The Annual Kaiser Permanente (KP) Los Angeles Research Week is culminated by the highly anticipated oral abstract competition. This research competition is often described by the house staff as the highlight of the academic year with its competitive intensity, celebratory aura, and even drama. The work is often a product of effort spanning the entire duration of training. The judges for this prestigious competition are a diverse group representing research, operations, clinical medicine, and medical education.
Several days before the competition, the Medical Center hosted the annual research abstract poster session of original research, quality and patient outcomes, operational research, and case reports. The set of 40 papers in the linked-bibliography came from different medical subspecialties and from different health fields, including pharmacy and nursing.
Throughout the years, KP research has provided insights and helped shape medicine in many ways. In 1969, Irving Rasgon, MD, published a study on colon cancer screening in the journal
CA: A Cancer Journal for Clinicians,1 and in 1977, Harry Ziel, MD, with Gordon et al, published a study on estrogens causing endometrial cancer in the
New England Journal of Medicine.2 In 1981, Peter Mahrer, MD, with Eshoo, published his study of the safety of same-day cardiac catheterization in
Catheterization and Cardiovascular Diagnosis.3 More recent examples include identifying major adverse risk with common drugs such as cox 2 inhibitors,
4 questioning the overall benefit vs risk of routine colonoscopy in the elderly population,
5 and informing people of the risks associated with beta blockers in pregnancy.
6 In addition, we have dispelled myths about porcelain gallbladder,
7 described unlikely benefits of cannabis, and helped establish guidelines for care such as with hematuria.
8 We have helped provide insights on comparative outcomes for management strategies for many different diseases including cancer, and continue to describe and share our success rates for chronic disease management programs and innovations in care delivery for such conditions as hypertension, diabetes, and heart failure, to name a few.
9–11 KP has become a source for health information not just on its members, but on its medical residents as well. A recent qualitative study gathered the perspectives of both residents and faculty across multiple disciplines on the causal and protective factors for burnout in residency. The results have been presented locally, as well as nationally, and are being used to develop prevention and intervention strategies across the region.
9Research is a standard for the KP community and now part of its DNA. The history of the Los Angeles Medical Center Research Week (see Sidebar: History Highlights: Los Angeles Medical Center Research Week) has reflected a changing culture where recognition, emphasis, and support of research continues to increase in the organization and training programs. If physicians are asked to change and improve on the ways they practice medicine, the evidence must be there. This has led to the fostering and growth of researchers as well as the recruitment and attraction of talented research-minded physicians to KP. This year’s work, like others in the past, will affect future care within KP and elsewhere.
KP medicine strives to continually transform and improve upon itself because of its introspective approach and willingness to study what we do from all perspectives. Thus, research is embedded in so much of how we operate. With research as a priority, we hope to continue to challenge and advance the field of medicine. Finally, the basis for why we deliver high-quality and efficient care largely lies within the information that we obtain from our own clinical practice and experience, which is based entirely on our members. For this we are infinitely grateful to the members of KP. They are truly the reason we do research and the reason we can do research.
Research
Research, untrammeled by near reference to practical ends, will go on in every properly organized medical school; its critical method will dominate all teaching whatsoever.
— Abraham Flexner, 1866–1959, American educator, reformer of medical and higher education in the US and Canada
Poster Awards—Surgery
Aortic Dissection Causing Malperfusion from Stent Graft Collapse in a Patient with Previous Hybrid Repair of a Paravisceral Aortic Aneurysm: A Case Report
Marie S Tran-McCaslin, MD; Wesley K Lew, MD; Kaushal (Kevin) Patel, MD; Linda J Chun, MD
A National Review of ACGME General Surgery Resident Case Logs: Assessing the Impact of Minimally Invasive Surgery
Janice Verham, MD; Borna Mohabbatizadeh, MD; Kaushal (Kevin) Patel, MD
Poster Awards—Urology
Safety and Feasibility of Outpatient Robotic-Assisted Radical Prostatectomy
Peter Elliott, MD; Pooya Banapour, MD; Ashish Parekh, MD; Apurba Pathak, MD; Madhur Merchant, MD; Kirk Tamaddon, MD
Adoption of Robotic Partial Nephrectomy: Its Effect on Renal Cancer Surgery and Kaiser Permanente Southern California Practice Patterns
Ramzi Jabaji, MD; Heidi Fischer, PhD; Gary W Chien, MD
Prevalence of Urethral Stricture in Stevens-Johnson Syndrome and Toxic Epidermal Necrolysis
Tyler Kern, MD; Daniel Artenstein, MD; Gil Weintraub MD; Polina Reyblat, MD; Christopher Tenggardjaja, MD