Scholarly Activity - Initial Proposal

To proceed, you MUST have a signed faculty/department sponsor approval form.


Before completing this form, consider reviewing the scholarly activity planning sheets:

Case Report

Quality Improvement

Research Study

 
 
 
 
 

Western Reserve Hospital staff members must use their employee email addresses. Medical students must use their school email addresses.

 
 
 
 

For teachings/lectures (30min+), comprehensive literature reviews, and reports of clinical techniques, please select "Other."

 

Check this box to request a consultation with the contracted biostatistician. This box should be selected for all original research studies at Western Reserve Hospital.

 

For lectures (such as grand rounds), please enter the appropriate department.

 

Please upload your SIGNED faculty/sponsor approval form.


For lectures/teachings (such as grand rounds), please upload supporting documentation (PowerPoint, etc.) in place of a signed faculty form.

Drop your files here
 

Include a brief title that will allow you to differentiate between multiple submissions. This title is for identification purposes in Smartsheet only. It will not be the final title.