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PharmD Research Project


                         K.Sai kumar, PharmD
                            CEO & Founder
                         Revolutionpharmd.com




1   K.SAI KUMAR,PharmD                          11/4/2012
Objectives
     Briefly explain why research and problem
     solving is important to PharmD and the
     pharmacy profession

     Introduce you to Ref Works and review
     approaches to assessment of the literature




2    K.SAI KUMAR,PharmD                          11/4/2012
Pharmacists and Research
     Pharmacists are recognized and valued as the health care
      professionals responsible for the use of medicines in the
      prevention and treatment of disease.
     Pharmacists can serve as principal investigators for
      pharmacotherapy research, generate a substantial portion of the
      research that guides drug therapy, and should be able to
      compete successfully with other health care professionals for
      research funding.
     The generation of knowledge about the use and appropriateness
      of pharmacotherapy in the treatment and prevention of disease
      is an important responsibility of the pharmacy profession.
     Pharmacists also need to understand the process of research so
      that they can interpret and utilize the knowledge that’s generated
      by the research enterprise.

3    K.SAI KUMAR,PharmD                                           11/4/2012
Translation of Pharmacy Research to Practice
                                          Translational Research

                              T1                                          T2
         Bench                               Bedside
                                                                                              pharmacotherapy
Pharmaceutical Science               Clinical Science Research
Research                             Phase 1-3 studies                                         pharmacology
Drug discovery                          safety and efficacy                                  pharmacogenomics
Drug development                                                                            pharmacoepidemiology
Animal efficacy and safety
                                                                                             pharmacoeconomics
studies




                                      T2a                                                                 T2b
                                                            Practice-based Research                   communication
                                    guidelines                Phase 4 clinical trials                       MTM
                                   meta-analyses              Observational studies                    patient literacy
                                                                Survey research                     cultural competency



                                                            Adapted from Dr. Lynda Welage




4        K.SAI KUMAR,PharmD                                                                              11/4/2012
PharmD s and Problem Solving
     Whether you serve as a principal investigator or
      not, understanding the research process
      improves your critical thinking skills and will assist
      you in solving problems you may face when
      caring for patients




5   K.SAI KUMAR,PharmD                                11/4/2012
 The ppt is designed to achieve the following
     goals:
     (1) introduce the student to the components of
     a research proposal;
     (2) improve the student’s understanding of a
     systematic approach to research and problem
     solving; and
     (3) further develop the student’s scientific
     writing and oral presentation skills in
     preparation for the PharmD Investigation
     proposal and PharmD seminar.

6     K.SAI KUMAR,PharmD                         11/4/2012
 First, self-associate into groups.


     Formulate a research problem statement.
       has to be drug, pharmacy or health-related AND it
        has to be something you are interested in and that
        you can write concisely about (there are word limits)
       has to be in the realm of feasibility
       can’t be something that’s already been done




7    K.SAI KUMAR,PharmD                                 11/4/2012
Identify Your Research Problem
     To do this, you will need to:
       independently identify a research problem
       investigate a problem that is health, pharmacy and/or
        drug related
       open your mind and be creative!
       clearly and concisely state your research problem in
        writing
       keep in mind that your research problem cannot be too
        broad - focus, focus, focus


8       K.SAI KUMAR,PharmD                              11/4/2012
Have an idea?
     “Formulating a research problem is the first and most
      important step in the research process.”
        identifies your destination
        tells everyone what you intend to research
     Be specific and clear
       has to be “researchable”
       don’t forget the “why” part
       this will help you design the study




9   K.SAI KUMAR,PharmD                                11/4/2012
Create a Framework for Your Study
            Identify an area of interest
            Conduct a literature review to:
                1.   find support for your idea
                2.   consider arguments that oppose your idea
                3.   broaden your understanding of the topic
            Based on your review create a logical
             statement- this will likely take multiple attempts




10       K.SAI KUMAR,PharmD                                     11/4/2012
Review the Literature
      How do you know that your idea is original?
        review the literature:
          Primary literature (journal articles)
            Original research results published for the first time
          Secondary literature (textbooks)
            Derived from the primary literature
          Tertiary literature (reference books: dictionaries,
           encyclopedias, Meylers side effects of drugs)
            Derived from primary and secondary literature




11    K.SAI KUMAR,PharmD                                              11/4/2012
Review the Literature
      Just because it’s been done before doesn’t mean
      it was done right!
        how would you do it differently?
        why is your way a better way?
      These points as well as the information you
      gather during your literature review will help you
      write the introduction section of your proposal
        gather information to support the rationale for your
         idea




12    K.SAI KUMAR,PharmD                                  11/4/2012
Formulate a Research Problem
      Doesn’t necessarily have to be “new”
        what do you want to find out
        how do you want to find it (methods)
        change in paradigm (we’ve been doing it wrong all
         along)
      What “gaps” exist in our knowledge of your topic?
        literature review
        make your case, tell your story




13    K.SAI KUMAR,PharmD                               11/4/2012
Formulate a Research Problem
      Doesn’t have to be complicated
        KISS principle
        “garbage in, garbage out”
      BUILD ON WHAT YOU KNOW!
        expand on what you want to know
        this doesn’t have to be rocket science
        why did you want to go to pharmacy school?




14    K.SAI KUMAR,PharmD                              11/4/2012
Formulate a Research Problem: The
          Four “Ps”
     1.       People: identify an “at risk” population
          •     groups of individuals- “population”
                –   pediatrics, geriatrics, ethnic groups
                –   socio-economics
                –   communities- urban, rural, inpatient, outpatient
     2.       Problems: identify a healthcare problem
          •     drug packaging, formulation, dosage forms
          •     absence or efficacy of therapeutics for a specific
                disease
          •     access to medical care and/or medicines



15        K.SAI KUMAR,PharmD                                           11/4/2012
Formulate a Research Problem: The
      Four “Ps”

     3.       Programs: establish the impact of a program or
              intervention (effectiveness, structure)
          •     impact of RPh on medical care, RPh prescriptive authority
                (ethical, legal and healthcare aspects)
          •     Medicare part D
          •     RPh run anticoagulation clinics, smoking cessation and
                immunization programs




16    K.SAI KUMAR,PharmD                                           11/4/2012
Formulate a Research Problem: The
          Four “Ps”
     4.       Phenomena: establish existence of a process or
              mechanism
          •     adverse drug events, medication safety
          •     mechanism of drug action- mechanisms not
                previously identified
          •     pharmacist-patient relationship, patient counseling
          •     patient (consumer) satisfaction




17        K.SAI KUMAR,PharmD                                  11/4/2012
Formulate a Research Problem:
      Considerations

      Interest
        if your topic isn’t of interest to you, you won’t be
         interested in studying it
      Magnitude
        don’t try to solve a huge problem- focus on a
         specific aspect of a problem




18    K.SAI KUMAR,PharmD                                    11/4/2012
Formulate a Research Problem:
      Considerations
      Measurement
        what will you measure and HOW will you measure
         it?
      Expertise
        you may not be an expert now, but you will be
          build your knowledge, make your case, become an expert




19    K.SAI KUMAR,PharmD                                      11/4/2012
Formulate a Research Problem:
      Considerations

      Relevance and significance
        how does your research problem/topic fit into what we already
         know?
        why is it important?
      Access to data
        will investigation of your topic require acquisition of information
         from secondary sources (e.g., medical records)?
      Ethical issues
        relates to human and animal research
           IRB
           UCUCA




20    K.SAI KUMAR,PharmD                                              11/4/2012
Formulate a Research Problem:
      Other Points to Keep in Mind

      Your topic is a problem, program or phenomenon
       about which you will collect information (data)
      Emphasis is on exploring, discovering or establishing
       associations or causation
      Use the four “Ps” to help identify and narrow your
       research problem
      Now, write a research problem statement...




21      K.SAI KUMAR,PharmD                            11/4/2012
Research Problem Statement
      Effective problem statements answer the
       question “why does this research need to be
       conducted?”
      It is a concise statement of why the study
       should be conducted and what question(s) it
       will answer
      It creates a framework for your study




22    K.SAI KUMAR,PharmD                         11/4/2012
Examples
      Write your research problem statement in this format

      This study will investigate the effects of
      (treatment) on (population and setting). This
      study will be conducted to determine whether
      (treatment) results in (performance change or
      measured outcome) compared with (standard
      treatment). The investigation will be
      conducted (describe the setting).




23    K.SAI KUMAR,PharmD                               11/4/2012
REFERENCE :Kumar, R. Research Methodology, 2nd
     Edition.




24     K.SAI KUMAR,PharmD                         11/4/2012

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Pharm d research project

  • 1. PharmD Research Project K.Sai kumar, PharmD CEO & Founder Revolutionpharmd.com 1 K.SAI KUMAR,PharmD 11/4/2012
  • 2. Objectives  Briefly explain why research and problem solving is important to PharmD and the pharmacy profession  Introduce you to Ref Works and review approaches to assessment of the literature 2 K.SAI KUMAR,PharmD 11/4/2012
  • 3. Pharmacists and Research  Pharmacists are recognized and valued as the health care professionals responsible for the use of medicines in the prevention and treatment of disease.  Pharmacists can serve as principal investigators for pharmacotherapy research, generate a substantial portion of the research that guides drug therapy, and should be able to compete successfully with other health care professionals for research funding.  The generation of knowledge about the use and appropriateness of pharmacotherapy in the treatment and prevention of disease is an important responsibility of the pharmacy profession.  Pharmacists also need to understand the process of research so that they can interpret and utilize the knowledge that’s generated by the research enterprise. 3 K.SAI KUMAR,PharmD 11/4/2012
  • 4. Translation of Pharmacy Research to Practice Translational Research T1 T2 Bench Bedside pharmacotherapy Pharmaceutical Science Clinical Science Research Research Phase 1-3 studies pharmacology Drug discovery safety and efficacy pharmacogenomics Drug development pharmacoepidemiology Animal efficacy and safety pharmacoeconomics studies T2a T2b Practice-based Research communication guidelines Phase 4 clinical trials MTM meta-analyses Observational studies patient literacy Survey research cultural competency Adapted from Dr. Lynda Welage 4 K.SAI KUMAR,PharmD 11/4/2012
  • 5. PharmD s and Problem Solving  Whether you serve as a principal investigator or not, understanding the research process improves your critical thinking skills and will assist you in solving problems you may face when caring for patients 5 K.SAI KUMAR,PharmD 11/4/2012
  • 6.  The ppt is designed to achieve the following goals: (1) introduce the student to the components of a research proposal; (2) improve the student’s understanding of a systematic approach to research and problem solving; and (3) further develop the student’s scientific writing and oral presentation skills in preparation for the PharmD Investigation proposal and PharmD seminar. 6 K.SAI KUMAR,PharmD 11/4/2012
  • 7.  First, self-associate into groups. Formulate a research problem statement.  has to be drug, pharmacy or health-related AND it has to be something you are interested in and that you can write concisely about (there are word limits)  has to be in the realm of feasibility  can’t be something that’s already been done 7 K.SAI KUMAR,PharmD 11/4/2012
  • 8. Identify Your Research Problem  To do this, you will need to:  independently identify a research problem  investigate a problem that is health, pharmacy and/or drug related  open your mind and be creative!  clearly and concisely state your research problem in writing  keep in mind that your research problem cannot be too broad - focus, focus, focus 8 K.SAI KUMAR,PharmD 11/4/2012
  • 9. Have an idea?  “Formulating a research problem is the first and most important step in the research process.”  identifies your destination  tells everyone what you intend to research  Be specific and clear  has to be “researchable”  don’t forget the “why” part  this will help you design the study 9 K.SAI KUMAR,PharmD 11/4/2012
  • 10. Create a Framework for Your Study  Identify an area of interest  Conduct a literature review to: 1. find support for your idea 2. consider arguments that oppose your idea 3. broaden your understanding of the topic  Based on your review create a logical statement- this will likely take multiple attempts 10 K.SAI KUMAR,PharmD 11/4/2012
  • 11. Review the Literature  How do you know that your idea is original?  review the literature:  Primary literature (journal articles)  Original research results published for the first time  Secondary literature (textbooks)  Derived from the primary literature  Tertiary literature (reference books: dictionaries, encyclopedias, Meylers side effects of drugs)  Derived from primary and secondary literature 11 K.SAI KUMAR,PharmD 11/4/2012
  • 12. Review the Literature  Just because it’s been done before doesn’t mean it was done right!  how would you do it differently?  why is your way a better way?  These points as well as the information you gather during your literature review will help you write the introduction section of your proposal  gather information to support the rationale for your idea 12 K.SAI KUMAR,PharmD 11/4/2012
  • 13. Formulate a Research Problem  Doesn’t necessarily have to be “new”  what do you want to find out  how do you want to find it (methods)  change in paradigm (we’ve been doing it wrong all along)  What “gaps” exist in our knowledge of your topic?  literature review  make your case, tell your story 13 K.SAI KUMAR,PharmD 11/4/2012
  • 14. Formulate a Research Problem  Doesn’t have to be complicated  KISS principle  “garbage in, garbage out”  BUILD ON WHAT YOU KNOW!  expand on what you want to know  this doesn’t have to be rocket science  why did you want to go to pharmacy school? 14 K.SAI KUMAR,PharmD 11/4/2012
  • 15. Formulate a Research Problem: The Four “Ps” 1. People: identify an “at risk” population • groups of individuals- “population” – pediatrics, geriatrics, ethnic groups – socio-economics – communities- urban, rural, inpatient, outpatient 2. Problems: identify a healthcare problem • drug packaging, formulation, dosage forms • absence or efficacy of therapeutics for a specific disease • access to medical care and/or medicines 15 K.SAI KUMAR,PharmD 11/4/2012
  • 16. Formulate a Research Problem: The Four “Ps” 3. Programs: establish the impact of a program or intervention (effectiveness, structure) • impact of RPh on medical care, RPh prescriptive authority (ethical, legal and healthcare aspects) • Medicare part D • RPh run anticoagulation clinics, smoking cessation and immunization programs 16 K.SAI KUMAR,PharmD 11/4/2012
  • 17. Formulate a Research Problem: The Four “Ps” 4. Phenomena: establish existence of a process or mechanism • adverse drug events, medication safety • mechanism of drug action- mechanisms not previously identified • pharmacist-patient relationship, patient counseling • patient (consumer) satisfaction 17 K.SAI KUMAR,PharmD 11/4/2012
  • 18. Formulate a Research Problem: Considerations  Interest  if your topic isn’t of interest to you, you won’t be interested in studying it  Magnitude  don’t try to solve a huge problem- focus on a specific aspect of a problem 18 K.SAI KUMAR,PharmD 11/4/2012
  • 19. Formulate a Research Problem: Considerations  Measurement  what will you measure and HOW will you measure it?  Expertise  you may not be an expert now, but you will be  build your knowledge, make your case, become an expert 19 K.SAI KUMAR,PharmD 11/4/2012
  • 20. Formulate a Research Problem: Considerations  Relevance and significance  how does your research problem/topic fit into what we already know?  why is it important?  Access to data  will investigation of your topic require acquisition of information from secondary sources (e.g., medical records)?  Ethical issues  relates to human and animal research  IRB  UCUCA 20 K.SAI KUMAR,PharmD 11/4/2012
  • 21. Formulate a Research Problem: Other Points to Keep in Mind  Your topic is a problem, program or phenomenon about which you will collect information (data)  Emphasis is on exploring, discovering or establishing associations or causation  Use the four “Ps” to help identify and narrow your research problem  Now, write a research problem statement... 21 K.SAI KUMAR,PharmD 11/4/2012
  • 22. Research Problem Statement  Effective problem statements answer the question “why does this research need to be conducted?”  It is a concise statement of why the study should be conducted and what question(s) it will answer  It creates a framework for your study 22 K.SAI KUMAR,PharmD 11/4/2012
  • 23. Examples Write your research problem statement in this format  This study will investigate the effects of (treatment) on (population and setting). This study will be conducted to determine whether (treatment) results in (performance change or measured outcome) compared with (standard treatment). The investigation will be conducted (describe the setting). 23 K.SAI KUMAR,PharmD 11/4/2012
  • 24. REFERENCE :Kumar, R. Research Methodology, 2nd Edition. 24 K.SAI KUMAR,PharmD 11/4/2012