schedule
Workshop in Clinical Research (CROW)
Starting January 9, 2014:
Assemble 11:30 AM
Presentation 11:45 AM - 12:45 PM
Given Courtyard S457 (FRED)
Seminar in Clinical and Translational Science
Seminar in Clinical and Translational Science
Starting January 17, 2014
12:00 PM - 1:15 PM
Given Courtyard S359
Posted by Ben Littenberg at 12/18/2013 10:48:00 AM
Present: Marianne Burke, Kat Cheung, Abby Crocker, Kairn Kelley, Amanda Kennedy, Rodger Kessler, Ben Littenberg, Connie van Eeghen
Start Up: The value of a “D” degree (PharmD, DPT, DrPH, PhD), whether in 3 years or 6 after baccalaureate; mostly positive experiences, but it depends.
1. Discussion: CROW’s schedule for Spring Semester is set for every Thursday. We’ll gather at 11:30, topic discussion from 11:45 – 12:45.
2. Discussion: Development of an analytic plan for medical student evaluation data
a. Connie is working with Alan Rubin and Cate Nicholas on an article about introducing an EHR curriculum in a pre-clinical doctoring skills course. Medical students are evaluated by Standardized Patients (SPs) during Clinical Skills Exams (CSEs) on a variety of skills. Among these, six questions evaluate their PRISM skills and 1 evaluates their patient-centered skills while using PRISM. Note that this is not a research area that falls inside Connie’s FINER goals, but it provides great opportunities for networking, skill building, and development of future opportunities.
b. The group discussion identified many key questions/issues for Connie to clarify. These included:
i. Are the co-authors willing to publish, regardless of results?
ii. Have they submitted an IRB protocol yet? Can Connie be included as a "key personnel?" Can the rest of CROW be included, to participate in data analysis?
iii. Understand the 7 questions (6 PRISM and 1 patient-centered) on which the students are evaluated. Do the SPs first complete a check list, which they then use to score the questions? Or, at the end of the CSE, do they just score the 7 items from memory? What is the process used to create the data? How are scores of "yes," "unsatisfactory," and "no" determined? Will some of the data be missing?
iv. It's customary to describe the population being studied in a general way. Are demographic data about the students available (age at time of test (or year of birth) and gender)?
v. It's possible that these 7 questions are related to the score received for each CSE as a whole. In other words, if a student is having a bad day, test-wise, the score for the entire CSE will reflect this. Consider adding to the final score for each CSE to the data set.
vi. Make sure the medical student identification is coded, to prevent identification. Consider whether demographic data are, by themselves, identifiers.
vii. Find out if SPs score for "patient-centered" characteristics on any CSEs last year when PRISM was not being used. This might be a way to see how they scored on patient-centeredness when NOT distracted by PRISM.
c. Analytical approach
i. Descriptive: look at (graph) the medians by time period
ii. Look at a segmented bar graph, in which the segments are the three score categories
iii. Put ALL the dots on the graph; do a low S curve (non-parametric)
iv. Identify how many students passed each question for each test (pareto diagram)
v. Consider looking at within-subject variation (Kairn willing to help with this)
d. Thank you, everyone!
a. December 20: POTLUCK! Along with a presentation by Ben on Depression and social networks on the web, with Chris Danforth and Peter Dobbs.
Posted by Connie at 12/18/2013 08:04:00 AM
Tuesday, December 10, 2013
Present: Kairn Kelley, Rodger Kessler, Ben Littenberg, Connie van Eeghen, Jon Van Luling
Start Up: Nelson Mandela… moved the dot, and our society, measurably and immeasurably.
1. Discussion: Rodger is seeking a set of measures that can be used to reliably rate the degree of behavioral health integration and a method to get an expert panel to assess a set of clinical vignettes that will serve as an approximate gold standard of different classes of integration.
a. The first of vignettes have been developed; these need review and refinement. There are five vignettes at this time; the goal is for them to be consistently and unambiguously categorized according to the measures.
b. Anchors were set up at four points, but not at quartiles: 0%, 1-49%, 50-99%, 100%. Discussion was vigorous about where these points should be placed/what range of responses they should include, and how they should be described.
c. Statements (also called stems) were selected at random and reviewed from multiple perspectives. Questions were raised about how the statements reflect key aspects of the paradigm being tested. These questions will be reviewed with the author of the paradigm case.
a. December 10: Connie’s analytic plan for medical student evaluation data
b. Future agenda to consider:
i. Peter Callas or other faculty on multi-level modeling
ii. Charlie MacLean: demonstration of Tableau; or Rodger’s examples of Prezi
iii. Journal article: Gomes, 2013, Opioid Dose and MVA in Canada (Charlie)
iv. Ben: Tukey chapter reading assignments, or other book of general interest
Posted by Connie at 12/10/2013 10:24:00 PM