Probable Cause vs. Conscious Consent: An Open Letter to a Utah Detective and an Argument for Life

“The detective didn’t have a warrant, first off. And the patient wasn’t conscious, so he couldn’t give consent. Without that, the detective was barred from collecting blood samples — not just by hospital policy, but by basic constitutional law.” (Derek Hawkins, Washington Post)

There have been countless discussions raised by this event. But, the most basic question on the table is this: Is probable cause of a crime enough to revoke your right to consent?

First, I want to start with the definition of life. I need to start here partly because I was an English major and I have an absurd obsession with vocabulary, but mostly because it is so very important to fully understand this basic point. Life, in its most primitive and basic form is a heart beating. Two lungs expanding and collapsing. Oxygen in its infinite race with blood. A brain that understands light from dark, hot from cold, danger from safety. This is life. You are alive. You are awake. You are aware.

Life is not the choices someone makes. It is not what they decide to do with their time. It is not their level of education, their profession, or even how they choose to define right from wrong. It is not their gender, their sex, their height or their skin color. It is a breath. It is an open eye. It is the capacity to understand.

In this country, the right of a human being to live―to be alive, awake, and aware―surpasses every other thing.

Detective, I respect and admire your fight for justice. I know that you have a dangerous and difficult job—that you risk your life to protect me. I understand that it can be a thankless job, even a scorned and mistrusted position. I appreciate your fight for honesty. I appreciate you.

But nothing, not even a true and honest fight for justice, comes before a human being’s right to life—the physical and mental state of being alive, awake, and aware.  Nothing.

If that person is truly guilty, there will be another way to prove their guilt. You do not need to violate their right of consent when they are fighting for their right to live. There will be another day to fight this battle. Human life is more important than being right.

This is the essence of our country, and the reason why I choose to live in the United States of America. It is the reason why I work at a hospital. It is the reason why I choose to spend my time working in medical research. We as a people decided that a person’s right to life is most important. We have fought long and bloody wars (we are still fighting long and bloody wars) over this very belief.

So, I return to the question on the table. A question that so many people, so much smarter than me, have struggled with and have come to this same conclusion. Is probable cause of a crime enough to revoke your right to consent? The answer is no.

Human life is more important than being right.

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A Story of Reference Citations and a Comma Casualty

How much time do you spend on the references page? How many tears have been wiped away in frustrated anger? Did the absence of a comma cost you?

I’ve recently come to know a citation management option called Zotero. The best part? It’s free. And it thinks like we do–you can tag and categorize different citations and form a ‘playlist’ of your favorite citations to make life easier.

Look at that, I used “citations” and “easier” in the same sentence.

It’s both Mac and PC compatible (crazy, right?) and there’s a button for your browser to make one-click additions easier than…well, pie. (Because if you’ve ever made a pie you know it’s not easy.)

So, check it out. Stop wasting time with whatever citation method you’ve come to hate, and check out Zotero: https://www.zotero.org/.

You wrote a new policy, but is your research team ready for culture change?

It’s not enough to make a new policy. Today, you must also activate “culture change” to ensure compliance. Daunting, I know. But not impossible. It means we need to rethink the way we roll out new policies and govern research.

Here are a few quick thoughts on who you need on your team to motivate a culture change through a new policy.

First, you need the connector who understands the innovation strategy and the need to engage the entire research team to promote the cultural change (Tucker). This is likely your office managers who can bring together their entire division to help adapt their mission to align to the new policy.

Second, you need the maven who will keep everyone honest (Tucker). This is the research coordinator who is highly knowledgeable and who understand the impact of the new policy on every project, and how to adapt the policy for every person in the division. Their knowledge is deep and they are capable of sharing knowledge with the team to inspire culture change.

Third, you need the salesperson with crazy mad negotiation skills to make others agree with them (Tucker). This is your administrative director who can easily motivate investigators and project directors into sustainable action. And who has the ears of higher administration to help negotiate the transition.

Lastly, you need the messenger who can deliver the details of the message far and wide (Tucker). The messenger is only as good as the message. According to Gladwell, the message needs a “stickiness factor” that makes it memorable. This means you cannot just hand out the new policy and expect wild results. We need to make the message practical and personal to create sustainable patterns and behaviors. The message should have personal meaning for our investigators with a practical reality, “I see a way to do it” that can fit into “my” life, and “a reason why it matters” (Tucker).

If you want to cause a culture change—a hospital-wide insane epidemic of culture change—you need to involve everyone and you need to foster a creative and inviting environment that is conducive to success. Good luck!

References:

  • Tucker SJ, Carr LJ. Translating Physical Activity Evidence to Hospital Settings: A Call for Culture Change. Clin Nurse Spec. 2016 Jul-Aug;30(4):208-15. doi: 10.1097/NUR.0000000000000212.
  • Gladwell M. The Tipping Point: How Little Things Can Make a Big Difference. Little Brown. 2000.

Why Research Administration?

In the world of available careers, “why research administration?”

It’s been an interesting year for my career. After my PI left for a glorious new job on the California coast, I had a number of job offers—all of which were more glamorous than staying in my departmental role. International travel, exciting new startups, and even ownership in a company that’s 5 minutes from my house. And yet, I’m still here. Why? Because I cannot think of a single thing that is more important in this world than pediatric research.

I know what you’re thinking—if pediatric research is so important to you, then why don’t you become a researcher? In order to fully explain it to you, I’ll have to show you some data—because that’s how we do it over in research.

In the last 25 years, there have been over 50 new research regulations and over 20 revised regulations which have directly impacted the conduct of research under federal grants and contracts, according to the Council on Governmental Relations (COGR). I understand to the non-research mind that doesn’t sound like a lot—only 50 new and 20 revised? But each of the new regulations and restrictions have lead to unimaginable implementation, interpretation, and management kerfuffles (and yes, I said kerfuffle). Frankly, it’s a Christmas miracle that any research gets done at all anywhere, let alone for kids.

Several groups have done studies to look at how all these changes affect the investigators and study teams. Here is a summary of the information from Mark Dutton:

The National Science Board (NSB) published the report Reducing Investigators Administrative Workload for Federally Funded Research in March of 2014 naming the top reported burdens:

  • Financial Management
  • Proposal Preparation and Submission
  • Required Reports – Progress and Others as Required
  • Effort Reporting

Federation of American Societies for Experimental Biology (FASEB) published survey results in 2013 in the report Findings of the FASEB Survey on Administrative Burden naming the top burdens:

  • Proposal Preparation and Submission
  • Personnel Management
  • Effort Reporting
  • Financial Tracking and Reporting

Federal Demonstration Partnership (FDP) published the report 2012 Faculty Workload Survey which focused on how faculty conducting research spent their time when focused on their research efforts:

  • 7% on Active Research
  • 4 % on Proposal Preparation
  • 6% on Post-Award Administration
  • 6% on Report Preparation
  • 7% on Pre-Award Administration

As you can see, the percentage of time that faculty spend conducting research vs. doing administrative tasks is a cavernous trench of unproductivity.

That is why I choose research administration—for the kids.

If I can help to close the cavernous trench of unproductivity for my investigators by handling some of the paperwork, that means actual research gets accomplished, cures get found and millions of kids are leading healthier and longer lives.

And in the end, that’s the most important thing.

How to Define Your Personal Core Values and Why it Matters

Hundreds of reports have been released confirming that millennials are more motivated by personal values and aspirations than by career advancement. If this is true, it begs the question-what are your values?

Everyone has heard the quote, “because if we don’t stand for something, we shall fall for anything.” So I ask of you, dear professionals, what is it that you stand for? What are your personal values? Could you name them all?

I was intrigued by the question: Could you name all of the personal core values that you believe in, and would this knowledge alter the way that you approach your work?  And so, as a dutiful and diligent researcher, I spent weeks drafting and redrafting to define the list of core values.

#1: You will need a thesaurus.

The first thing that I found was that it’s nearly impossible to represent a core value with just one word. Words have certain connotations, and you will find that you need to get very specific. In order to truly get to the heart of the issue and understand the emotion or action, you will need to use a group of synonyms. For example, which is better and more meaningful:

  • Eloquence
  • Eloquence, Expressivity, Cleverness, Quickness, Wittiness

#2: Write now, rank later.

It is hard to write down your core values, and even more impossible to write them in the order of importance. It’s like the chicken and the egg question, both family and loyalty are core values–but which comes first? Don’t worry about ranking your core values, just write down as many as you can think of and go from there.

#3: Consider your personality.

If you get stuck, consider taking a personality test online and see what your results are. Often these types of exercises help us to clearly articulate our fuzzy thoughts onto paper.

#4: Put things in categories.

Take a look at your list and begin to place things into broad categories. For example, think of the broad themes such as excellence, integrity, wisdom, beauty, and discovery.

 #5: Refine, edit, and finalize.

Once you have a good solid list and 4-5 categories, go back through and edit everything. Weed out any duplications. Rethink the word useage. Try to rank your categories in order of importance.

Here are some examples to get you started:

Have you taken the time to define your core values? What did you learn about yourself and how did it change the way you approach your work?

Lean “Leader Standard Work” Sheets in Research Administration

Organizations around the world are adopting the Lean and Six Sigma methodologies, and this includes the Leader Standard Work sheet. The Leader Standard Work sheet is a double-sided printed sheet that you carry with you and take notes on throughout the day.

This sheet acts as many things—your daily/weekly/monthly to-do lists, reminder of organizational goals, and coaching notes for your employees. Chances are good that, for better or for worse, you are already doing all of these things in other systems. We all have our to-do lists and upcoming projects reminders. This sheet brings all of those pieces together in a unified format.

The purpose of the Leader Standard Work sheet is to build a framework around your position, improve processes, and to help you become a better leader. If done correctly, you should be able to hand this piece of paper to someone brand new and they would have instant knowledge of what you do. Think of it as preparing notes for your backup when you go on vacation—everything you do is written down in one place.

Unfortunately, the usual template that comes out of the box from your employer usually doesn’t fit the life of a Research Administrator. We have a different sort of daily work that, at times, is inconsistent and 90% variable from day to day. But do not despair, with only a few changes we can turn the standard Leader Standard Work sheet into a useful tool for the world of research leadership.

The most common fields within a Leader Standard Work sheet are generally not applicable to us and what we do. I took the standard form, and created an entirely different form taking inspiration from the Passion Planner, the concept of a bullet journal, and the teachings of the Lean and Six Sigma methodologies.

My Leader Standard Work sheet includes the following fields:

  • Monthly Commitments (i.e., Orientation for new researchers)
  • Weekly Commitments (i.e., Tracking proposal development and education communications)
  • Daily Commitments (i.e., Submissions audit, tomorrow’s meeting agendas, to-do list audit, team rounds)
  • Research Proposal Development & Submissions
  • To-Do List
  • Follow-Up Items
  • Projects/Goals On Base (i.e., working on right now)
  • Projects/Goals On Deck (i.e., working on next)
  • Projects/Goals In the Parking Lot (i.e., working on in the future)
  • Cross-Training and Escalations (i.e., for specific direct-report employees/trainees)
  • Professional Development Goals
  • Good Things That Happened
  • Not-To-Do List (i.e., Do not tell trainees what to do-only ask questions and coach them)
  • Personal To-Do List
  • Space of Infinite Possibility (i.e., Quotes, doodle drawings, anything)

Front Page:

Back Page:

Does your company use the Lean system and the Leader Standard Work sheet? If so, how have you adapted the template to match your needs in research administration?

Creating a File System That Works: The Ultimate Research Administrator’s Guide

 

Have you ever created something that wasn’t immediately useful for any reason other than to just understand a process better in your mind?

I always think about my brain as a huge cavernous warehouse with giant floor-to-ceiling filing cabinets full of random information. Random papers spewing out of some corners, slowing falling down at random moments. Every now and again, I try to reorganize the filing system of my brain and put things back into perspective. I LOVE to create folder hierarchies to organize complex systems. (I know, it’s crazy and I should probably see someone about this obsession, but it does prove to be useful.) There’s something about putting it all down on paper—organizing every single facet of a detailed process—almost as if you are setting up the filing cabinets in your brain to store and organize all this information. Am I making sense?

So, recently I took it upon myself to try and organize the world of research administration. If you were to make a filing cabinet and folder system for ALL of research administration—what would it look like? There are so many options, so many moving pieces, so many different departments. It’s truly overwhelming how many different ways you could take to organize the folders and categories.

So, let’s start small. Let’s define the boundaries. First, this is designed for (and from the perspective of) the Research Administrator. (So, for the PIs in the audience, this is way too detailed for your needs.) Second, the purpose is simply for information management and comprehensive comprehension. I chose to think of this project as the outline for a book titled, “The Research Administrator’s Bible.”

The Research Administrators Certification Council website was a huge help to me during this process. If you are attempting a similar project, I would recommend checking out their “Body of Knowledge” at:  http://www.cra-cert.org/bodyofknowledge.html.

Now, to get started we have to sketch the biggest buckets of research administration:

  • Research Administration
  • Funding identification
  • Proposal Development and Submission
  • Budget Development
  • Sponsor and Public Interface
  • Legal Requirements
  • Award Management
  • Fiscal Management and Compliance
  • Reporting and Closeout
  • Resources

Yes, I know, there are a MILLION different ways you could categorize this…but we must start somewhere! So now that you have your broadest and biggest buckets, it’s time to take a deeper dive into the tiniest cracks. Now, I know beyond a shadow of a doubt that this is in no way a complete list and still needs a lot of work, but here’s what I’ve come up with.

Click here to Download: The_Research_Administrators_Bible

If perhaps, you’re a weirdo like me and find this useful, let me know in the comments section and tell me how you used it in your work!