MSA Clinic Request

MSA Clinic Request

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Your Name*

Email*

Which program are you part of?*

MSA

As of 11/1/2023, the Internal Medicine Residency no longer provides funding support for CIDA clinics. We hope to provide this service again in the future. If you have questions, please contact Geoff Connors geoffrey.connors@cuanschutz.edu.

As of 7/1/2024, the AME program no longer provides funding support for CIDA clinics. We hope to provide this service again in the future. If you have questions, please contact your program manager.

Track*

Phase*

Mentor*

Mentor Email*

Department

Background and scientific hypothesis*

Study Design*

Current Analysis Plan*

Scientific Impact*

Why you need statistical collaboration?*

Have you met with CIDA about this project before?*

Yes

I acknowledge that the CIDA MSA Clinics provide consulting and guidance on study design, data collection, data management, analysis, coding, interpretation, and manuscript preparation but do not perform these services during the clinics.*

Yes

Notes

Additional information to help the statistician

Send me a copy of my responses

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