RESEARCH/CLUBS

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RESEARCH/CLUBS

EXTERNAL CONFERENCES/MEETINGS (includes travel policies, forms)

Additional Educational Funds (includes Mt. Sinai GME and CIR)

Goals for residents

To become an author/coauthor on at least 1 research project presented at a national meeting or published in a journal.

ACGME milestones for residents.

"Scholarly Activity" milestone (under Practice Based Learning and Improvement), to reach:
- Level 4 = 1 presentation/publication.
- Level 5 = Completing an IRB and at least 2 projects.

R1 residents should complete 2 tasks: the CITI modules on ethics/informed consent and conflict of interest (COI).

1) CITI modules: See the Mt. Sinai link that describes requirements (http://icahn.mssm.edu/research/pphs/training); direct CITI link here (https://www.citiprogram.org/)

2) Overall Conflict of interest (COI) form: https://sinaicentral.mountsinai.org/

These are required minimum to join already-existing IRB projects; more forms are required to start your own IRB.

Quality Research:

R1s are encouraged to start/join/do their own QI project, which satisfies 3+ requirements:

- AGME milestone #1: Scholarly Activity and AGME milestone #2: Quality Improvement
- QI presentation: required internal presentation, scheduled per Amion/Chiefs

- Bonus: One external quality conference is covered by CIR annually, up to $3000 (Please see Educational Funds for details).

Most quality projects and case reports do not need an IRB, if you would like to publish your findings, you can retroactively apply for an IRB waiver.
Suggested guidelines for quality related research:

- Standards for Quality Improvement Reporting Excellence (SQUIRE) http://www.equator-network.org/wp-content/uploads/2013/09/SQUIRE-Checklist-PDF.pdf http://www.squire-statement.org/index.cfm?fuseaction=Page.ViewPage&PageID=471

Reference: http://www.jgme.org/doi/pdf/10.4300/JGME-D-16-00086.1?code=gmed-site

Mount Sinai has a point system.

Residents can accrue points for PMID (PubMed ID) publications and presentations at national meetings.
Non PMID publications (e.g. Case-in-Point) help us meet our faculty point count, but not do not contribute to our resident point count.

Goals for the attendings: Mount Sinai GME asks that we have at least 50% of faculty with at least 2 points each academic year. Faculty get points for PMID publications, non PMID publications, and presentations at national meetings.

How to Start a Project 101

Discuss Authorship --> Study/Statistics Design --> IRB

Authorship:

Typically the person with the biggest intellectual contribution to the project (especially the conception/writing of the manuscript) should be the first author.

Not the same as simply having participated in data collection or "helping" with the study.
Please see https://hms.harvard.edu/sites/default/files/assets/Sites/Ombuds/files/AUTHORSHIP%20GUIDELINES.pdf for extensive discussion of this topic.
If any issues arise, please discuss with Drs. Kagetsu, Dr. Kamath, or Dr. Kagen.

Authorship CAN CHANGE, but make sure your mentor(s)/faculty members on the project agree with the change. Possible reasons for change:

Contribution to workload for poster/manuscript has changed dramatically, for whichever reason (type of study, personal/family, work duties, waning interest, etc.)
Significant personnel change (new talents needed, graduation, mentor leaving, new mentor, etc.)
Funding change (loss of grant, new grant, etc.)

Also see the 4 criteria from ICMJE, which many top journals use:

http://www.icmje.org/recommendations/browse/roles-and-responsibilities/defining-the-role-of-authors-and-contributors.html

Note: The subsequent sections may not apply if you are doing an educational exhibit. (discuss with your mentor)

Study design/Statistics:

THINK ABOUT YOUR DATA IN ADVANCE!!! Especially study population, what types of data will be meaningful, etc. (Don't get to the end, and realize your data is meaningless)

What will your final abstract / poster / manuscript look like?
Make a draft / outline of the study design.

Consider asking for study design help from:

Mt. Sinai Research dept during free walk-ins: http://researchroadmap.mssm.edu/reference/walk-in-consultations/
Your mentor/PI, colleagues

Consider using REDCaps to securely store your data. After study approval, email: redcap-support@mssm.edu to get access
For statistical analysis: SPSS available in the West radiology library, computer closest to the window. Consultation with MSH statistician also an option.

IRB:

You should determine what level you need - IRB or IRB waiver.

It can take 1-4 weeks to get an IRB waiver, or months/a year to get a full IRB, so start ASAP!

(Any study >1 patient requires paperwork! ).

In general prospective projects will need an IRB approval while retrospective projects need an IRB waiver.

Any project that needs an IRB approval (not a waiver) has to be signed off by either Dr. Kamath or Kagen prior to submission to the IRB.

3-5 total steps for both IRB and IRB waivers:

CITI modules:

See the Mount Sinai page that describes the requirements (http://icahn.mssm.edu/research/pphs/training)

Conflict of interest

https://sinaicentral.mountsinai.org/

COI > Annual Report of Outside Relationships (every year)
Project-specific FCOI (per project) after you file an Investigator Form (IF) on same page

https://peak.mountsinai.org

Complete the PEAK training course: Online Courses > Functional > Research > "Financial Conflicts of Interest in Research"

Branch point: Are you joining or writing/leading an IRB or IRB waiver?

Joining an IRB or IRB waiver:

(Step 3) Upload your CV onto Ideate. You're done after this.

https://ideate.mssm.edu/home/
Click "Manage" > "My User Profile" > Upload your CV, preferably in PDF format.

Writing/leading an IRB or IRB waiver:

(Steps 3, 4, and 5) Applications need to be made through:

MS Ideate, Sinai Central, and Infoed. http://icahn.mssm.edu/research/pphs/researcher.

For more help:

IR research coordinator: Aaron Greenberg

Available on site at West to hep with research related questions/projects (office: 4b-08 - "interventional fellows")
He can be contacted by cell pretty much any time or M-F 8:30-4:30 at 212-636-8705. You can also email him at aaron.greenberg@mountsinai.org.

Diagnostic radiology research coordinator: Lena Marra

Located at main Mount Sinai Hospital.
Email is best: lena.marra@mountsinai.org or call M-F 9am-5pm at: 212-241-9369

Final Steps

Final step: present your abstract at a conference or submit for a manuscript!

Abstracts / Posters / Electronic Exhibits / Oral Presentations

Please review any abstract with Dr. Kamath prior to submitting to a meeting. FYI: A meeting's prestige (e.g. RSNA) mirrors journal impact factor as noted below.

If your abstract is accepted, please notify all coauthours and Dr. Kamath so that we can update our residency website.

For templates, please see the Mount Sinai brand center: https://www.mountsinaibrandcenter.org/asset/list?category=10&type=2

One tip for electronic exhibits, use a dark background with white letters. When you have images, the dark background helps the viewer see the images better.
To print a physical poster: https://icahn.mssm.edu/research/portal/resources/digital-media-center

It is OK to submit these to multiple meetings, e.g. ASNR and RSNA. For all the work you put in, you might as well submit to more than one meeting. Please note that you will be sponsored to go to the first meeting, not any subsequent meetings to re-present the same data, but this does not apply to new/different projects. It is not uncommon to see a designated poster person from one institution putting up or taking down all posters from that institution. Usually in the submission process, you are asked if this poster has been presented anywhere else. Just check yes and hope for the best.

Manuscript

Ideally a poster/presentation should be converted into a publication. If you present at a meeting, the journal of the society sponsoring the meeting typically claims"right of first refusal" for your manuscript. e.g. if you present at ASNR, you should submit to AJNR. If AJNR rejects your manuscript, you are free to submit it to another journal. (For AUR/Academic Radiology, this policy seems only to apply to those that receive the "Ethics and Professionalism Grant".)

For those considering academic careers, please note that original research publications are key. Publication in a journal with a high Impact factor is more valuable for promotion.