New research inquiry

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BIRCH connects ideas, people and research to enable best outcomes for health in Ballarat. You are encouraged to discuss your research ideas as a department or group to identify key projects to move forward. To assist us in processing your request in a timely manner, please complete and submit this form as fully as possible.

All applications will be kept in confidence.

For further details on the PICO framework, you can visit these links for more information: UoM, Fed Uni, BHS.

Research inquiry form

* Indicates required field

Name *

First

Last

Email *

Phone number *

Organisation *

Department *

Supervisor/ Department head *

Your role *

Please briefly describe your work, using the P.I.C.O.T.T. framework *

Patient/Problem; Intervention; Compare to; Outcome; Timeframe or duration; Type of study.

What is the gap you have identified? (50-150 words) *

What is the significance? (50-150 words) *

Ethics status (please select) *

What support do you anticipate you may need for this work? *

Data collection from patients Data collection from health data systems Data collation from project information Publication support Data analysis Research process support Project design Literature Review Ethics process support Biostatistics

Please select as many as apply

What is your timeframe for this work? *

Approximate start and end dates

How is your work going to be communicated? *

E.g. hospital research forum; internal department meetings; publication (which?); grant submission (which?); etc.

Any additional comments at this stage? *

Submit

By pushing the submit button you acknowledge you have read the terms of working with BIRCH

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