UT Southwestern Department of Anesthesiology and Pain Management Faculty who are interested in conducting clinical or translational research studies are asked to provide the information below in order for the Department to optimally allocate the Department’s research personnel and resources. Resources include assistance with IRB protocol submission, data collection, statistical analyses, preparation for publication of a research manuscript, and supplies and equipment.
Your Name (required)
Your Email (required)
What is your research question or hypothesis? (required)
What is already known about this topic? What new information would you add to the literature, what is the expected outcome of the study, and why is it important and interesting to warrant publication? (required)
Briefly describe your study design and protocol: (required)
List 3 to 5 key references related to this study question: (required)
Are you working with other faculty members on this project? If so, who?
Please list all medical students, residents, fellows or CRNAs who are working on this project. Please include name, school, and role on project.
Describe the resources you are requesting by checking the boxes below (e.g. research personnel to help with IRB application, study coordinator for data collection/entry, funding for lab tests, equipment, biostatistician support for study design planning or statistical analysis, etc.). Please be specific in your estimation of the personnel time and/or funding needed. If you are unsure how to answer this question please set up a time to speak with the Vice Chair of Research so that a tentative plan can be discussed.
Research study coordinator assistance with IRB protocol development/submission
Research study coordinator or research assistant support for study enrollment, database development or data collection
Assistance with research budgeting for grants or intramural financial research requests
Data analyst support for data extraction from Epic
Seed money for material project support
Biostatistical support (please additionally fill out item 6)
Meeting with Grants and Contracts Specialist
Please describe some detailed estimates of time requested and any other relevant details: (required)
Statistical Request for:
Study Design and Planning
Additional comments or questions for the Vice Chair of Research, Vice Chair of Professional Development, Director of Resident Research?
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