Let me add on to the comment about working with physicians after 35+ years.
Most (of course, not all) researching physicians are very weak when it comes to mathematics. One school of thought is that physicians are "concrete thinkers", who like to be able to see and touch something for it to be real. Math types, on the other hand, tend to be "abstract thinkers" for whom scribbles on a blackboard are just as real as the chair they are sitting on, but not for concrete thinkers. For this reason, physicians can say all the right words about statistics in research, but have little comprehension of it, if challenged.
I tell people that physicians take a lot of science in school, but they are not scientists. A scientist has to grasp the "big picture", which many have a hard time doing. So, don't be surprised if some rudiments of design and analysis seem to be hard for them to grasp. They do know that p<0.05 is good, but will struggle to explain what it indicates. So, don't be surprised when they ask for a power analysis when doing a simple reliability study. They are wonderful care givers, but we live in a different world than they do.
-------------------------------------------
Richard Browne
Texas Scottish Rite Hospital for Children
-------------------------------------------
Original Message:
Sent: 09-20-2011 13:35
From: Michael Chernick
Subject: Solo Consultant
The Cleveland Clinic is an exceptional group. I wouldn't consider their work typical. The graduate student that does volunteer work for me does an exceptional job with only a bachelor's degree and some mentoring from me. One person on this thread said that just running routine analyses for physicians would be consulting work that an inexperienced but well-educated statistician can do. I contend that such work is not consulting. Consulting requires rendering expert advice. My other contention is that physicians often don't know exactly what they need and so it takes an exchange between the consultant and the physician (could be merely one or two half hour sessions). But if a physician directs you to compute means, standard deviations and confidence intervals for X, Y and Z and you just go right along and do it with no questions asked then you are doing mindless number crunching (not consulting or collaborating).
-------------------------------------------
Michael Chernick
Director of Biostatistical Services
Lankenau Institute for Medical Research
-------------------------------------------
Original Message:
Sent: 09-20-2011 13:12
From: Ralph O'Brien
Subject: Solo Consultant
Let me give a rough statistic (!) to make my point. About 15 years ago, when I headed the consulting/collaborative biostat group at a large "academoid" medical center, I looked at the number of hours spent per project (N > 700/year). The median was about 10 hours, a number that indicates "consulting." I don't recall where the 80th percentile was, but I'd guess it was under 20 hours. This outstanding group ran on mostly MS-level talent and only the very weakest among them did what their team leaders and I considered to be pedestrian work, i.e., "number crunching." They were actually valuable team members, because they took on the most pedestrian research projects, turned them around quickly doing them well-enough (C+, B-) to "pass" in the medical literature, and kept those kinds of investigators (and their department chairs) happy. This allowed time for the better statistical scientists on the team to work on those projects that truly needed a more collaborative effort.
To use a football metaphor, the offensive guards and tackles may do the yeoman grunt work, but ask any quarterback or running back how valuable they are.
-------------------------------------------
Ralph O'Brien
Case Western Reserve University
-------------------------------------------
Original Message:
Sent: 09-20-2011 12:18
From: Michael Chernick
Subject: Solo Consultant
I agree with Ralph. Sometimes we just don't have the time to do "first class" work and yet I would have no problem doing what Ralph calls Grade B work. What concerns me is when a person commit a type III error (by my definition "providing a great analysis to the wrong problem"). Under any circumstance we need to understand the problem well enough to know that we are giving a correct solution. Mindless number crunching is not consulting and should be avoided.
-------------------------------------------
Michael Chernick
Director of Biostatistical Services
Lankenau Institute for Medical Research
-------------------------------------------