Bone and Joint Health Technologies NSERC CREATE Training Program a Human Mobility Research Centre Queen’s University and Kingston General Hospital Trainee Nomination Notice of Interest Part 1: Researcher Statement (RS) By completing and submitting this Notice of Interest, you are indicating your interest in participating in the NSERC-CREATE Training Program in Bone and Joint Health Technologies at Queen's University. The personal information collected here is collected under the authority of the Royal Charter of 1841, as amended. The information collected will be used to process your application for this training program. STEPS: 1. Complete the form. 2. Arrange to briefly discuss the proposed nomination with an appropriate theme leader. This is to ensure that Working Group members will have a good understanding of the project and the role of the proposed candidate within the project. Note that this discussion needs not take place prior to submission in Step 4, but needs to take place before the selection meeting in Step 8. 3. Save the form as a .pdf file 4. Submit your RS via email to create.biomed@queensu.ca 5. Upon receipt of your RS, you will receive a confirmation email. 6. The proposed CREATE trainee is expected to submit an application using the Trainee Statement. 7. Applications to the HMRC-CREATE program will be vetted by individual members of the awards committee using the attached rubric. 8. Successful candidates will be selected through discussion and a vote at a designated meeting. 9. You will be notified of the results after a decision has been reached. If you have any questions with regard to this application, please contact Rylan Egan at 613-5336000 ext. 79148 OR email create.biomed@queensu.ca. THEME LEADERS: As supervisor you are required to discuss your candidate(s) proposal with the appropriate theme leader(s): Joint Health Assessment (Kevin Deluzio); Computer-assisted Reconstruction Technologies (Randy Ellis); or Tissue Repair Technologies (Brian Amsden). I have contacted the theme leader who is associated with this trainee nomination. HMRC-CREATE NOI Researcher Statement 1 1. Integrated Research Team (IRT) Name: This is used to track teams within the CREATE program. 2. CREATE Theme Area(s): Joint Health Assessment Computer-assisted Reconstruction Technologies Tissue Repair Technologies 3. IRT Project Description: Briefly (500 words or less) describe the overall IRT project. Include general goals of the project, specific objectives for ongoing work, and an overview of the technologies and expertise employed by the team. Please include specific reference to expected roles of the team members and their history of conducting research together. 4. Provide a list of all IRT members (copy and paste for additional team members if required): Senior Scientist Name Department Email address Telephone Number Senior Clinician Name Department Email Address Clinician Trainee Name Department Email Address HMRC-CREATE NOI Researcher Statement 2 5. Nominated CREATE Trainee. (Please notify the student that we will be contacting him/her to complete a separate application.) Name Department Email Address Current Program 6. CREATE Program Proposed Undergraduate student – summer only Master's student – maximum 18 months Doctoral student - maximum 3 years Post-Doctoral Fellow - maximum 2 years 5. CREATE Trainee Funding Request: Full Funding (Masters 18 months; Doctoral 3 years; Post-Doctoral Fellow 2 years) Partial Funding (Specify) Externally Funded - No CREATE funding requested 7. OTHER FUNDING What are your other funding sources to support the IRT project? 8. Trainee Project Title: This will be used in HMRC-CREATE documentation to track the Trainee’s research. 9. Trainee Project Description: Briefly (300 words or less) describe the project the trainee would work on within the IRT. Indicate how the project would be likely to provide training that is aligned with CREATE’s goals. HMRC-CREATE NOI Researcher Statement 3 10. Suitability of Nominee to CREATE Program: Briefly (500 words or less) describe why you believe the proposed trainee would be a good choice for this program. Describe how the nominee’s academic, professional, practical, and attitudinal attributes will support learning and innovation within an integrated professional team. 11. Trainee Commitment: I understand that the HMRC-CREATE trainee will be required to participate in a professional development program and that this will involve additional time commitments beyond the standard degree program. Have you already discussed this with the proposed trainee? No, not yet Yes 12. Supervisor Commitment: As part of the HMRC-CREATE program, I am committed to the following on-going activities. (Check all that apply.) Mentoring the Trainee, including attending appropriate orientation sessions Providing the Trainee with on-going feedback Conducting Trainee assessment and evaluation Attending meetings with the Integrated Research Team (IRT) for the duration of the proposed project Supporting the Trainee in meeting all CREATE training program milestones HMRC-CREATE NOI Researcher Statement 4 Assessment Rubric Excellent (2) Requirements Missing (1) Unsatisfactory (0) Relevant Artifacts Weight Candidate The candidate's academic and research The candidate's academic and/or The candidate's academic and/or NOI, Application, CV, goals are very closely aligned with the research goals have minor misalignment research goals have poor alignment with Transcript, Cover Letter goals of the CREATE program. with the goals of the CREATE program. the goals of the CREATE program. The candidate's prior experiences have prepared him/her to meet the goals of the CREATE program. The candidate has worked well within interdisciplinary teams. The trainee' prior experiences have prepared him/her to meet some of the goals of the CREATE program. The candidate's prior experiences have only minimally prepared him/her to meet the goals of the CREATE program. The candidate is unlikely to work The candidate has the potential to work successfully within an interdisciplinary well within an interdisciplinary team. team. The candidate has had moderate or The candidate has a track-record of inconsistent success, and has potential academic success and is able to to innovate solutions to complex innovate solutions to complex problems. problems. NOI, Application, CV, Transcript, Cover Letter 30% NOI, CV, Application, Cover Letter The candidate has a poor academic track-record, and/or has little potential to innovate solutions to complex problems. NOI, Application, Cover Letter The IRT team is fully formed, and is fully The IRT team is fully formed, and is committed to support student research committed to support student research activities immediately. activities within the first semester. The IRT team is not fully formed, and/or is not committed to support student research activities within the first semester. NOI The IRT has much of the breadth and The IRT has the breadth and depth of depth of (inter)disciplinary expertise (inter)disciplinary expertise required to required to make the proposed project a make the proposed project a success. success. The IRT has not demonstrated the breadth and depth of (inter)disciplinary expertise required to make the proposed project a success. NOI Members of the IRT (i.e., clinicians and Members of the IRT (i.e., clinicians and basic scientists) have an excellent track basic scientists) have had experience record of active and effective with effective collaboration collaboration. Members of the IRT (i.e., clinicians and basic scientists) have not demonstrated experience with effective collaboration. NOI Integrated Research Team Dynamics 30% Integrated Research Team Project The proposed project is likely to create The proposed project is likely to create The proposed project is not novel and/or knowledge that is aligned with CREATE's novel, useful, and innovative knowledge useful, and/or is misaligned with goals, but lacks in novelty, use, or that is aligned with CREATE's goals. CREATE's goals. innovation. NOI The outcome of the project is very likely The outcome of the project is somewhat The outcome of the project is unlikely to to be effective in addressing a current or likely to be effective in addressing a be effective in addressing a current or future clinical need. current or future clinical need. future clinical need. NOI 40% Thank you for your interest in the HMRC-CREATE Training Program. Return your completed application in .pdf format to create.biomed@queensu.ca HMRC-CREATE NOI Researcher Statement 5