Research Funding Award Letter of Intent and Application Instructions Letters of Intent are Due: January 7, 2008 Applications and Budgets are Due: March 3, 2008 Letter of Intent Instructions The Letter of Intent should be no more than one page. This is required and will be included as part of the complete final application. This letter will help the Scientific Advisory Board anticipate the number and types of applications to expect. This letter will guide the Board and the researcher to prepare for the application. Also, if the letters suggest that two teams are proposing work in the same area or enrolling from the same pool of subjects, the Division of Research may suggest that the Principal Investigators speak with one another and consider collaborating. Letters of Intent must be completed and signed by the PI or Mentor. Provide the Name, Degree, and affiliation for the primary members of the study team. Describe the study in Abstract format including the following: Study Title Study Question Methods Summary Study Population Study Duration Submit to: New England Baptist Hospital Division of Research, 2 Main RFA Application 125 Parker Hill Avenue Boston, MA 02120 e-mail or call with questions to: Charlotte Phillips cbphilli@caregroup.harvard.edu 617.754.5616 Letters of Intent are Due: January 7, 2008 D:\106742576.doc 2/13/2016 Prepared by the New England Baptist Hospital, Division of Research Page 1 of 4 Application Instructions One original and 14, neatly and securely stapled, 3 hole punched, copies of complete application packet, original secured with a small binder clip. Each packet contains the following: Face Sheet Research Team Information Research Proposal Budget (Total direct costs and justification) Publications List (if applicable) The following additional information must be included for Mentored Fellowship Applications: Mentor Statement Research Training Plan Distribution of Time Face Sheet Complete all sections of the Face Sheet with all requested information Indicate if Human Subjects will be used in this study and whether IRB approval has been secured. Secure signatures from your Department Chair Research Team Information Provide all requested information on the Research Team Add additional rows if necessary. Provide CV for all members of the Research Team Indicate if members of the Research Team have completed Human Subject Protections Training Research Proposal (5 page limit, 12-point font, margins 1 inch) Background and Significance (1 – 1.5 pages) Briefly summarize the background to the proposal. Provide a detailed review of the literature, identifying gaps in the literature that the proposed study is intended to fill, and state the significance of the research for clinical care and outcomes. Clearly state the current state of knowledge in the area and implications (including a detailed description of how this application will provide preliminary data for a larger study), and the practical benefit of the proposed research. Describe how the successful completion of the proposed research will add to a better understanding of orthopedic or musculoskeletal disorders. State concisely the importance of the research described in this application by relating the specific aims to the broad, long-term objectives. Include only key references to prior work that constitutes the foundation of the proposal. Preliminary Studies (0.5 – 1 page) If the research team has performed prior research that documents expertise in the area or yielded key findings that lead to the proposed research, these accomplishments should be described here. Hypothesis State the hypothesis of the proposal. D:\106742576.doc 2/13/2016 Prepared by the New England Baptist Hospital, Division of Research Page 2 of 4 Specific Aims State the overall research objectives and specific aims for the proposed project. Experimental Design and Methods (1 – 1.5 pages) State the essential features of the experimental design and methodology, sources of data, subject inclusion or exclusion criteria, subject recruitment, subject participation requirements, data elements. Analysis Plan (0.5 – 1 page) State the plans for data analysis. Timeline and Benchmarks of Success (does not count toward page limit) Provide a timeline (elapsed time) showing study implementation, enrollment, and milestones. Benchmarks of success should be given for the research proposal. Suggested examples include: time table for research proposal, submission of abstract(s) and/or publication(s). Institutional Assurances (does not count toward page limit) For any project involving human subjects, an Institutional Review Board Certificate of Approval is required prior to the release of grant funds. In addition, a copy of the HIPAA compliant consent form to be used in obtaining the informed consent of human subjects must also accompany the application. Additionally, if the project is human subjects research (obtaining individually identifiable private information about living individuals and recording the data in a coded manner allowing the subjects to be identified via the code), then describe the following in the application: A. B. C. D. E. F. G. Risks Protections against risks Benefits to human subjects and others Importance of knowledge to be gained Comment on the inclusion of women and minorities. If you plan to exclude women and minorities, provide scientific justification. Proposed/targeted enrollment tables. References (Does not count toward page limit) List of relevant references used to support this proposal Budget Applications must include an itemized budget (budget format and allowable costs are available in specific Funding Announcement). Fringe benefits are allowed at a maximum rate of 22%. A statement from the institution’s contract office explaining the institution’s maximum fringe benefit rates must be included. Applications without this supporting documentation will not be considered. 1. Use the template provided to prepare your budget. 2. For personnel cost, enter number of hours per week, number of weeks, and salary. The spreadsheet will automatically calculate the study salary cost with 22% benefits. 3. Request salary information from the Division of Research if you have questions. 4. Note in the Justification section if cost are donated. D:\106742576.doc 2/13/2016 Prepared by the New England Baptist Hospital, Division of Research Page 3 of 4 Budget Consideration for the Mentored Fellowship The application should indicate the expected amount of salary from the fellowship award, up to a maximum of $50,000 annually. Should the salary be limited to a lesser amount by the applicant’s institution, the difference of up to $50,000 may be applied towards educational purposes or may be used for expenses of the research proposal (e.g. computers, books, supplies, professional society membership, travel to professional meetings). Funds will not be allowed for additional research related expenses such as other consultants, research assistants and patient incentives. Additional Information for Mentored Fellowship Applications Mentor Statement Each mentor must provide a letter detailing his or her part in the project and agreeing to serve in that capacity. The mentor must also outline his or her past training record. If specific methodological support, reagents, patients or other resources are critical to the project, they should also be addressed in the statement. Research Training Plan (1 page limit) The mentor must provide a training plan that details the applicant’s role in the proposed project and outlines other activities that will be used to aid the applicant’s development into an independent investigator. Describe any coursework or other plans for obtaining specific research methodology training. Distribution of Time Give the percentage of time to be spent in any academic activity for each year of the award. List all clinical, research, teaching or administrative activities. Clinical work related to the proposed research is considered part of the research activity, but routine clinical duties are not. Submit materials to: New England Baptist Hospital Division of Research, 2 Main RFA Application 125 Parker Hill Avenue Boston, MA 02120 e-mail or call with questions to: Charlotte Phillips cbphilli@caregroup.harvard.edu 617.754.5616 Applications and Budgets are Due: March 3, 2008 D:\106742576.doc 2/13/2016 Prepared by the New England Baptist Hospital, Division of Research Page 4 of 4