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 or coauthor on one research project presented at a national meeting or become an author or coauthor of a publication.

The ACGME has created milestones for residents.

For the "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 Mount Sinai page that describes the 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.

Note on Quality Research:

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

- AGME milestone #1: Scholarly Activity
- 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.
Please note that there are suggested guidelines for quality related research, SQUIRE

- 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

This information is in the order you should approach things!!! Authorship --> Study/Statistics Design --> IRB

DISCUSS AUTHORSHIP BEFORE YOU START ANY PROJECT!

Authorship:

Not the same as simply having participated in data collection or "helping" with the study.

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

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. (Thanks to Sagar Patel '15 for this reference!)

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:

The official Mt. Sinai folks have free walk-ins: http://researchroadmap.mssm.edu/reference/walk-in-consultations/
Your mentor/PI
Your colleagues who may have performed similar studies

Consider using REDCaps to securely store your data.

once your study is approved, email: redcap-support@mssm.edu to get access for yourself & study colleagues

For statistical analysis:

Our department has SPSS available in the West radiology library, computer closest to the window.

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! Either a full IRB or an IRB waiver application).

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 (yes, for both IRB and IRB waivers):

CITI modules:

See the Mount Sinai page that describes the requirements (http://icahn.mssm.edu/research/pphs/training)
Direct CITI link here (https://www.citiprogram.org/)

Conflict of interest

https://sinaicentral.mountsinai.org/

COI > Annual Report of Outside Relationships (every year)
Project-specific FCOI (per project)

(Yes you will need to do an ADDITIONAL FCOI form for *each* IRB)

https://peak.mountsinai.org

Complete the PEAK training course:

Online Courses > Functional > Research box > "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:

The official Mt. Sinai folks have free walk-ins:

http://researchroadmap.mssm.edu/reference/walk-in-consultations/

IR research coordinator: Aaron Greenberg

Available on site at West to hep with resident research related questions/projects
He can be at 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.
His office is located on 4b-08 - it says "interventional fellows" on the door but he uses it.

Diagnostic radiology research coordinator: Lena Marra

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

Final Steps

After you've conducted your study & done analysis... present your abstract at a conference, or submit it for a manuscript!

Abstracts / Posters / Electronic Exhibits / Oral Presentations

Please review any abstract with Dr. Kamath prior to submitting to a meeting. These can be reviewed/discussed at Research meetings. This includes potential submissions to SLW and/or Mt. Sinai research fairs. A presentation at RSNA would probably be the best thing for your fellowship apps. Meeting prestige 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. We would like a dry run of these presentations presented at a research meeting.

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".) Many fellow applicants have made presentations. One should aspire to have a publication on your CV.

For those considering academic careers, please note that original research publications are key. Some promotion committees won't even consider presentations at national meetings. Case reports do not really count toward academic promotion. These can take some time to write. You should spend your time figuring out ways to publish original research. In addition publication in a journal with a high Impact factor is considered more prestigious and valuable for promotion.