ABEM Research Proposal Form

ABEM Research Proposal Form

The following worksheet is designed to guide the development of a research proposal for review and approval by the American Board of Emergency Medicine (ABEM) Research Committee. The worksheet includes all of the required elements for a research proposal as stipulated in the ABEM Policy on Research.

An ABEM staff member will reach out to you with next steps regarding your submission. If you have questions about the proposal process, please email Research@abem.org.

Topic or Title of Proposed Study*

Name of Lead Investigator*

Lead Investigator Email Address*

Relationship of Lead Investigator to ABEM*

Director

Volunteer

Staff

External Researcher

Intended Authorship*

Please list all additional collaborating researchers for this project and their relationship to the research study.

Strategic Focus Area*

ABEM prioritizes research that supports one of it's strategic focus areas.

Select or enter value

Research Design*

Describe the overall analysis plan, to include the statistical analyses to be performed and the rationale for their selection.

Data Specifications*

List detailed specifications of ABEM data or other information needed for the research, including those variables required to complete the study.

Evidence of IRB Approval*

Describe the plan for when and where an institutional review board application will be submitted.

Budget*

Include direct and indirect costs, and any funding sources you plan to use.

Areas of Potential Conflict of Interest for the Researcher(s)*

Describe any conflicts of interest to include any financial involvement in the project.

Timetable for the Project*

Include start and completion dates, important benchmarks, and expected date of manuscript submission.

Intended Publication Source(s)*

List all publications to which an article resulting from the research could be submitted.

Supplemental Materials

Please upload any additional materials that are relevant for the Research Committee to consider when reviewing this proposal.

Drag and drop files here or

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