Resident ProjectsResident Projects

Kevin P. Meade, Ph.D.

NCOPE Orthotic Resident

BioConcepts, Inc.

Kevin P. Meade, Ph.D.

NCOPE Orthotic Resident

BioConcepts, Inc.

Are They Valuable?

LABORATORIO GILETELABORATORIO GILETE

In a perfect world . . .In a perfect world . . .

. . . there are no limits on time, talent, and treasure.

. . . there are no limits on time, talent, and treasure.

TimeTime

Project time from normal work time, for example: One-half to one day per week, or 10-20 percent of the residency, or 200-400 hours in one year

Project time from outside normal work Writing and other time intensive tasks

Project time from normal work time, for example: One-half to one day per week, or 10-20 percent of the residency, or 200-400 hours in one year

Project time from outside normal work Writing and other time intensive tasks

TalentTalent

NCOPE Resident Residency Director Patient(s) Technician(s) Other supporting staff Outside advisor(s)

NCOPE Resident Residency Director Patient(s) Technician(s) Other supporting staff Outside advisor(s)

TreasureTreasure

Assume salary of $15/hour, for the sake of argument (not including benefits)

200-400 hours = $3000-$6000 investment 200-400 hours not doing clinical work that

may generate income Use of other company resources such as

supplies, components, personnel, etc.

Assume salary of $15/hour, for the sake of argument (not including benefits)

200-400 hours = $3000-$6000 investment 200-400 hours not doing clinical work that

may generate income Use of other company resources such as

supplies, components, personnel, etc.

Is the project worth it?Is the project worth it?

Depends upon whether the desired outcome(s) were achieved

Depends upon the actual cost Were there any conference

presentations or publications? Has the residency facility benefited from

the project? Has clinical practice improved?

Depends upon whether the desired outcome(s) were achieved

Depends upon the actual cost Were there any conference

presentations or publications? Has the residency facility benefited from

the project? Has clinical practice improved?

Careful planning is essentialCareful planning is essential Identify the project early - before beginning

the residency, if possible Write a formal proposal with a budget and

time-line (MS Project can help) Proposal must be comprehensive Obtain internal approval of the proposal Block out weekly time for project work Revise the project plan along the way, as

needed

Identify the project early - before beginning the residency, if possible

Write a formal proposal with a budget and time-line (MS Project can help)

Proposal must be comprehensive Obtain internal approval of the proposal Block out weekly time for project work Revise the project plan along the way, as

needed

Some Published Papers on Residency Research . . .Some Published Papers on Residency Research . . .Supan, TJ. RESEARCH FORUM--Residency Research, Part I: Why

Should an Orthotic/Prosthetic Resident Conduct Research? Journal of Prosthetics and Orthotics, Vol. 7, No. 4, 1995, pp. 142-146.

Shurr, DG. RESEARCH FORUM--Residency Research, Part II: Goals of Residency Research. Journal of Prosthetics and Orthotics, Vol. 7, No. 4, 1995, pp. 147-148.

Lin RS. RESEARCH FORUM--Residency Research, Part III: How To Do Research During Residency. Journal of Prosthetics and Orthotics, Vol. 7, No. 4, 1995, pp. 149-151.

Kapp, S and Wentz, G. Research Forum: Baccalaureate Student Research. Journal of Prosthetics and Orthotics, Vol. 9, No. 1, 1995, pp. 42-47.

Supan, TJ. RESEARCH FORUM--Residency Research, Part I: Why Should an Orthotic/Prosthetic Resident Conduct Research? Journal of Prosthetics and Orthotics, Vol. 7, No. 4, 1995, pp. 142-146.

Shurr, DG. RESEARCH FORUM--Residency Research, Part II: Goals of Residency Research. Journal of Prosthetics and Orthotics, Vol. 7, No. 4, 1995, pp. 147-148.

Lin RS. RESEARCH FORUM--Residency Research, Part III: How To Do Research During Residency. Journal of Prosthetics and Orthotics, Vol. 7, No. 4, 1995, pp. 149-151.

Kapp, S and Wentz, G. Research Forum: Baccalaureate Student Research. Journal of Prosthetics and Orthotics, Vol. 9, No. 1, 1995, pp. 42-47.

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are needed to see this picture.Professional Development

QuickTime™ and aTIFF (Uncompressed) decompressor

are needed to see this picture.

Literature ReviewsLiterature Reviews

A high-quality literature review can be of great value to the O&P field Shows state of the art May generate and/or support new research and

development ideas However, this has sometimes been a “fallback”

project involving review of a very limited number of publications

Probably does not significantly benefit the resident, the residency facility, or the O&P field in that case

A high-quality literature review can be of great value to the O&P field Shows state of the art May generate and/or support new research and

development ideas However, this has sometimes been a “fallback”

project involving review of a very limited number of publications

Probably does not significantly benefit the resident, the residency facility, or the O&P field in that case

Case StudiesCase Studies

Potentially very instructive for experienced practitioners (could be published in JPO)

Usually involves a brief literature survey Requires careful documentation and follow-up

Forming “good habits” More than writing SOAP notes

Single case or multiple cases Prospective or retrospective

Potentially very instructive for experienced practitioners (could be published in JPO)

Usually involves a brief literature survey Requires careful documentation and follow-up

Forming “good habits” More than writing SOAP notes

Single case or multiple cases Prospective or retrospective

From “A Guide to a Simple Research Project” - Mike Raney, PhD, COFrom “A Guide to a Simple Research Project” - Mike Raney, PhD, CO

The case study provides an opportunity for unlimited creativity. . . . Consider the following points in deciding whether a case study is appropriate. The case(s):1) should be important in some way.2) may illustrate an unusual medical or bracing problem.3) may demonstrate a unique solution not previously presented in the literature.4) may show a failed solution that would help others avoid doing the same.5) could demonstrate the use of a new device.6) could demonstrate the use of an old device in a new way.7) It may be a case without a solution that solicits others to consider the problem and possible solutions.

Value of Case StudiesValue of Case Studies

“A way to generate or test a hypothesis” http://en.wikipedia.org/wiki/Case_study

“Case studies are stories with an educational message.” National Center for Case Study Teaching in Science - University of Buffalo, http://ublib.buffalo.edu/libraries/projects/cases/case.html

Examples of practice versus theory Can provide a more valuable experience than

a “fallback” literature review Conclusions can be made!

“A way to generate or test a hypothesis” http://en.wikipedia.org/wiki/Case_study

“Case studies are stories with an educational message.” National Center for Case Study Teaching in Science - University of Buffalo, http://ublib.buffalo.edu/libraries/projects/cases/case.html

Examples of practice versus theory Can provide a more valuable experience than

a “fallback” literature review Conclusions can be made!

Project With Human SubjectsProject With Human Subjects Very rigorous, fits in with day-to-day

routine of residency facility Often part of a larger project associated

with a university To some extent, the resident project is

“pre-planned” Relatively few residency projects fall

into this category

Very rigorous, fits in with day-to-day routine of residency facility

Often part of a larger project associated with a university

To some extent, the resident project is “pre-planned”

Relatively few residency projects fall into this category

Device DevelopmentDevice Development

In the spirit of advancing O&P Potentially very time consuming and

expensive Modifying existing devices may be an

alternative

In the spirit of advancing O&P Potentially very time consuming and

expensive Modifying existing devices may be an

alternative

Other Project Ideas . . .Other Project Ideas . . .

Round out residency educational experience by doing a project in a clinical area that might be underrepresented

Design a project around building a specific clinical specialty

Develop educational modules for in-service instructional programs

Round out residency educational experience by doing a project in a clinical area that might be underrepresented

Design a project around building a specific clinical specialty

Develop educational modules for in-service instructional programs

Entrepreneurship ProgramsEntrepreneurship Programs Today, many universities have

entrepreneurship programs, e.g., MIT It is likely that many O&P education

programs could have access to these programs, e.g., NUPOC

IIT’s program has a $10M endowment Funding opportunities are numerous

Today, many universities have entrepreneurship programs, e.g., MIT

It is likely that many O&P education programs could have access to these programs, e.g., NUPOC

IIT’s program has a $10M endowment Funding opportunities are numerous

Entrepreneurship ProjectsEntrepreneurship Projects

Development of a business plan For example, mobile O&P service

Address a specific facility need Additional training and support in writing

business plans may be required

Development of a business plan For example, mobile O&P service

Address a specific facility need Additional training and support in writing

business plans may be required

National Collegiate Inventors and Innovators Alliance

National Collegiate Inventors and Innovators Alliance The National Collegiate Inventors and

Innovators Alliance fosters invention, innovation, and entrepreneurship in higher education as a way of creating innovative, commercially viable, and socially beneficial businesses and employment opportunities in the United States.

The National Collegiate Inventors and Innovators Alliance fosters invention, innovation, and entrepreneurship in higher education as a way of creating innovative, commercially viable, and socially beneficial businesses and employment opportunities in the United States.

National Collegiate Inventors and Innovators Alliance

National Collegiate Inventors and Innovators Alliance The program was founded on the

premise that invention, innovation, and entrepreneurship are essential components of the higher education curriculum and vital to the nation’s economic future.

The program was founded on the premise that invention, innovation, and entrepreneurship are essential components of the higher education curriculum and vital to the nation’s economic future.

Take Home MessagesTake Home Messages

Plan project well in advance taking into account what may benefit the resident, the residency facility, as well as the field of O&P

Have a budget and time-line Revise project plan as needed Fit the project into the time allotted Don’t allot time to fit the project

Plan project well in advance taking into account what may benefit the resident, the residency facility, as well as the field of O&P

Have a budget and time-line Revise project plan as needed Fit the project into the time allotted Don’t allot time to fit the project

Summary of RecommendationsSummary of Recommendations

The resident project could be chosen from:o Research and Development, e.g.,

§ New technical techniques§ Clinical outcomes§ Multi-year studies§ Conceptual design of new devices

o Education, e.g.,§ Continuing education development§ Patient education development§ Public education development

o Entrepreneurship, e.g.,§ Device development§ Facility operation and design§ Business problems

The resident project could be chosen from:o Research and Development, e.g.,

§ New technical techniques§ Clinical outcomes§ Multi-year studies§ Conceptual design of new devices

o Education, e.g.,§ Continuing education development§ Patient education development§ Public education development

o Entrepreneurship, e.g.,§ Device development§ Facility operation and design§ Business problems