UCLA Department of Anesthesiology - Clinical Research

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UCLA Anesthesiology Clinical Research - Resources
 
 

Letter of Intent to Conduct Clinical Research

Faculty interested in conducting clinical research studies are asked to provide the information below in order to optimally allocate our limited personnel and resources. Resources include assistance with IRB submission, data collection, and preparation for publication of research manuscript. You may download and use the PDF of this form for reference.

Initial Research Proposal


Name:


  1. What question/hypothesis does your research study address?


  2. Description and study design of research project:


  3. List key references (no more than 5-6):


  4. Do you need specialized equipment or lab tests to perform the research study?


  5. Have you done previous work in this area? If so, please describe briefly.


  6. Questions, comments you have for the Research Committee: