Breast Imaging Advanced Trainee Grant 2016

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Breast Imaging Advanced
Trainee Grant 2016
Progress Report
Version 1.0 | 19 January 2015
Cancer Institute NSW
Breast Imaging Advanced Trainee Grant 2016
Contents
Introduction
2
Reporting and Invoice Due Dates
2
Submission of Reports
2
Part One – Advanced Trainee
3
Part Two – Lead Supervisor
7
Certification by the Advanced Trainee
8
Certification by the Lead Supervisor
8
Certification by the Director BSNSW Screening and Assessment Service
8
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Cancer Institute NSW
Breast Imaging Advanced Trainee Grant 2016
Introduction
In accordance with the Cancer Institute NSW Competitive Grants Agreement - Breast
Imaging Advanced Trainee Grant, the quarterly Progress Reports for the 2016 Grant
Program must be submitted to reach the Cancer Institute NSW on the due dates.
Reporting and Invoice Due Dates
Report / Invoice
Due Date
Quarterly progress report and invoice
22 April 2016
21 October 2016
Final evaluation report, financial report and final invoice
22 July 2016
27 January 2017
The Progress Reports in two parts:
●
Part One is to be completed by the Advanced Trainee
●
Part Two is to be completed by the Lead Supervisor
The reports should be approved by the Lead Supervisor and the Director, BreastScreen
NSW Screening and Assessment Service.
Reports enable the Cancer Institute NSW to assess the progress made by each
participant in the Breast Imaging Advanced Trainee Grant, awarded in 2016. The
questions are based on Program objectives.
Information about the project and the impact of the Breast Imaging Advanced
Trainee Grant may be placed on the Cancer Institute NSW website. You may
also be contacted and invited to have the outcomes of your grant included in a
case study or testimonial on the Cancer Institute NSW website.
Please note that a confidential interview may be conducted with participants of
the Breast Imaging Advanced Trainee Grant in order to further evaluate the
program and seek recommendations for improvement.
Submission of Reports
Reports must be typed and submitted electronically.
Completed reports should be returned to:
Breast Imaging Advanced Trainee Grant Secretariat
Cancer Institute NSW
Phone: (02) 8374 3682
Email: Elvessa.Marshall@cancerinstitute.org.au
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Cancer Institute NSW
Breast Imaging Advanced Trainee Grant 2016
Part One – Advanced Trainee
Advanced Trainee’s
Name
Research Project Title
Work Phone
Mobile
Email
Administering Institution
Lead Supervisor’s Name
Report for the period
Please comment on the following:
Action Plan
Please provide a description of progress and key outcomes/achievements in relation to
your Action Plan (as submitted to CINSW during the application process).
Have there been any changes or developments to the Action Plan?
If yes, please give details.
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Yes
19 January 2015
No
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Cancer Institute NSW
Breast Imaging Advanced Trainee Grant 2016
Please provide data / progress in relation to reading images, cancer detection and recall
rates, multidisciplinary meetings – quality and quantity. (Note: the recommended
number of reads in the annual period is 1,000)
Research Project
Please provide a description of progress and key outcomes / achievements in relation to
your Research Project (as submitted to CINSW during the application process).
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Cancer Institute NSW
Breast Imaging Advanced Trainee Grant 2016
Have there been any changes or developments to the Research Project?
Yes
No
If yes, please give details.
N.B. Any significant changes to the research project should be communicated
directly to the Cancer Institute NSW as soon as practicable and not delayed until the
submission of the following progress report.
Please reference any documents that are directly related to your research project e.g.
publications, abstracts.
Please list meetings attended, presentations, linkages.
If appropriate, outline difficulties that have affected the progress of your Grant, and how
(if any) have these been resolved.
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Cancer Institute NSW
Breast Imaging Advanced Trainee Grant 2016
Additional comments
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Cancer Institute NSW
Breast Imaging Advanced Trainee Grant 2016
Part Two – Lead Supervisor
The Advanced Trainee’s Lead Supervisor is required to provide a report on the Advanced
Trainee and the progress of the Action Plan and Research Project for the reporting
period:
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Cancer Institute NSW
Breast Imaging Advanced Trainee Grant 2016
Certification by the Advanced Trainee
I certify that this is a true and accurate report for the reporting period to: ____________
[enter month].
Name
Signature
Date
Certification by the Lead Supervisor
Name
Signature
Date
Certification by the Director BSNSW Screening and Assessment Service
Name
Signature
Date
Thank you for submitting your Progress Report
The Cancer Institute NSW may contact you if clarification or further information is
required.
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