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Acting 101 – Radiation Therapy Role Play Exercise

Michael Douglas: actor extraordinaire!

How is acting and radiation therapy related? Here at the Michener Institute, there are actual actors coming in to perform as our patients during patient care simulation and practical assessments. This is very helpful and fun at the same time as we get some experience with “patients” and if we make any mistakes, all can be corrected before going into the real world. This can spare us some embarrassment – the first time I talked with a patient actor, I could not think of what to say so “I am drawing a blank” just slipped out of my mouth! At the end of the debrief, the actor told me I could have just pretended to know by acting like The Thinker! Looking sophisticated and deep in thought.

Beside the patient actors coming in, we also do role play in patient care labs – free acting lessons! Just the past Tuesday, we had a role play class for scenarios in patients with special needs. Some students are just natural actors/actresses, sometimes I wonder why they are not in acting. The class was very fun and educational and allowed us radiation therapy students to learn how the patients will react and how we can respond. Anyway, I wish I had video to show you how fun it was. If you are interested, you should apply to Michener next year and experience it yourself…

Until next time,

Gordon

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REsearch and Destroy!

Why do we need to find out things, shouldn’t we be content with what we have already, why does research matter? Well, simply put, we conduct research because we are eager human beings looking to seek further knowledge into any task or question presented to us. Human beings in general are inquisitive beings that become fulfilled when they accomplish something and the information spectrum is broadened. To accomplish almost any goal, whether it be recreational or academic, information through research is required. Research essentially helps humans, be human. We question, research and come up with an answer, and that in itself is a true accomplishment.

Research, like any other entity, has its ups and downs. You can follow the processes, look in the right books, but come up with the wrong information. When that happens, do not give up your search, rather organize it another way. Even if that seems to be time wasted, it was not, because the amazing thing about seeking knowledge is even if it’s the wrong knowledge found, one still learns from ANY obtained information. Research is a definite experience, and something valuable is ALWAYS learned when conducting research, whether it be the information being searched for, or a bit of self growth. And the best part? There is no time limit to knowledge. So get started. Just remember your keywords.

Faith Balshin
Check out MiVIP’s official twitter account! @MiVIP_UofT
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The Michener Institute – What is a “Michener” Anyway?

What is the Michener Institute? Where is the Michener Institute? As students here at the Michener Institute, we get these questions a lot! So let’s start with a brief introduction. The Michener Institute is located right in the heart of the Toronto hospital district, just behind Princess Margret Hospital. It is an applied health science establishment specializing in many health related disciplines. These include chiropody, respiratory therapy and radiation therapy, just to name a few. Jennifer Vuong, Gordon Wang & Ori Wiegner, the three amigos, are all part of the Radiation Therapy program!

People have many misconceptions when it comes to radiation and its applications. The first thoughts that come to mind usually relate to atomic bombs or microwaves. People rarely think of the medical applications of radiation, such as cancer treatments, diagnostic x-rays and CT scans. The variety of uses for radiation is astounding!

This summer we are all excited to take part in our first ever clinical placements! Jennifer and Ori will be attending Princess Margret Hospital and Gordon will be attending Kingston Regional Cancer Center. We will continue to blog about our student experiences at Michener and very soon about our individual hands on experiences at our placements!

For more in information regarding the radiation therapy program visit: The Michener Institute – Radiation Therapy



Jennifer, Ori, and Gordon.
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It’s Cold Out Today – Please Remember to Dress Your Naked P-Value…

Ok, so you agree to dress your little friend before sending him/her out into the cold world of publication. But what is a p-value anyway? I realize that I am jumping the gun (pun intended) a little as it forces us to talk about inferential statistics – a challenging topic. So today I will only give you a small taste of what is to come. First, to get you in a good mood I want you to watch the trailer for the first of three hilarious Naked Gun movies.


We have already talked about research questions and today I would like to introduce you to their children the research hypotheses. Essentially they are a version of their parents that summarize the main elements of a study – sample, predictor and outcome variables – in such a way that you are able to perform a test of statistical significance. These hypotheses are not required for descriptive studies like the ones we have been discussing in our blog so far. For instance if we were to ask how many people who read this blog enjoyed the Naked Gun series of movies we would end up with a proportion. We could then simply describe our findings as discussed in my Ogive post. 


But what if you wanted to now if the proportion of gals differed from the proportion of guys who enjoyed the movies as you suspect that the type of humor will please guys more than gals? As we are research scientists we would want to test this “hypothesis” in order to compare the findings among the groups: this is a test of statistical significance. The brilliant statistician Ronald Fisher championed this approach. Only a single hypothesis is required: the null hypothesis. It simply states that no association of interest exists. So in this case whether you are a gal or a guy is not associated with whether you like the Naked Gun movies or not in the population of blog readers.


Break! Listen to the music of P-value Diddy (he has so many names already I thought it ok to add one more) with Jimmy page from the Godzilla soundtrack.


Welcome back. So the null hypothesis is always assumed to be true until shown to be false with a statistical test. When you analyze your data and perform the test you will determine the probability of seeing an effect as big or bigger than that in your study by chance alone if the null hypothesis were true. You would reject the null hypothesis  if the p-value is less than a predetermined level of significance – typically 5% or 1 in 20.


So what is a naked p-value? It is simply a p-value obtained from the statistical test you performed on the data from your study reported WITHOUT an effect size, its sign and precision. The effect size is simply an estimate of the size of the association that you are studying – 25% more guys liked the movies as compared to the gals. The sign and precision is simply the direction of the observed difference (are you comparing gals to guys or the other way around) and an estimate of how confident you are – generally reported as a confidence interval which we will talk about in a later post.


So what is the bottom line? In order to keep your p-value warm you need to report it with the measure of the size of the association (effect size) and how confident you are about your answer.


In a subsequent post we will talk about another similar approach, Pearson-Neyman hypothesis testing, which involves two competing hypotheses (the null and the alternate hypotheses). This approach is duductive as opposed to Fisher’s inductive statistical testing approach. Both approaches are valid. It is simply a matter of determining which is more appropriate in a given situation.




See you in the blogosphere,


Pascal Tyrrell







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Are You My Type, Data?

So you have come up with a research question and now you must chose a method by which your responses will be obtained. For example, a question like ‘Are you a Trekky?’ leads to a simple yes/no answer. So, are you? No need to fess up. I understand. Don’t know what I am talking about? See the trailer for my favorite of the Star Trek movies: The Wrath of Khan Trailer. 


What if you were to ask, ‘How much of a Trekky are you?’. You are no longer able to use a simple two-category response but one that uses a continuous scale.


An important distinction to remember when dealing with responses in research is that in general some will be categorical, such as favorite TV series, race, or marital status, and others continuous variables like blood pressure, cholesterol levels, or how much you enjoy Star Trek shows on a scale of 1 to 10 recorded on a 100 mm line. For those of you who would score high here listen to Santana – You are my kind as a reward.


This brings us to the important concept of the level of measurement. If you are working with named categories – race for example – then you have a nominal variable. Categories that have an order to them – education level for example – are ordinal variables. What if the interval between your responses is fixed and known? Then you have an interval variable – temperature in Celcius or Fahrenheit is a good example. However, is zero degrees Celcius the same as zero degrees Fahrenheit? No. The latter is much colder! Now what if you are working in Kelvin which has a meaningful zero point? Then it is a ratio variable.


Ok, so why the big deal? The important difference is between nominal/ ordinal data and interval/ ratio data. The latter two can be used in what is termed: “parametric statistics” that gives us measures of center (mean) and spread (standard deviation). We have already touched on this in previous posts. See here: Great Expectations. It makes no sense to talk about the average sex of a sample students in your study. These data must be considered as frequencies in separate categories. We previously talked about this a little here: Ogive and this type of data leads to “non-parametric” analysis. 

Enough already! I’ll let you get back to streaming Star Trek re-runs…




Next time lets talk a little about parametric statistics and how thy came to be. I’ll leave you with this quote as a teaser from one of the greatest statisticians to ever walk the earth – Ronald Fisher: “The analysis of variance is not a mathematical theorem, but rather a convenient method of arranging the arithmetic.”

Pascal Tyrrell




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Pick me! Pick me! Pick me!

So now that you are a debutante research scientist you are eager to take your newly acquired skills for a test drive. But where? You could get a job as a research assistant, but jobs are scarce. Apply for a student research summer scholarship. Maybe, but how about that summer job as a lifeguard at Camp North Star (from the crazy movie Meatballs) that you have committed to? 

How about volunteering? But why would you do that? Let me tell you why. First listen to CeeLo Green to get pumped (yes, it is about firefighters but just pretend he is signing about volunteer scientists…).

There are many, many, many reasons to be a volunteer for any organization in your community. I am certain you can think of a bunch within a short brain storming session. What I want to share with you is some of my reasons. I have volunteered with special needs in my community for most of my adult life (quick calculation puts me at about 5,000 hrs to date). People’s first reaction is that of surprise. What? How do you have the time? Then they think how admirable… Sure, I’ll take that. But really, I do it because it gives me opportunity. Opportunity to learn and grow. Not only am I happy to do it and it makes others happy doing it, but I accomplish something that I may not have had the opportunity to do otherwise. Think about that. Make others happy AND gain some experience in the process.

Just like in the fantastic movie Shrek Donkey volunteers his services. He is always enthusiastic and willing to help. Listen to him ask to be picked here: Pick me! What does it get him in the end? A couple of great friends and a dragon wife. Perfect.

Create opportunities for yourself by volunteering. You will be glad you did.


Happy Valentine’s Day,

Pascal Tyrrell
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Interview with the (research) Devil

Interviews, the most loved and hated type of activity for all, from the powerful, skeptical, God-like interviewers seeking information to the innocent, intimidated and incapsulated interviewees, seeking a break. So many emotions happen when two people meet for the first time, in the interview setting. I definitely know what it’s like to be put in the hot seat, as the one word I felt coming into my own interview with the University of Toronto for this program – terrifying. I was completely terrified. New offices in the heart of Toronto, I felt like a small town girl moving to the big city alone. It was almost a coming of age experience – one small step into the building, yet one giant step for the adolescent-adulthood phase I am now transitioning into. 


         As I went up the elevator and pressed the fourth floor button, I almost could not contain myself. But the scariest part of the whole ordeal was probably the moment before I found the right office. Of course, I stumble into the wrong office, and when asking the woman working there for Dr. Tyrrell, the interviewer, when I saw the look on the woman’s face that I was in the wrong place, my heart dropped. Of course, when finally meeting with Dr. Tyrrell and discussing the program, all of this fear and anxiety disappeared at the drop of a hat, but the point is, interviews are a type of research, so research can be quite adventurous! 

Stay Adventurous and Keep Reading!  

Faith Balshin 
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Ogive? What the what? Oh, “jive”… right!

Ahhh, the 80’s. Interesting years to be in high school. I think I never quite fully recovered. I don’t wear Corduroy pants anymore but the acid wash jean jacket… maybe. Not sure what I am talking about? Have a peek here:  80’s-fashion.


So in my last post we talked about the concept of expectation (see Great-expectations) and the importance of organizing our data. Ask me what I think is the most important step to understanding your data? Organizing and graphing it – always. It is such a simple thing to do and yet it gives you crazy perspective and insight for any analysis that may follow. 


The concept of a frequency distribution in statistics is paramount. By organizing your data values into an appropriate number of classes we in fact make more explicit the information that is there in the data. The resulting frequency table can then provide us with some basic summary statistics such as class frequencies and proportions. By the way, classes have end marks. The upper and the lower. The average of these two marks is the mid-point and the interval is the difference between adjacent class mid-points. Lastly, the class mid-point plus or minus half the interval gives you the class boundaries… Boring? Maybe you need a break. Watch the trailer for the epic 1980 movie Airplane! to decompress a little: Airplane! movie trailer…


So what now? We need to present this data graphically. The first chart to think of is the bar chart. It is simply a plot of the frequency against class, where the class frequencies are represented by bars. Classes in this case are made up of SINGLE readings. How about an example using radiation counts?








If your classes are made up of a GROUP of readings than you would consider a histogram as in this example using velocity of light measurements.


















Now if you were to join the mid-point of each class by a straight line you would obtain a frequency polygon. This would allow you to easily compare several distributions on a single graph.

Finally, if you were to plot the CUMULATIVE frequency against the upper class boundary you would produce a cumulative frequency polygon – AKA the “ogive” as it has the characteristic arch-like shape found in architecture. 





If you ever find yourself using the term ogive in a public setting and getting blank stares from your friends then refer to the funny “jive” scene in the infamous movie Airplane! to diffuse the situation: Airplane! – Jive Scene.


Hopefully, everyone will say: “Oh, jive. I get it!”…














Let’s talk a little about data types next time. Ok?


See you in the blogosphere…




Pascal Tyrrell

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Great Expectations and What the Dickens is Probability Distribution Anyway?

If you are feeling like Pip in Charles Dickens’ wonderful novel Great Expectations every time you think of statistics, you are not alone! Not sure who Pip is? Have a peek at the latest of many movies based on this book: Great Expectations trailer

Pip started life in a poor community raised by a much older cruel sister. He did, however, grow up to be a gentleman (and a scholar?) and come to realize that our great expectations in life won’t necessarily come true. We instead work hard all of our lives and ultimately have to accept what is. Getting too serious? Have a gander at Diggy Simmons music video “Great Expectations” to relax a bit: Diggy Simmons music video

Ok we’re back. So what is the link between Pip and statistics?

As a researcher we are often interested in “what to expect” in future experiments or trials. The methodology used to perform the research and analysis of results will help to obtain an estimate of the answer to your question – see my previous post if you are in the dark about this one (Allegory of the cave).

In statistics the term “expectation” is given a precise definition in terns of probabilities (the chance that something will happen – how likely is it that some event will happen). Thus, if we consider an experiment or trial as taking a variable x at random from some population of readings and recording its value then the value to expect for x is the mean µ of this population.

Here is the rub: the population mean is usually a quantity whose value we can NEVER determine exactly – it is the value to EXPECT. This is a VERY important concept in statistics.

*** Caution: stats talk below – skip if already feeling dizzy…

When we make predictions about future trials we have to keep in mind that we are working with a sample of results that will necessarily have a measure of uncertainty associated with them. By organizing our data into frequency tables we can then present its distribution graphically (ie: frequency curve, histogram) and get our first appreciation of where the center is (mean, median, mode) and scatter (variance and standard deviation). Finally, if we convert our frequency distributions to probability distributions (divide each class frequency by the sum of frequencies) we can obtain expected values from these distributions. Plural? There are different types? Yes, and we will chat about these in future posts…

*** Safe re-entry here:

I am ok with having to work with estimates and never knowing the truth. You? As Socrates once said (a long, long time ago!): “The only true wisdom is in knowing you know nothing.”

So what next? Maybe watch the movie “Great Expectations” this week-end and tell everyone that you were studying for your stats class. Let’s talk about organizing data next.

Enjoy the movie.

Pascal Tyrrell

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The Truth? You Can’t Handle the Truth!

In “A Few Good Men” Jack Nicholson growls “You can’t handle the truth” to Tom Cruise in his Academy award winning performance. Watch a clip of his gritty performance: A few good men. Our pursuit of the truth leads to an interesting path indeed.

This series of posts has as objective to help you develop a scientific “sense”. Have a quick peek at my other posts (http://mivip-utoronto.blogspot.ca/) if you haven’t already and come back. So wanting to know the truth is something we all strive for on a daily basis. Finding the truth is another matter altogether and this philosophical conundrum has challenged many great minds for centuries.

The Roman Emperor Marcus Aurelius once stated many, many years ago: “Everything we hear is an opinion, not a fact. Everything we see is a perspective, not the truth”. Have a quick peek at the trailer for “Gladiator” to put you in the mood. Gladiator
Now Greek philosopher Plato, who predated Marcus a few centuries, got the ball rolling when he presented his Allegory of the Cave, in which he symbolically described his belief that the world revealed by our senses is not the real world but only a poor copy of it, and that the real world can only be apprehended intellectually. Plato used an analogy where we are represented as a gathering of people who live chained to the wall of a cave all of our lives, facing a blank wall. We watch shadows projected on the wall by things passing in front of a fire behind them, and begin to designate names to these shadows. The shadows are as close as we get to viewing reality.

 
Getting too serious? Take a break and listen to Siouxsie And The Banshees – Shadowtime Shadowtime
 
So why all the philosophy? Because the concept of getting as close to the truth as possible is important. We accept that the truth will never be known and, therefore, we must also accept as an answer an estimate (let’s say the mean of a sample) or “best guess”. As a scientist we will make sure to offer our reasoning and methodology as to how we obtained this estimate and more importantly we will offer a measure of how confident we are about this estimate – voila, biostatistics in a nutshell. Don’t believe me? Keep reading my posts and I will explain.
 
If we always knew the truth, would we need to measure anything? How boring would that be? As William Cowper aptly put it: “Variety’s the very spice of life, That gives it all its flavor”.
 
 
Here is what I suggest you do next in your endeavor to become a researcher: keep on asking crazy numbers of questions but now think of what factors will influence the estimate you will produce for your answer. Where does this “variety” that Cowper mentions come into play? 
 
Next we will talk about the concept of “expectation” and how this is important in the world of scientific research.
 
 
How is that pocket protector working for you so far? 
 
 
Pascal Tyrrell