- •Foreword
- •Contents
- •Contributor Current and Past Positions: Association for Academic Surgery
- •Contributors
- •Academic Surgeons as Bridge-Tenders
- •Types of Surgical Research
- •Going Forward
- •Selected Readings
- •Introduction
- •Preparation Phase
- •Assistant Professor
- •Job Search
- •The First Three Years
- •Career Development Awards (CDAs)
- •Contemplating a Mid-Career Move?
- •Approaching Promotion
- •Associate Professor and Transition to Full Professor
- •Conclusion
- •Selected Readings
- •Introduction
- •Reviewing the Literature
- •Developing a Hypothesis
- •Study Design
- •Selected Readings
- •Introduction
- •The Dual Loyalties of the Surgeon-Scientist
- •Human Subjects Research
- •Informed Consent
- •Surgical Innovation and Surgical Research
- •Conflict of Interest
- •Publication and Authorship
- •Conclusion
- •References
- •Sources of Error in Medical Research
- •Study Design
- •Inferential Statistics
- •Types of Variables
- •Measures of Central Tendency and Spread
- •Measures of Spread
- •Comparison of Numeric Variables
- •Comparison of Categorical Values
- •Outcomes/Health Services Research
- •Steps in Outcomes Research
- •The Basics of Advanced Statistical Analysis
- •Multivariate Analysis
- •Time-to-Event Analysis
- •Advanced Methods for Controlling for Selection Bias
- •Propensity Score Analysis
- •Instrumental Variable (IV) Analysis
- •Summary
- •Selected Readings
- •Transgenic Models
- •Xenograft Models
- •Noncancer Models
- •Alternative Vertebrate Models
- •Selected Readings
- •Overview
- •Intellectual Disciplines and Research Tools
- •Comparative Effectiveness Research
- •Patient-Centered Outcomes Research
- •Data Synthesis
- •Overview
- •Intellectual Disciplines and Research Tools
- •Disparities
- •Quality Measurement
- •Implementation Science
- •Patient Safety
- •Optimizing the Health Care Delivery System
- •Overview
- •Intellectual Disciplines and Research Tools
- •Policy Evaluation
- •Surgical Workforce
- •Conclusion
- •References
- •Introduction
- •What Is Evidence-Based Medicine?
- •Evidence-Based Educational Research
- •Forums for Surgical Education Research
- •Conducting Surgical Education Research
- •Developing Good Research Questions
- •Beginning the Study Design Process
- •Developing a Research Team
- •Pilot Testing
- •Demonstrating Reliability and Validity
- •Developing a Study Design
- •Data Collection and Analysis
- •Surveys
- •Ethics
- •Funding
- •Conclusions
- •Selected Readings
- •Genomics
- •Gene-Expression Profiling
- •Proteomics
- •Metabolomics
- •Conclusions
- •References
- •Selected Readings
- •Introduction
- •Why Write
- •Getting Started
- •Where and When to Write
- •Choosing the Journal
- •Instructions to Authors
- •Writing
- •Manuscript Writing Order
- •Figures and Tables
- •Methods
- •Results
- •Figure Legends
- •Introduction
- •Discussion
- •Acknowledgments
- •Abstract
- •Title
- •Authorship
- •Revising Before Submission
- •Responding to Reviewer Comments
- •References
- •Selected Readings
- •Introduction
- •Origins of the Term
- •Modern Definition and Primer
- •Transition from Mentee to Colleague
- •Mentoring Risks
- •Conclusion
- •References
- •Selected Readings
- •The Career Development Plan
- •Choosing the Mentor
- •Writing the Career Development Plan
- •The Candidate
- •Research Plan
- •Final Finishing Points About the Research Plan
- •Summary
- •References
- •Introduction
- •Decisions, Decisions!
- •Mission Impossible: Defining a Laboratory Mission or Vision
- •Project Planning
- •Saving Money
- •Seek Help
- •People
- •Who Should I Hire?
- •Advertising
- •References
- •Interviews
- •Conduct a Structured Interview
- •Probation Period
- •Trainees
- •Trainee Funding
- •Time Is on Your Mind
- •Research Techniques
- •Program Leadership
- •Summary
- •Selected Readings
- •Introduction
- •Direct Evidence
- •Indirect Evidence
- •Burnout
- •Prevention of and Recovery from Work–Life Imbalance
- •Action Plan for Finding Balance: Personal Level
- •Action Plan for Finding Balance: Professional Level
- •Conclusion
- •References
- •Introduction
- •Time Management Strategies
- •Planning and Prioritizing
- •Delegating and Saying “No”
- •Action Plans
- •Activity Logs
- •Scheduling Protected Time
- •Eliminating Distractions
- •Buffer Time
- •Goal Setting
- •Completing Large Tasks
- •Maximizing Efficiency
- •Get Organized
- •Multitasking
- •Think Positive
- •Summary
- •References
- •Selected Readings
- •Index
Chapter 13. Setting Up a “Lab” 203
no formal training in laboratory or program design and organization as this is generally not taught in most training programs. However it is perhaps the most important task for the young surgeon-scientist. Furthermore poor design can destroy the program and career of the investigator and others. It is also difficult to attract talented fellows and researchers to a poorly structured research environment. A few practical hints:
•Decide what values are important for you and your research program (e.g., scientific excellence, discipline, teamwork, competition)
•Develop a 5 year plan with the following questions:
–What are my career goals?
–Do I want to get tenure in 5 years?
–Am I interested in entering a competitive research field?
Mission Impossible: Defining a Laboratory Mission or Vision
Of all the choices that an early stage investigator has to make, deciding what NOT to do may be the most difficult decision.
New investigators usually have boundless energy and ideas without the scars of professional failure to temper their enthusiasm. As a result, a common mistake is to attempt to begin too many projects. A program mission is very important to provide focus for the investigator and the program in general. Like all important projects, creating the program mission should begin with the end result in mind. A program vision – either publicly displayed or stored in a private note book is important to the success of your program. It is critical to formulate this plan before beginning the job search, for the following reasons:
•The vision determines which jobs and institutions that you will seriously consider (e.g., one would not look for a clinical research–intensive position in a university medical center with low clinical output).
•The vision facilitates a better understanding for the material and personnel needs for the job.
204 F.E. Nwariaku
•This will also guide the negotiations for a start-up package.
•Plan Your Projects.
•This will help you Plan Your Projects.
In the few weeks after accepting a position you should;
•Generate a prioritized list of resources and equipment needs.
•Obtain information from company vendors about discounts or start-up specials.
•Get an e-mail account at your new department and have your address added to group e-mail listings.
•Order reagents that do not require special storage.
•Meet with departmental financial and purchasing administrators.
•Meet with your immediate supervisor, Division Chief, or Department Chair to discuss your ambitions and goals
•Seek and establish collaborations within your institution!
Project Planning
Planning projects ensures that necessary resources are available prior to starting the project, and ensures that you seek and secure the resources that may not be available. A short check list should include the following:
•Create a resource list (animals, human samples, radiation).
•Obtain institutional approval Institutional Review Board and Institutional Animal Care and Use Committee (IRB, IACUC).
•Compile a list of equipment and supplies and divide it into resources that are expensive and resources that are essential to your lab.
•Prioritize your spending needs.
Saving Money
Take the opportunity while visiting departments to ask about specific institutional resources: You can save tremendously by sharing instruments that are already
Chapter 13. Setting Up a “Lab” 205
in-house. Scientists are generally willing to give or share equipment when asked.
General lab supplies – tubes, glassware, etc. – will cost about $10,000 a year for each researcher. Other options are to buy generic electronics at electronic chain stores. These usually cost less than the institutional supply companies. If your institutional regulations and policies allow it, you can further save by purchasing equipment like refrigerators and microwaves at appliance stores.
Guide to your shopping list
•Brainstorm
•Come up with a number of ideas that you want to pursue as individual experiments.
•Rank your projects according to experiments that will yield preliminary data more quickly than others.
•Categorize the list.
•Check what equipment is available at your future department.
•Purchasing
•Learn how to order supplies.
•Learn institutional and State regulation regarding purchasing. (What is the approval process? How long does it take? Will it be delivered to the lab or to a central location and picked up by lab personnel?)
•Ask faculty and technicians in your department, and in others, if they have equipment they haven’t used in a long time.
•Seek broken or very old equipment that can be fixed.
•Seek used and refurbished equipment vendors over the Internet.
•Look for the institutional salvage yard for desks, shelves, and file cabinets.
•Identify vendors that have contracts with your institution and ask your colleagues for the vendors that have the best sales representatives. This becomes particularly important when major equipment breaks down. Develop relationships with company representatives. They can be very helpful with discounts and specials. Some companies have a laboratory “start-up” program.
206 F.E. Nwariaku
Seek Help
Take advantage of your current environment to ask colleagues for pointers and advice: Ask how difficult (or easy) it has been for them to settle down into their labs; what were their biggest lab set-up problems? Another good idea is to include your email on departmental group e-mail lists.
People
Next to time, laboratory personnel represent the most important resource that we control. Our goal should be to hire the best personnel (match skill and experience with task complexity) that we can afford. Poor decision-making and lack of discipline when hiring laboratory personnel can truly destroy any chances of success. Furthermore many academic institutions require the employee (you) to provide significant amounts of documentation and due process when trying to terminate their employment. We have found the (HR) Human Resources department to be invaluable during recruitment, termination, and everything in between. Some
HR departments can also create a job description based on your laboratory needs, advertise the job, and prescreen potential candidates. Their expertise is invaluable; however they need to be contacted early during the process. It is strongly recommend that the scientist arrange to have meetings with the HR personnel within a few weeks of settling into his or her new position. During the meeting, discuss local hiring policies and practices. Obtain information about the institutional applicant pool. Examples of questions to ask include:
•What levels of employee are available within the institution?
•How skilled are they?
•Have they worked in large productive laboratories or programs?