Fellowship and Residency Research Program (FRRP) Faculty of Medicine American University of Beirut Beirut, Lebanon Tel: (01) 350-000 ext. 5776 Email: frrp-fm@aub.edu.lb FRRP LETTER OF INTENT (To be completed by the “Physician-in-Training”) Date Type Faculty Initiated “Physician-in-Training” -Initiated “PHYSICIAN-IN-TRAINING” DETAILS Medical fellow Resident Name FRRP # Email Department Mobile # Division ADVISOR’S DETAILS Advisor’s name Title Specialty Mobile # Email Department RESEARCH DETAILS TITLE OBJECTIVES (List Primary and Secondary objectives.) METHODOLOGY (Provide a plan of design, implementation and analysis.) RESEARCH SIGNIFICANCE (How will the proposed research contribute to science?) LOGISTICS Time required for proposal completion Time required for conducting study Work Plan: (Provide a detailed plan in terms of tasks to be done and time needed for each.) “Physician-in-Training” signature Date