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S Research How-To in Sport Medicine Dr. Neil Dilworth CCFP (EM, SEM), MScCH HPTE FSEM (Ireland) TFC II Team Physician Director of UofT Sports Medicine Journal Club and Lecture Series CASEM Research Committee Member Creator/Editor SportMedSchool.com

Research How-To in Sport Medicine - cs.oma.org · PDF fileS Research How-To in Sport Medicine Dr. Neil Dilworth CCFP (EM, SEM), MScCH HPTE FSEM (Ireland) TFC II Team Physician Director

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Page 1: Research How-To in Sport Medicine - cs.oma.org · PDF fileS Research How-To in Sport Medicine Dr. Neil Dilworth CCFP (EM, SEM), MScCH HPTE FSEM (Ireland) TFC II Team Physician Director

S

Research How-To in

Sport Medicine

Dr. Neil Dilworth

CCFP (EM, SEM), MScCH HPTE

FSEM (Ireland)

TFC II Team Physician

Director of UofT Sports Medicine

Journal Club and Lecture Series

CASEM Research Committee Member

Creator/Editor SportMedSchool.com

Page 2: Research How-To in Sport Medicine - cs.oma.org · PDF fileS Research How-To in Sport Medicine Dr. Neil Dilworth CCFP (EM, SEM), MScCH HPTE FSEM (Ireland) TFC II Team Physician Director

Disclosure

S CASEM Research Grant for Pediatric Concussion Study

S No other financial disclosures

Page 3: Research How-To in Sport Medicine - cs.oma.org · PDF fileS Research How-To in Sport Medicine Dr. Neil Dilworth CCFP (EM, SEM), MScCH HPTE FSEM (Ireland) TFC II Team Physician Director

Objectives

S

1. To be able to describe the different types of research

projects that can be completed with limited experience

S 2. To understand how to design a research project

S 3. To be able to describe the benefits of conducting primary

care sports medicine research

Page 4: Research How-To in Sport Medicine - cs.oma.org · PDF fileS Research How-To in Sport Medicine Dr. Neil Dilworth CCFP (EM, SEM), MScCH HPTE FSEM (Ireland) TFC II Team Physician Director

Research

Options

Literature Studies/Trials Education

Reviews Case Report/Series Quantitative

Systematic Review Cohort Study Qualitative

Meta-analysis Cross sectional study Theory

Ideas, Editorials Opinions Case Control Study

Randomized Control Study

Page 5: Research How-To in Sport Medicine - cs.oma.org · PDF fileS Research How-To in Sport Medicine Dr. Neil Dilworth CCFP (EM, SEM), MScCH HPTE FSEM (Ireland) TFC II Team Physician Director

Barriers to research

S TIME

S Experience/know-how

S Implementation

S FEASIBILITY

Page 6: Research How-To in Sport Medicine - cs.oma.org · PDF fileS Research How-To in Sport Medicine Dr. Neil Dilworth CCFP (EM, SEM), MScCH HPTE FSEM (Ireland) TFC II Team Physician Director

Time

S Schedule research time

S Modify note-taking for potential data-analysis

S Simplify question

S Help – get a partner

Page 7: Research How-To in Sport Medicine - cs.oma.org · PDF fileS Research How-To in Sport Medicine Dr. Neil Dilworth CCFP (EM, SEM), MScCH HPTE FSEM (Ireland) TFC II Team Physician Director

Experience/know-how

S Literature search on topic

S Pick a simple question

S Join a research group

Page 8: Research How-To in Sport Medicine - cs.oma.org · PDF fileS Research How-To in Sport Medicine Dr. Neil Dilworth CCFP (EM, SEM), MScCH HPTE FSEM (Ireland) TFC II Team Physician Director

Implementation/Feasibility

S Methodology/study design for your practice

S Available resources

S Assess time commitment

S Set a timeline/schedule

Page 9: Research How-To in Sport Medicine - cs.oma.org · PDF fileS Research How-To in Sport Medicine Dr. Neil Dilworth CCFP (EM, SEM), MScCH HPTE FSEM (Ireland) TFC II Team Physician Director

Case 1

S Soccer team

S Quadriceps injuries

S Questions:

S Epidemiology of injury, grading, imaging, Return to Play

Page 10: Research How-To in Sport Medicine - cs.oma.org · PDF fileS Research How-To in Sport Medicine Dr. Neil Dilworth CCFP (EM, SEM), MScCH HPTE FSEM (Ireland) TFC II Team Physician Director

Resources

S Your local university, department of family medicine

S Library services – CCFP, CMA

S REBs

S Research group/Interest group

S Community partners

Page 11: Research How-To in Sport Medicine - cs.oma.org · PDF fileS Research How-To in Sport Medicine Dr. Neil Dilworth CCFP (EM, SEM), MScCH HPTE FSEM (Ireland) TFC II Team Physician Director

Process

S Question formulation

S Literature review

S Methodology development

S Research instrument development

S Ethical approval

S Data collection/analysis

S Dissemination of findings

Page 12: Research How-To in Sport Medicine - cs.oma.org · PDF fileS Research How-To in Sport Medicine Dr. Neil Dilworth CCFP (EM, SEM), MScCH HPTE FSEM (Ireland) TFC II Team Physician Director

Research

Options

Literature Studies/Trials Education

Reviews Case Report/Series Quantitative

Systematic Review Cohort Study Qualitative

Meta-analysis Cross sectional study Theory

Ideas, Editorials, Opinions Case Control Study

Randomized Control Study

Page 13: Research How-To in Sport Medicine - cs.oma.org · PDF fileS Research How-To in Sport Medicine Dr. Neil Dilworth CCFP (EM, SEM), MScCH HPTE FSEM (Ireland) TFC II Team Physician Director

Systematic Review

S Requires at least 2 people

S Question, search criteria – inclusive, exclusive

S Searches Pubmed, Embase, references/grey literature

S Can be intensive

Page 14: Research How-To in Sport Medicine - cs.oma.org · PDF fileS Research How-To in Sport Medicine Dr. Neil Dilworth CCFP (EM, SEM), MScCH HPTE FSEM (Ireland) TFC II Team Physician Director

Resources

S Your local university, department of family medicine

S Library services – CCFP, CMA

S REBs

S Research group/Interest group

S Community partners

Page 15: Research How-To in Sport Medicine - cs.oma.org · PDF fileS Research How-To in Sport Medicine Dr. Neil Dilworth CCFP (EM, SEM), MScCH HPTE FSEM (Ireland) TFC II Team Physician Director

Process

S Question formulation

S Literature review

S Methodology development

S Research instrument development

S Ethical approval

S Data collection/analysis

S Dissemination of findings

Page 16: Research How-To in Sport Medicine - cs.oma.org · PDF fileS Research How-To in Sport Medicine Dr. Neil Dilworth CCFP (EM, SEM), MScCH HPTE FSEM (Ireland) TFC II Team Physician Director

Data Abstraction/Analysis

Page 17: Research How-To in Sport Medicine - cs.oma.org · PDF fileS Research How-To in Sport Medicine Dr. Neil Dilworth CCFP (EM, SEM), MScCH HPTE FSEM (Ireland) TFC II Team Physician Director

Case 2

S Clinic – high volume of pediatric concussions

S Symptom duration in pediatric sports-related concussion:

S Time to return to play, time to return to school

S Associations between physical exam findings and above

Page 18: Research How-To in Sport Medicine - cs.oma.org · PDF fileS Research How-To in Sport Medicine Dr. Neil Dilworth CCFP (EM, SEM), MScCH HPTE FSEM (Ireland) TFC II Team Physician Director

Research

Options

Literature Studies/Trials Education

Reviews Case Report/Series Quantitative

Systematic Review Cohort Study Qualitative

Meta-analysis Cross sectional study Theory

Ideas, Editorials Opinions Case Control Study

Randomized Control Study

Page 19: Research How-To in Sport Medicine - cs.oma.org · PDF fileS Research How-To in Sport Medicine Dr. Neil Dilworth CCFP (EM, SEM), MScCH HPTE FSEM (Ireland) TFC II Team Physician Director
Page 20: Research How-To in Sport Medicine - cs.oma.org · PDF fileS Research How-To in Sport Medicine Dr. Neil Dilworth CCFP (EM, SEM), MScCH HPTE FSEM (Ireland) TFC II Team Physician Director

Observational Cohort Study

S Prospective

S Study specific population with disease

S Follow ups

Page 21: Research How-To in Sport Medicine - cs.oma.org · PDF fileS Research How-To in Sport Medicine Dr. Neil Dilworth CCFP (EM, SEM), MScCH HPTE FSEM (Ireland) TFC II Team Physician Director

Resources

S Your local university, department of family medicine

S Library services – CCFP, CMA

S REBs

S Research group/Interest group

S Community partners

Page 22: Research How-To in Sport Medicine - cs.oma.org · PDF fileS Research How-To in Sport Medicine Dr. Neil Dilworth CCFP (EM, SEM), MScCH HPTE FSEM (Ireland) TFC II Team Physician Director

Process

S Question formulation

S Literature review

S Methodology development

S Research instrument development

S Ethical approval

S Data collection/analysis

S Dissemination of findings

Page 23: Research How-To in Sport Medicine - cs.oma.org · PDF fileS Research How-To in Sport Medicine Dr. Neil Dilworth CCFP (EM, SEM), MScCH HPTE FSEM (Ireland) TFC II Team Physician Director

Case 3

S Abundance of sports medicine educational material

S Online resources limited for primary care sports medicine

S Question what is the desire for a sports medicine online

platform?

Page 24: Research How-To in Sport Medicine - cs.oma.org · PDF fileS Research How-To in Sport Medicine Dr. Neil Dilworth CCFP (EM, SEM), MScCH HPTE FSEM (Ireland) TFC II Team Physician Director

Research

Options

Literature Studies/Trials Education

Reviews Case Report/Series Quantitative

Systematic Review Cohort Study Qualitative

Meta-analysis Cross sectional study Theory

Ideas, Editorials Opinions Case Control Study

Randomized Control Study

Page 25: Research How-To in Sport Medicine - cs.oma.org · PDF fileS Research How-To in Sport Medicine Dr. Neil Dilworth CCFP (EM, SEM), MScCH HPTE FSEM (Ireland) TFC II Team Physician Director

Resources

S Your local university, department of family medicine

S Library services – CCFP, CMA

S REBs

S Research group/Interest group

S Community partners

Page 26: Research How-To in Sport Medicine - cs.oma.org · PDF fileS Research How-To in Sport Medicine Dr. Neil Dilworth CCFP (EM, SEM), MScCH HPTE FSEM (Ireland) TFC II Team Physician Director

Process

S Question formulation

S Literature review

S Methodology development

S Research instrument development

S Ethical approval

S Data collection/analysis

S Dissemination of findings

Page 27: Research How-To in Sport Medicine - cs.oma.org · PDF fileS Research How-To in Sport Medicine Dr. Neil Dilworth CCFP (EM, SEM), MScCH HPTE FSEM (Ireland) TFC II Team Physician Director

Implementation

S Small groups 3-4

S 1. Pick a question

S 2. Pick a research strategy

S 3. Consider barriers

S 4. Resources required

S 5. Discuss implementation

Page 28: Research How-To in Sport Medicine - cs.oma.org · PDF fileS Research How-To in Sport Medicine Dr. Neil Dilworth CCFP (EM, SEM), MScCH HPTE FSEM (Ireland) TFC II Team Physician Director

Research

Options

Literature Studies/Trials Education

Reviews Case Report/Series Quantitative

Systematic Review Cohort Study Qualitative

Meta-analysis Cross sectional study Theory

Ideas, Editorials Opinions Case Control Study

Randomized Control Study

Page 29: Research How-To in Sport Medicine - cs.oma.org · PDF fileS Research How-To in Sport Medicine Dr. Neil Dilworth CCFP (EM, SEM), MScCH HPTE FSEM (Ireland) TFC II Team Physician Director

Resources

S Your local university, department of family medicine

S Library services – CCFP, CMA

S REBs

S Research group/Interest group

S Community partners

Page 30: Research How-To in Sport Medicine - cs.oma.org · PDF fileS Research How-To in Sport Medicine Dr. Neil Dilworth CCFP (EM, SEM), MScCH HPTE FSEM (Ireland) TFC II Team Physician Director

Process

S Question formulation

S Literature review

S Methodology development

S Research instrument development

S Ethical approval

S Data collection/analysis

S Dissemination of findings

Page 31: Research How-To in Sport Medicine - cs.oma.org · PDF fileS Research How-To in Sport Medicine Dr. Neil Dilworth CCFP (EM, SEM), MScCH HPTE FSEM (Ireland) TFC II Team Physician Director

Making research happen!

S Schedule time

S Consider feasibility before beginning

S Literature reviews

S Ask for help!