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Research

A written proposal for what is to be accomplished during this elective must be generated prior to starting, such that the Fellow will gain the experience of designing an experiment.  During the elective, the Fellow will learn and practice the scientific method and rigorous scientific technique while carrying out their project/experiment.  Techniques learned may include laboratory skills (molecular and genetic studies, animal experiments, chemical/biochemical experiments, etc.) or clinical research skills (clinical trial methodology, epidemiology, biostatistics, etc.).  Ideally, the Fellow's work will result in authorship on manuscript(s) or abstract(s).  Fellows will learn about the informed consent process and develop an understanding of HIPAA’s impact upon clinical research.    In accordance with NIH Clinical Research standards, any Fellows participating in clinical research will be required to participate in Human Subjects Protection training (obtaining a Certificate of Completion for Web Based Course on Protection of Human Research Subjects).  

Patient Care

Goals
 
Learn how to contribute to the understanding of the pathophysiology of neurologic disease and/or the development of novel treatments.
 
Objectives
 
Patient care may be developed in clinical research projects.  Fellows will learn to care for patients within the confines of a clinical research study if applicable. 

Medical knowledge

Goals
 
Build a broad and deep knowledge base in a research topic relevant to the pathophysiology of neurologic disease and/or the development of novel treatments.
 
Objectives
 
Medical knowledge will be obtained through background literature review in the research topic of interest.  Fellows will develop practical knowledge of statistical analyses. 

Interpersonal Communication

Goals
 
Present scientific data and peer-review, ideally via submission of one abstract or manuscript during the course of training.
 
Objectives
 
Good communication with other researchers is necessary for collaboration in research.  The Fellow will learn how to obtain informed consent, enroll the patients, and communicate with regulatory personnel. 

Practice-Based Learning and Improvement

Goals
 
Identify ways to improve scientific practice.
 
Objectives
 
The Fellow will be responsible for working with supervisory staff and co-participants in troubleshooting the methods of the proposed research. 

Professionalism

Goals
 
The fellows will demonstrate ongoing self-education and habits of life-long learning.
 
Objectives
 
Fellows will maintain the highest standards of professionalism, especially in interactions with patients or with other research colleagues.  The Fellow will be responsible for tracking duty hours and reporting them to the supervisory attending. 

Systems-Based Practice

Goals
 
The fellows recognize that he/she is part of a research team.
The fellows develop knowledge for regulatory guidelines in basic, translational and clinical research.
 
Objectives
 
Research requires absolute compliance with regulatory guidelines such as HIPAA for patient based research and animal safety regulations for basic science research.  The fellows will learn how to complete projects within this regulatory environment. 

Objectives and Evaluation Matrix

As with all of the individual rotations described in this section, the specific objectives of the continuity clinic are reflected in the entrustable professional activities and individual milestones. These form the basis for the fellow’s evaluation, which is completed by his or her clinic attending twice each year. (Please see the section End-of-Rotation Evaluations above for the list of milestone abbreviations).