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Research Support Request Form

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Welcome! This form should be completed by members of the department of surgery who wish to request research support from CORES analysts or SOQIC research fellows.

Please note that most projects require a minimum of 4 weeks notice prior to the reuqested final deadline. If your project has an earlier deadline (e.g., less than 4 week from date of the initial request for consultation), we encourage you to still submit a request below, but please note that we may be unable to accomodate your analysis within that timeframe. If you have a short deadline, we will contact you to discuss the details and other possible options.

Please have the following information readily available to complete this form:

Faculty/Principal Investigator contact information
Information about your research questions, and specifics about the proposed study
If the project is funded, a copy of your proposal

If you have questions about this form or the request process, please contact Emma Holler (emorone@iu.edu)

Please also note that clients should recognize the CORES analysts as coauthors when the analysts are asked to be extensively involved with a project (i.e., design, data analysis, and/or preparation of methods and materials, results and discussion for corresponding manuscript), in accordance with journal authorship guidelines.

Date of request

* must provide value

M-D-Y

Name of Requester:

* must provide value

Requester email address:

* must provide value

Your position

* must provide value

Faculty

Resident

Other

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Name of PI (if different from requester)

PI email address (if different from requester)

Project funding status

* must provide value

Unfunded

Funded

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For funded projects, please upload a copy of the proposal

Upload file

Please indicate the stage of research

* must provide value

Study design stage (no data collected)

Data collection stage

Data analysis stage

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What type of dataset are you using for the project? (e.g., IU EHR data, NSQIP data, cancer registry, patient surveys)

* must provide value

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Please briefly describe your main research question(s)

* must provide value

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Please describe your project in a few sentences (e.g., outcome of interest, exposure of interest, covariates, sample size)

* must provide value

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What type of assistance are you looking for? Check all that apply.

NOTE: "Modification of a previously completed analysis" only applies if there is a clear break between the original analysis and the modifications, e.g., two different targets for submission.

* must provide value

Power/sample size calculation

Study design or statistical analysis plan

Data analysis

Modification of a previously completed analysis

Other

If you need other assistance, please describe:

* must provide value

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Has a CORES analyst assisted you with this project in the past?

* must provide value

Yes

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Which analyst previously assisted you?

* must provide value

Rodica Muraru

Akrem Ahmed

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What is the next immediate deliverable for this project?

(i.e., after the analysis is completed, what will the data be used for?)

* must provide value

Research paper for publication

Grant application

Abstract

Other

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If other deliverable, please describe:

* must provide value

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What is the target deadline for your project?

* must provide value

M-D-Y

IMPORTANT: We may be unable to accommodate deadlines earlier than 4 weeks. We will contact you to discuss the details and other possible options.

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