CARE Application

CARE Application

If you would like to apply to CARE for assistance with your project, please complete the requested information.

Please note: Residents who wish to apply for elective research time should go to the Anesthesia Intranet Resident Research page.

If you have any questions, please feel free to contact May Hashish (mhashish@bidmc.harvard.edu) via email.

Requestor Information

Name*

BIDMC Email*

Select or enter value

Position*

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Name of PI

Leave blank if the PI is the requestor

Name of Co-PI

If applicable

Project Information

Project Name*

Brief Project Description*

Primary Outcome*

Secondary Outcome(s)

If applicable

Is this a QSI Project?

Yes

CARE Assistance Requested

Please select the most applicable statement(s)*

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What kind of study are you starting?

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If IRB approved, please provide the protocol number

CARE Resources Requested*

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Please select the type(s) of statistical support you are requesting

Select or enter value

Please indicate the system(s) you are requesting the pull from (if known)

Have you requested data for this project from anyone else?

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Who did you request the data from?

Is this project funded?*

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Grant Source

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Grant submission deadline*

Please provide your availability for a meeting with CARE Management within the next two weeks*

Multiple days and times would be appreciated

Would you like to provide any additional information/files?*

Yes

Additional information

Please attach any applicable files

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Send me a copy of my responses

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