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Fundamentals of epidemiology - an evolving text - Are you looking ...

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Journal <strong>of</strong> Medicine, J<strong>an</strong> 14, 1999, p148). It is much, much easier to make programming<br />

errors th<strong>an</strong> to find them.<br />

Pr<strong>of</strong>essional meetings (formal presentations <strong>an</strong>d works in progress) are both opportunities<br />

<strong>an</strong>d challenges - opportunities to gain the insight <strong>an</strong>d perspectives <strong>of</strong> outsiders <strong>an</strong>d a<br />

stimulus to thinking through the study data <strong>an</strong>d their interpretation; challenges because they<br />

typically take precedence over other import<strong>an</strong>t tasks <strong>an</strong>d draw upon data that have not been<br />

fully cle<strong>an</strong>ed.<br />

Getting time to write - the daily needs <strong>of</strong> the study tend to absorb all the time available for it,<br />

<strong>an</strong>d so <strong>of</strong>ten it seems that the data are never ready until the study is over.<br />

How to m<strong>an</strong>age authorship so that opportunities are appropriately shared, enough writing<br />

gets done, <strong>an</strong>d the architects <strong>of</strong> the study get a reasonable share <strong>of</strong> articles. Increasingly,<br />

written policies are being developed to guide investigators <strong>an</strong>d would-be authors.<br />

Some other predictable <strong>an</strong>d unpredictable challenges:<br />

Staff turnover - possible detours<br />

Continuation applications <strong>an</strong>d progress reports<br />

Hum<strong>an</strong> subjects permission renewal<br />

Site visits<br />

M<strong>an</strong>aging time <strong>an</strong>d money so one comes out ahead but not too far<br />

Figuring out - beforeh<strong>an</strong>d - what data will need to be collected, entered (e.g., dates), <strong>an</strong>alyzed<br />

Low response rates (NCM SHS & QFL)<br />

Low exposure rates (Irva)<br />

Missing data<br />

Fraudulent data (NCM, Russ Harris)<br />

Competition from other investigators<br />

Controversy (<strong>an</strong>imal rights activism, safety hazards (lab, fieldwork), ethics attacks)<br />

Ch<strong>an</strong>ging priorities <strong>of</strong> the funding agency<br />

Initiating new proposals - new research, funding for self <strong>an</strong>d staff<br />

Staying in touch with the science<br />

Industrial quality control technique (per King Holmes) - Identify the 5 ways this project c<strong>an</strong> fail.<br />

Then try to reduce their likelihood.<br />

_____________________________________________________________________________________________<br />

www.sph.unc.edu/courses/EPID 168, © Victor J. Schoenbach 15. Practical aspects <strong>of</strong> epidemiologic research – 517<br />

rev. 11/8/1998, 10/23/1999, 7/3/2000

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