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Your First Name:
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Your Last Name:
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Your Email Address:
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Do you have a Pitt email address?
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Yes, the email entered above is my Pitt email address
Yes, my Pitt email address is:
No, I am not affiliated with Pitt
Pitt email:
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Which best describes your role?
Faculty and/or Clinician
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Fellow
Medical Student
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CTSI Facilitator
Other role, please specify
CTSI Facilitator: Are you here to track an event or presentation?
IMPORTANT! Selecting 'Yes' will trigger a popup that asks if you want to end the survey. Click "End Survey" in this popup to access the Presentation/Event Tracking form.
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An event can be a presentation, tabling, workshop, conference, etc.
What is your primary affiliation?
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University of Pittsburgh/UPMC
Another University, please specify
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External Industry/Company
What is your (primary) Pitt School or UPMC affiliation?
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Clinical & Translational Science Institute Dietrich School of Arts & Sciences Katz Graduate School of Business Pitt Law School School of Computing & Information School of Dental Medicine School of Education School of Health & Rehabilitation Sciences School of Medicine School of Nursing School of Pharmacy School of Public Health School of Social Work Swanson School of Engineering UPMC-Affiliated Only (no Pitt appointment), please specify department Other Pitt School/Office, please specify
School of Arts & Sciences Department
Africana Studies Anthropology Architectural Studies Bioethics Biological Sciences Chemistry Children's Literature Classics Classics, Philosophy, and Ancient Science Communication Computational Biology Cultural Studies East Asian Languages and Literatures Economics English Film Studies French and Italian Languages and Literatures Gender, Sexuality, and Women's Studies Geology and Environmental Science German Hispanic Languages and Literatures History History and Philosophy of Science History of Art and Architecture Integrative Molecular Biology Intelligent Systems Jewish Studies Linguistics Mathematics Medieval and Renaissance Studies Molecular Biophysics and Structural Biology Music Neuroscience Philosophy Physics and Astronomy Political Science Psychology Religious Studies Slavic Languages and Literatures Sociology Statistics Studio Arts Theatre Arts Urban Studies Other department
Arts & Sciences: Other department, please specify:
School of Computing & Information Department
Computer Science Informatics & Networked Systems Information Culture & Data Stewardship Other department
School of Computing & Information: Other department, please specify:
School of Medicine Department
Anesthesiology and Perioperative Medicine Biomedical Informatics Cardiothoracic Surgery Cell Biology Computational and Systems Biology Critical Care Medicine Dermatology Developmental Biology Emergency Medicine Family Medicine Immunology Medicine Microbiology and Molecular Genetics Neurobiology Neurological Surgery Neurology Obstetrics, Gynecology and Reproductive Sciences Ophthalmology Orthopaedic Surgery Otolaryngology Pathology Pediatrics Pharmacology and Chemical Biology Physical Medicine and Rehabilitation Plastic Surgery Psychiatry Radiation Oncology Radiology Structural Biology Surgery Urology Other department
School of Medicine: Other department, please specify:
Cardiothoracic Surgery Division
Thoracic and Foregut Surgery Lung Transplant and Lung Failure Adult Cardiac Surgery Pediatric Cardiothoracic Surgery Other division
Cardiothoracic Surgery: Other division, please specify:
Cardiology Endocrinology & Metabolism Gastroenterology, Hepatology, & Nutrition General Internal Medicine Geriatric Medicine Hematology/Oncology Infectious Diseases Pulmonary, Allergy, & Critical Care Medicine Renal-Electrolyte Rheumatology & Clinical Immunology Other division
Medicine: Other division, please specify:
Obstetrics, Gynecology and Reproductive Sciences Division
Gynecologic Oncology Gynecologic Specialties Maternal-Fetal Medicine Midwifery Obstetric Specialties Obstetrical & Gynecological Ultrasound Reproductive Endocrinology & Infertility Reproductive Genetics Urogynecology & Pelvic Reconstructive Surgery Fetal Diagnosis & Treatment Other division
Obstetrics, Gynecology and Reproductive Sciences: Other division, please specify:
Anatomic Pathology Community Hospital Pathology Experimental Pathology Gynecologic & Breast Cancer Pathology Neuropathology Pathology Informatics Pediatrics Pathology Transplantation Pathology Molecular & Genomic Pathology Clinical Chemistry Clinical Hematopathology Clinical Immunopathology Clinical Microbiology Transfusion Medicine Other division
Pathology: Other division, please specify:
Adolescent & Young Adult Medicine Allergy & Immunology Blood & Marrow Transplantation & Cellular Therapies Cardiology Child Advocacy Emergency Medicine Endocrinology Gastroenterology, Hepatology, & Nutrition General Academic Pediatrics Genetic & Genomic Medicine Health Informatics Hematology-Oncology Infectious Diseases Nephrology Neurology & Child Development Unit Newborn Medicine Paul C. Gaffney Division of Pediatric Hospital Medicine Pulmonology Rheumatology Other division
Pediatrics: Other division, please specify:
Abdominal Imaging Breast Imaging Clinical Emergency Radiology Interventional Radiology Musculoskeletal Imaging Neuroradiology Nuclear Medicine Pediatric Radiology Teleradiology Thoracic Imaging Other division
Radiology: Other division, please specify:
Abdominal Transplant Surgery Breast Surgical Oncology Colon & Rectal Surgery Endocrine Surgery Gastrointestinal Surgical Oncology General Surgery Hepatobiliary Surgery Minimally Invasive Bariatric & General Surgery Pediatric Surgery Trauma Surgery Vascular Surgery Other division
Surgery: Other division, please specify:
Biomedical Engineering Chemical and Petroleum Engineering Civil and Environmental Engineering Electrical and Computer Engineering Industrial Engineering Mechanical Engineering and Materials Science Other department
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Behavioral and Community Health Sciences Biostatistics Environmental and Occupational Health Epidemiology Health Policy and Management Human Genetics/Genetic Counseling Infectious Diseases and Microbiology Other department
School of Public Health: Other department, please specify:
School of Education Department
Education Foundations, Organizations, and Policy Health and Human Development Teaching, Learning, and Leading Other department
School of Education: Other department, please specify:
School of Nursing Department
Acute & Tertiary Care Health & Community Systems Health Promotion & Development Nurse Anesthesia Other department
School of Nursing: Other department, please specify:
School of Pharmacy Department
Pharmaceutical Sciences Pharmacy and Therapeutics Other department
School of Pharmacy: Other department, please specify:
School of Dental Medicine Department:
Dental Anesthesiology Dental Hygiene Dental Public Health Diagnostic Sciences Endodontics Oral & Craniofacial Sciences Oral & Maxilloficial Surgery Orthodontics & Dentofacial Orthopedics Pediatric Dentistry Periodontics & Preventive Dentistry Prosthodontics Restorative & Comprehensive Care Other department
School of Dental Medicine: Other department, please specify:
School of Health & Rehabilitation Sciences Department
Communication Science & Disorders Health Information Management Occupational Therapy Physical Therapy Physician Assistant Studies Rehabilitation Science & Technology Sports Medicine & Nutrition Other department
School of Health & Rehabilitation Sciences: Other department, please specify:
UPMC-Affiliated Only (no Pitt appointment), please specify department:
Other Pitt School/Office, please specify:
Are you submitting a request for services for a specific project or grant (currently funded or in the planning/application phase)?
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Yes
No
What is the status of the study, project, or grant application associated with this request for CTSI services?
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Project/study/grant is in the early planning/application phase (i.e., not yet funded)
Project/study/grant has received a notice of award, but no research activities have started
Study-related research activities (e.g., recruitment/enrollment, data collection, data analysis, etc.) are ongoing
All study-related research activities are completed
N/A - my request is not specific to any project/study/grant
If your request involves help with analyzing data, creating statistical analysis plans, and/or sample size or power calculations, it must be associated with a project, study, or grant to receive these services . If ANY of these are true, please select a different option above before proceeding.
What is the title of the project you're submitting a request for?
Please use the full project or grant title, not an abbreviation.
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This could also be the study title in PittPRO. If your project is not yet funded, please enter a working title.
If applicable, please enter any acronyms, abbreviations, or short titles you are using for your project/study title.
If available, please enter the grant number for your project.
What is your primary role on this project?
Primary Investigator/Program Director
Co-Primary Investigator
Co-Investigator
Research/Project Coordinator
Research/Lab Technician
Other Research Staff
Graduate Student
Undergraduate Student
Post Doctoral Researcher
Budget Administrator
Other, please specify:
Other role, please specify:
Primary Investigator (PI) First Name:
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If you are a student, you may enter your research mentor's information here.
Primary Investigator (PI) Last Name:
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If you are a student, you may enter your research mentor's information here.
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Primary Investigator (PI) Email:
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If you are a student, you may enter your research mentor's information here.
Does the PI have a Pitt email address?
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Yes, the email entered above is a Pitt email address
Yes, the PI's Pitt email is:
No, the PI is not affiliated with Pitt
PI's Pitt email:
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What is the Principal Investigator's primary affiliation?
University of Pittsburgh/UPMC
Another University, please specify
External Industry/Company, please specify
Non-Profit Organization, please specify
Other Affiliation, please specify
External Industry/Company
What is your (primary) Pitt School or UPMC affiliation?
Clinical & Translational Science Institute Dietrich School of Arts & Sciences Pitt Law School Katz Graduate School of Business School of Computing & Information School of Dental Medicine School of Education School of Health & Rehabilitation Sciences School of Medicine School of Nursing School of Pharmacy School of Public Health School of Social Work Swanson School of Engineering UPMC-Affiliated Only (no Pitt appointment), please specify department Other Pitt School/Office, please specify
School of Arts & Sciences Department
Africana Studies Anthropology Architectural Studies Bioethics Biological Sciences Chemistry Children's Literature Classics Classics, Philosophy, and Ancient Science Communication Computational Biology Cultural Studies East Asian Languages and Literatures Economics English Film Studies French and Italian Languages and Literatures Gender, Sexuality, and Women's Studies Geology and Environmental Science German Hispanic Languages and Literatures History History and Philosophy of Science History of Art and Architecture Integrative Molecular Biology Intelligent Systems Jewish Studies Linguistics Mathematics Medieval and Renaissance Studies Molecular Biophysics and Structural Biology Music Neuroscience Philosophy Physics and Astronomy Political Science Psychology Religious Studies Slavic Languages and Literatures Sociology Statistics Studio Arts Theatre Arts Urban Studies Other department
Arts & Sciences: Other department, please specify:
School of Computing & Information Department
Computer Science Informatics & Networked Systems Information Culture & Data Stewardship Other department
School of Computing & Information: Other department, please specify:
School of Medicine Department
Anesthesiology and Perioperative Medicine Biomedical Informatics Cardiothoracic Surgery Cell Biology Computational and Systems Biology Critical Care Medicine Dermatology Developmental Biology Emergency Medicine Family Medicine Immunology Medicine Microbiology and Molecular Genetics Neurobiology Neurological Surgery Neurology Obstetrics, Gynecology and Reproductive Sciences Ophthalmology Orthopaedic Surgery Otolaryngology Pathology Pediatrics Pharmacology and Chemical Biology Physical Medicine and Rehabilitation Plastic Surgery Psychiatry Radiation Oncology Radiology Structural Biology Surgery Urology Other department
School of Medicine: Other department, please specify:
Cardiothoracic Surgery Division
Thoracic and Foregut Surgery Lung Transplant and Lung Failure Adult Cardiac Surgery Pediatric Cardiothoracic Surgery Other division
Cardiothoracic Surgery: Other division, please specify:
Cardiology Endocrinology & Metabolism Gastroenterology, Hepatology, & Nutrition General Internal Medicine Geriatric Medicine Hematology/Oncology Infectious Diseases Pulmonary, Allergy, & Critical Care Medicine Renal-Electrolyte Rheumatology & Clinical Immunology Other division
Medicine: Other division, please specify:
Obstetrics, Gynecology and Reproductive Sciences Division
Gynecologic Oncology Gynecologic Specialties Maternal-Fetal Medicine Midwifery Obstetric Specialties Obstetrical & Gynecological Ultrasound Reproductive Endocrinology & Infertility Reproductive Genetics Urogynecology & Pelvic Reconstructive Surgery Fetal Diagnosis & Treatment Other division
Obstetrics, Gynecology and Reproductive Sciences: Other division, please specify:
Anatomic Pathology Community Hospital Pathology Experimental Pathology Gynecologic & Breast Cancer Pathology Neuropathology Pathology Informatics Pediatrics Pathology Transplantation Pathology Molecular & Genomic Pathology Clinical Chemistry Clinical Hematopathology Clinical Immunopathology Clinical Microbiology Transfusion Medicine Other division
Pathology: Other division, please specify:
Adolescent & Young Adult Medicine Allergy & Immunology Blood & Marrow Transplantation & Cellular Therapies Cardiology Child Advocacy Emergency Medicine Endocrinology Gastroenterology, Hepatology, & Nutrition General Academic Pediatrics Genetic & Genomic Medicine Health Informatics Hematology-Oncology Infectious Diseases Nephrology Neurology & Child Development Unit Newborn Medicine Paul C. Gaffney Division of Pediatric Hospital Medicine Pulmonology Rheumatology Other division
Pediatrics: Other division, please specify:
Abdominal Imaging Breast Imaging Clinical Emergency Radiology Interventional Radiology Musculoskeletal Imaging Neuroradiology Nuclear Medicine Pediatric Radiology Teleradiology Thoracic Imaging Other division
Radiology: Other division, please specify:
Abdominal Transplant Surgery Breast Surgical Oncology Colon & Rectal Surgery Endocrine Surgery Gastrointestinal Surgical Oncology General Surgery Hepatobiliary Surgery Minimally Invasive Bariatric & General Surgery Pediatric Surgery Trauma Surgery Vascular Surgery Other division
Surgery: Other division, please specify:
Biomedical Engineering Chemical and Petroleum Engineering Civil and Environmental Engineering Electrical and Computer Engineering Industrial Engineering Mechanical Engineering and Materials Science Other department
Swanson School of Engineering: Other department, please specify:
Behavioral and Community Health Sciences Biostatistics Environmental and Occupational Health Epidemiology Health Policy and Management Human Genetics/Genetic Counseling Infectious Diseases and Microbiology Other department
School of Public Health: Other department, please specify:
School of Education Department
Education Foundations, Organizations, and Policy Health and Human Development Teaching, Learning, and Leading Other department
School of Education: Other department, please specify:
School of Nursing Department
Acute & Tertiary Care Health & Community Systems Health Promotion & Development Nurse Anesthesia Other department
School of Nursing: Other department, please specify:
School of Pharmacy Department
Pharmaceutical Sciences Pharmacy and Therapeutics Other department
School of Pharmacy: Other department, please specify:
School of Dental Medicine Department:
Dental Anesthesiology Dental Hygiene Dental Public Health Diagnostic Sciences Endodontics Oral & Craniofacial Sciences Oral & Maxilloficial Surgery Orthodontics & Dentofacial Orthopedics Pediatric Dentistry Periodontics & Preventive Dentistry Prosthodontics Restorative & Comprehensive Care Other department
School of Dental Medicine: Other department, please specify:
School of Health & Rehabilitation Sciences Department
Communication Science & Disorders Health Information Management Occupational Therapy Physical Therapy Physician Assistant Studies Rehabilitation Science & Technology Sports Medicine & Nutrition Other department
School of Health & Rehabilitation Sciences: Other department, please specify:
UPMC-Affiliated Only (no Pitt appointment), please specify department:
Other Pitt School/Office, please specify:
The option " " can only be selected by itself. Selecting this option will clear your previous selections for this checkbox field. Are you sure?
What type of regulatory approval does this project require/have? Check all that apply.
* must provide value
Is this project a Quality Improvement/Quality Assurance project?
* must provide value
Yes
No
Exempt review
Expedited review
Full board review
Unsure
What is the regulatory status of this project?
* must provide value
Application(s) not started yet
At least one application started, but none submitted
At least one application submitted
At least one application approved
PittPRO/IRB Protocol Title: PittPRO/External IRB Number:
PittPRO/IRB Protocol Title:
* must provide value
PittPRO/External IRB Number:
* must provide value
Has CTSI provided any assistance on this project before?
Yes
No
I don't know
Which service(s) would you like to discuss with a CTSI service provider at this time ? You may select all that apply.
If you do not immediately need a listed service, please do not check it . Please submit another request at the time that service is needed.
Note: For Health Record Research Request (R3) requests, please submit a separate request at http://rio.pitt.edu/services .
* must provide value
Clinical Trial Consultation (e.g. grant review, trial design, e-consent)
Community Engagement Support
CTRC/CTRP/Research Network Support
Data Management (e.g., REDCap) Consultation
DSMB Requests/Cost Estimates
Grant Preparation: Statistical Analysis Plan, Sample Size/Power Calculations
Letter of Support for a Grant Application
Human-Centered Design Consultation/Training
Dissemination and Implementation Assistance (D&I tools, design, and/or methods)
Pitt+Me/Recruitment Support
Pitt+Me Discovery
Regulatory/IRB Protocol Support/Consent Development
Responsible Conduct of Research or Related Training Plans/Certification Letters
Statistical Consultation/Help Conducting Statistical Analyses
Statistical Analysis and/or Data Management (e.g., REDCap) Consultation
Study Design, Statistical Analysis Plan, Sample Size/Power Calculations
Other, please specify
Note: Statistical consultation and help with analysis, data management, analysis plans, or sample size/power calculations are available to faculty/clinicians, fellows, and medical students. Residents must have a faculty mentor for help with statistical services. For questions about whether you are eligible for these services or for help locating alternative statistical resources, please contact CTSI@pitt.edu.
Please provide the target funder for this project:
Is this request directly related to a formal scholarly project?
Yes, Longitudinal Research Project (LRP)
Yes, Deans Summer Research Project (DSRP)
No, neither of these options
CTSI is only able to provide support for medical student scholarly projects (LRP and DSRP) when requesting the following services: Statistical Consultation/Help Conducting Statistical Analyses Data Management (e.g., REDCap) Consultations Grant Preparation: Statistical Analysis Plan, Sample Size/Power Calculations Based on your responses, you are ineligible for these 3 types of services. Uncheck any and all of the 3 options bulleted above . Contact ctsi@pitt.edu if you have any questions about eligibility for services or alternative statistical resources for students. Our Clinical Trial Accelerator team is available to review and provide recommendations on study design, grant submissions, approaches to e-consent, and anything else related to clinical trials.
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For researchers, the community engagement team helps develop studies that address the complex health questions community partners state are most concerning. We provide training, as well as funding for research development and partnered data collection. For community organizations, we assist with providing evidence-based research interventions and practices. We assist communities with getting the word out on health research awareness and education.
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CTSI provides consultation for collecting data, managing data, and creating basic reports using the REDCap system. NOTE: You cannot request a REDCap account through this request form. If you need a REDCap account, you will need to request one here: https://www.ctsiredcap.pitt.edu/redcap/surveys/?s=injPIG .Â
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CTSI provides consultations regarding study design, statistical analyses, power and sample size calculations, and data collection for grant applications. Requests for grant application consultations must be made at least two months prior to the submission deadline to the University of Pittsburgh's Office of Research. To enhance the efficiency and productivity of services, it is suggested that researchers come to the initial meeting with their specific aims including relevant hypotheses and outcomes.
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Human-centered design (HCD) is a creative approach to problem solving that puts people at the center of a design process. CTSI can assist investigators with incorporating HCD frameworks and methods into their research design to support intervention and medical product development and testing, community engagement, problem framing, and more. We can also discuss available HCD education and training options for investigators and staff conducting health-related research.
D&I (Dissemination & Implementation) consultation involves the identification of appropriate models, frameworks, and/or measures that focus on the context (provider-level, system-level, etc.) surrounding your project.
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CTSI recruitment facilitators are available to meet with study teams to develop participant recruitment strategies, provide an overview of recruitment tools (including the Pitt+Me Registry), resources, and methods, and assist with using social media to promote research studies.
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The Pitt+Me Discovery Biobank is a local personalized medicine research program designed to help Pitt and UPMC researchers discover how DNA affects health. Researchers can explore associations between DNA, medication response, and health outcomes by requesting our biobanked DNA for genomics research, or by enrolling their participants in our program for focused research interests. Learn more about leveraging Pitt+Me Discovery for your next research project here: https://ctsi.pitt.edu/research-services/core-services/pittplusme-discovery/
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CTSI works directly with researchers to navigate all necessary regulatory pathways at any stage of their research.
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CTSI supports the statistical analysis for clinical and translational research projects. Requests for consultations involving data analyses for abstracts or presentations must be made at least two months prior to the submission deadline. To enhance the efficiency and productivity of services, it is suggested that researchers come to the initial meeting with a clear statement of their hypotheses and primary outcome. For data analysis requests, please have the de-identified data and the data dictionary available.
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CTSI is unable to provide support for graduate or undergraduate student research (e.g., thesis, dissertation, practicum/internship, or coursework) for the following services: Statistical Consultation/Help Conducting Statistical Analyses Data Management (e.g., REDCap) Consultations Grant Preparation: Statistical Analysis Plan, Sample Size/Power Calculations You will need to uncheck any and all of these options above before you submit your request. Contact ctsi@pitt.edu if you have any questions about eligibility for services or alternative statistical resources for students. Residents are required to submit the name of their faculty mentor for assistance with BERD services (statistical analysis, study design, etc.). Please enter the name of your faculty mentor below:
* must provide value
CTRC/CTRP/Research Network
* must provide value
Request for services from a specific CTRC/CTRP/Research Network, select option below:
General CTRP/CTRC/Research Network support and questions
Please select which CTRC/CTRP/Research Network you would like to request support from:
Children's Hospital of UPMC Clinical and Translational Research Center (P-CTRC)
UPMC Magee-Womens Hospital Clinical and Translational Research Center (MWH-CTRC)
Multidisciplinary Acute Care Research Organization (MACRO)
Neuroscience Clinical and Translational Research Center (N-CTRC)
Newborn Research Support Service (NuRSERy)
Older Adult Research Network (OARN)
Pediatric PittNet (PittNet)
Physical Therapy Clinical and Translational Research Center (PT-CTRC)
University of Pittsburgh Cancer Institute Clinical and Translational Research Center (UPCI-CTRC)
UPMC Montefiore Clinical and Translational Research Center (MUH-CTRC)
Women's Health Practice-Based Research Network
Pediatric PittNet Request/Application Follow-Up Information
What type of funding source does this project have? Select all that apply.
* must provide value
Non-PHS Agency Code: Non-PHS Grant Number:
PHS Activity Code (i.e. if your grant number is r01CA123456, enter r01): PHS Agency Code (i.e. if your grant number is r01CA123456, Select CA):
PHS Activity Code (i.e. if your grant number is r01CA123456, enter r01):
PHS Agency Code (i.e. if your grant number is r01CA123456, Select CA):
Is this an OSPARS study? Industrial Sponsor: Is this a PI-initiated study? Is this an Industry-initiated study?
Yes No
PI-Initiated Industry Study?
Yes No
Industry Initiated Industry Study?
Yes No
CTRP/CTRC/Research Network - Other funding
Please list any benefits practices and/or participants can expect from participating in your study.
Please enter the following information about your protocol:
Projected of Study Duration in Years: Projected Enrollment Period of Study in Years: Projected Number of Participants to enroll: Number of expected enrolled participants with PittNet: Duration of study per participant: Number of visits per participant: Earliest start date: Number of potential participants expected to screen:
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Projected of Study Duration in Years:
Projected Enrollment Period of Study in Years:
Projected Number of Participants to enroll:
Number of expected enrolled participants with PittNet:
Duration of study per participant:
Number of visits per participant:
Number of potential participants expected to screen:
Pitt+Me Discovery Request Follow-Up Information Pitt+Me Discovery Request Type
* must provide value
Please list any other collaborators, team members, or affiliated institutions for this project:
Requests for Discovery require the submission of a project description and/or an abstract/aims. Would you like to upload a file or enter the project description in a text box to provide this information?
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File Upload
Textbox
Please upload a project description/abstract/aims as a PDF or Word document (DO NOT SUBMIT IDENTIFIABLE DATASETS!):
* must provide value
Note: only 1 file can be uploaded in this space.
Please provide a description/abstract/aims of your project in the space below:
* must provide value
Is this project currently funded?
Yes
No
What type of funding does this project have?
Institutional funding
Federal funding
Industry funding
Other funding mechanism, please specify
Other funding mechanism, please specify:
Required Information for a Letter of Support for Grant Applications Please confirm the name of the PI and their title in the space below. If there are multiple PIs for the grant application, please list all of them along with their titles:
* must provide value
Please confirm that the grant/project title you entered earlier in this request form is the grant title you will use for the grant application:
______
* must provide value
Yes, this is the title for the grant application
No, I would like to enter a new title:
If you do not see a title listed above, select "No, I would like to enter a new title" and enter the title.
Please enter a new title for the grant application:
* must provide value
We need a copy of the funding opportunity announcement (FOA) to fulfill this request. Would you like to provide a link or upload a PDF?
* must provide value
Provide a link (FOA number is also acceptable):
Upload a PDF:
Note: only 1 file can be uploaded in this space.
Provide a link (FOA number is also acceptable):
* must provide value
Please upload a copy of the FOA:
* must provide value
Is this letter for the resubmission of a previously reviewed application (e.g., NIH A1 application)?
Yes
No
Please upload a copy of your Specific Aims page (not just the aims themselves) or equivalent if the application does not include a Specific Aims page. A working draft is fine for this request.
* must provide value
You may upload a Word doc or PDF. Note: only 1 file can be uploaded in this space.
When do you need a signed letter by?
* must provide value
Today M-D-Y
Please check each service or resource that could support your research, depending on your focus. We can create the letter with just your Specific Aims draft, but this checklist may suggest new ways in which CTSI can support your research. Our Research Facilitators can explain any service or resource in more detail and help provide details specific to your application (e.g., number of potentially eligible participants enrolled in Pitt+Me based on your study criteria).
Human subjects research:
Translational, in vivo, in vitro, and in silico research:
Resources to support research teams:
Resources to support training, faculty development, and/or center grant applications:
Assistance with IRB, single IRB, & other regulatory requirements
Assistance with setting up & managing Data Safety & Monitoring Board/Plan
Statistical/bioinformatics help with power calculations, study design, data management plans, data sharing plans, data analysis
Single and multi-site clinical trial planning (sites, cohort discovery, collaborator discovery, regulatory approvals, documentation, oversight, training, clinical trialist network/mentoring, etc.)
REDCap data collection
eConsent support
TeleResearch support
Community-Stakeholder Engagement through referrals, Community Ambassadors, Community Engagement Studios, human-centered design exercises, Stakeholder Engagement Playbook, Community PARTners Research Ethics Training (certifies community member(s) to serve on IRB-approved protocols)
Recruitment assistance (Pitt+Me, social media)
Use of Clinical & Translational Research Center (inpatient/outpatient visits)
Use of Practice-Based Research Network
CTSI Discovery Biobank: enrollment, biospecimen collection, DNA extraction-storage, pharmacogenomics analysis, biobank data for secondary analyses
Research Data Warehouse for provisioning electronic health record and other data, integrating data from multiple sources (including data collected for research) in a secure data mart
Clinical Research Coordinator training, networking, continuing education, & diversity hiring opportunities
Pilot research funding (special populations, across the lifespan, social determinants of health, research dissemination, health inequity, etc.), bonus awards, and competitions (Pitt Innovation Challenge/PInCh, Pain Research Challenge)
Assistance selecting an implementation framework, conducting an implementation needs assessment, selecting implementation strategies and outcomes, evaluation tools, and other aspects of planning and conducting implementation projects and hybrid efficacy-implementation research
Assistance developing a dissemination plan
Assistance adapting CTSI infographic template to return study results to research participants and community
Participation in Implementation Lab implementation projects with operations partners (UPMC, UPMC Health Plan, Children's Community Pediatrics, VA Pittsburgh, Allegheny County Health Department)
Translational, in vivo, in vitro, and in silico research
Regulatory Facilitator assistance with IACUC and other regulatory approvals
Statistical/bioinformatics help with study design, data management plans, data sharing plans, data analysis
Research Data Warehouse to integrate data from multiple sources (EHR, genomic, environmental, data collected for research) in a secure data mart
REDCap data collection
Informatics tools to apply AI or causal discovery algorithms to big data
Pilot research funding (e.g., modeling, quantitative methods), bonus awards, and competitions (Pitt Innovation Challenge/PInCh, Pain Research Challenge)
CTSI Discovery Biobank data (demographic, ancestry, pharmacogenomic, UPMC EHR) and DNA available for analyses (details under Human Subjects Research)
CTSI Research Facilitators specializing in regulatory affairs, ethics, community and stakeholder engagement, human-centered design, implementation science, and commercialization
Resources to support research teams
Authorship Agreement (author order, responsibilities, timeline, etc.)
Team Charter Agreement (goals, objectives, principles)
Collaborative Agreement (prenup for collaborators)
Welcome to My Team (onboarding template)
Project management training
Integrating IDEA (Inclusion, Diversity, Equity, Accessibility) in research teams & process
Playbooks for clinical trial planning, recruiting participants, using social media, engaging stakeholders, and other research processes
Resources to support training, faculty development, and/or center grant applications
Online instructor-led, competency-based micro-credentials for students, trainees, staff, faculty (e.g., qualitative methods, entrepreneurship, implementation science, science writing, clinical trials, etc.)
Mentoring resources (multidisciplinary mentor database, training for mentors & mentees, mentor-mentee contracts & tools)
ICRE career development programs, degree programs (PhD, MS), and certificates
Dissemination and Implementation Science training and consultations (including specialty track in the MS in Clinical Research degree program)
Pilot research funding (special populations, across the lifespan, social determinants of health, research dissemination, health inequity, etc.), bonus awards, and competitions (Pittsburgh Innovation Challenge/PInCh, Pain Research Challenge)
Online pilot research program management (Powered by PInCh Platform - text, animated PPT, video submissions supported), help organizing review process
Responsible Conduct of Research (RCR) Center Workshops (5-6 in-person workshops per month), Rigor & Reproducibility series (Plans for Instruction in Methods for Enhancing Reproducibility), customized RCR plans for T and K applications, role-play training
[OPTIONAL] Please upload any relevant file or document that may help with this request (e.g., abstract, specific aims page, etc.).
DO NOT SUBMIT IDENTIFIABLE DATASETS!
Note: only 1 file can be uploaded in this space.
How did you hear about the services you're requesting today? Check all that apply.
Promotion: Other, please specify:
What can CTSI do to assist you at this time? Please provide a short (500 words or less) description of your request(s).
* must provide value
Is there any additional information that we should know about this request for CTSI services?
This could include links to funding announcements related to this request, contact info for any members of your team who should also attend any meetings with CTSI service providers that may result from this request, clarifications about any of the above responses, etc.
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