SAMPLE - msfhr.org · • Published books and monographs (as author or editor) • Presentations as...

Grant ID: 18223Applicant: Eigth Tester

Host Institution: MSFHR-DO NOT USECompetition: 2019 Scholar Competition

Task: Complete Full Application (CIA)Submitted:

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CONTACT INFORMATION

Name Dr. Eigth Tester

Organization Affiliations

MSFHR-DO NOT USE

E-mail Address [email protected]

AddressUnit 2005 939 Expo Boulevard

Vancouver, BC V6Z 3G8

Phone 778-858-0697 Ext.

Degrees , , ,

Web Address

Health Professional No - N/ASAMPLE




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HOST INSTITUTION

Host Institution

Primary Role Organization City Country

Yes Host Institution MSFHR-DO NOT USE Vancouver Canada

Research Location

Role Organization City Country

Research LocationUniversity of British Columbia – Vancouver Campus

Vancouver Canada

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PROJECT INFORMATION

Project Title Character Limit: 190 characters

Brief Description Lay Summary: Please provide a brief (200-300 word) plain language summary of your research project including the problem the project will address, an overview of the research itself, and the anticipated outcomes and potential impact on understanding, care provision, and the BC health system.

The summary must be written in a way that a non-specialist, and non-scientific, audience can understand. It is an integral part of your funding application, and if successful will be posted to the MSFHR website and used to share information about the valuable research supported by public funds.

Character Limit: 1250 characters

Scientific Summary Scientific Summary: The summary should provide an abstract that is understandable by a multi-disciplinary group of scientific reviewers. Summarize the objectives and their relevance to the work proposed in the research project providing the reviewers with the central key question being studied and related research activities. If you are submitting an application that is fully focused on KT science, the scientific summary mustreflect the KT science focus. The Scientific Summary may be used to identify appropriate peer reviewers for your applications.


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THEME AND KEYWORDS

Theme Health Services

Category SCH

Keywords Aboriginal Health, AIDS/HIV, Alzheimer's Disease, Allergy, Anesthesiology

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THIRD PARTY

Applicant

Primary Role Name Organization Name

Yes Principal Eigth Tester, MSFHR-DO NOT USE

Third Party

Role Name Organization Name

Dean Eigth Tester, MSFHR-DO NOT USE

Department Head Eigth Tester, MSFHR-DO NOT USE

Reference Eigth Tester, MSFHR-DO NOT USE

Reference Fifth Tester, MSFHR-DO NOT USE

Reference Seventh Tester, MSFHR-DO NOT USE

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BC HEALTH SYSTEM PRIORITIES 2018

Is your current program of research related to any of the following BC health system priority areas?

1. Primary and community care Primary

2. Services for patients with complex medical conditions and/or frail patients (including dementia)

NotRelated

3. Mental health and/or substance use Secondary

4. Surgical services (including perioperative services) Primary

5. Rural and remote health care services Secondary

Is your current program of research related to Indigenous health?

1. Indigenous health (including First Nations health) Secondary

If your research involves First Nations communities, please briefly describe your data management plan and how it accommodates the principles of OCAP®. Please see https://fnigc.ca/ocapr.html for further details. If yourresearch does not involve First Nations communities, please enter "Not applicable".

If your research involves First Nations communities, please briefly describe your data management plan and how it accommodates the principles of OCAP®. Please see https://fnigc.ca/ocapr.html for further details. If your research does not involve First Nations communities, please enter "Not applicable".


Briefly describe how your program of research addressesthe BC health system priority area(s).


CAREER TIMELINE

Date of first appointment

For SCHOLAR Competition: Enter the date of the first university appointment you held at an assistant professor level or equivalent. If you have not yet

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started an appointment at the time of the application, please enter the date that your committed appointment will begin.

For RESEARCH TRAINEE Competition: Enter the date in which all requirements of the PhD degree have been met, including successful defense and submission of thecorrected copy of the thesis. For health professionals, this is the date on which all requirements of the health professional degree have been met. If you have not yet met the degree requirements at the time of application,please enter the date on which you anticipate completing your degree.

For HEALTH PROFESSIONAL-INVESTIGATOR Competition: Enter the date on which you received your first professional degree.

Please enter date here. 11/1/2016

Career Interruptions

Please indicate if there have been any exceptional situations that affected your research training or research activities. Examples of justified career interruptions since your first university appointment include parental leave for birth or adoption, medical leave, or continuous non-research related clinical training (e.g. residency). For each career interruption, provide the start and end date and a brief description.

Do not enter career interruptions that occurred prior toyour first university or equivalent appointment.

Have you experienced any career interruptions? Yes

Career Interruption 1

Career Interruption Start Date 3/1/2017

Career Interruption End Date 11/30/2017

Career Interruption Description ContiniousNonResearchRelatedClinicalTraining

A. If you selected "Other", specify the type.


Career Interruption 2 Start Date

Career Interruption 2 End Date

Career Interruption 2 Description

B. If you selected "Other", specify the type.




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C. If you selected "Other", specify the type.





D. If you selected "Other", specify the type.

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ADDITIONAL INFORMATION

Response to Previous Reviews

If you have applied for an MSFHR Scholar award in the past and been unsuccessful, please take this opportunity to respond to previous reviewer comments, address any issues identified, and outline solutions/corrective actions taken, even if the program of research differs from the previous submission.

If this is your first time applying to MSFHR, please enter “Not applicable”.

Please note that reviewers do not have access to reviews from past competitions.


Most Significant Contribution(s)

Identify a maximum of five contributions that best highlight your most significant contributions to research, defining the impact and relevance of each. A contribution can be a publication, presentation, patent or intellectual property right, knowledge translation activity, policy development, contract, etc. Your complete description must include the organization; position or activity type and description; start and end dates; target audience, and the basis on which this contribution is significant.


Knowledge Translation (KT) Activities

Describe any knowledge translation activities you intend to engage, or have already engaged in for your proposed application. Be sure to include any research users involved.


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Knowledge Translation (KT) Science

If your research project is fully focused on KT science, please provide a brief statement on how it aligns with MSFHR's definition of KT science.


Are you applying for Mitacs Accelerate funding for trainee support? (SCH)

Yes/No

Mitacs Internship Information (SCH)

If you are submitting a Mitacs Accelerate application in the Uploads section, please answer the following questions:

1. Describe how the proposed Mitacs intern(s)’s role is appropriate for their academic degree level. How will the project benefit the intern(s)’s training and career development?

2. Please indicate if the project involving the Mitacs intern(s) will have any adverse effects on the environment.

If no Mitacs Accelerate application is to be submitted, please type ‘N/A’.

Character Limit: 2500 characters.

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UPLOADS

The following pages contain the uploads provided by the applicant:

Upload Type File Name Uploaded By Uploaded Date

MSFHR Full CCV Canadian Common CV Upload Guide.pdf

Biagtan, Andrew 11/07/2018

Pubs, Patents & Intellectual Rights

Publications, Patents, and Intellectual Rights Upload Guide.pdf


Program of Research Program of Research Upload Guide.pdf


Appendices Appendices Upload Guide.pdf Biagtan, Andrew 11/07/2018

Letters of Collaboration

Letters of Collaboration Upload Guide.pdf


Consent Forms, Surveys & Questionnaires

Consent Forms and Questionnaires Upload Guide.pdf


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Canadian Common CV Upload

The Canadian Common CV provides information about your academic and research training, mentorship activities, KT plans, and non-academic activities e.g. community work.

• The applicant must complete the Common CV – MSFHR Full Version https://ccv-cvc.ca. The current MSFHR ApplyNet system is not linked with the Common CV system. To complete your requirement, please Submit your CV, provide your consent, confirm your submission, then go to the history tab and save a .pdf copy of the Common CV – MSFHR Full Version.

• In your MSFHR ApplyNet account, go to the Uploads section of your Full Application Form and upload the .pdf copy of the Common CV – MSFHR Full Version.

https://ccv-cvc.ca/

Publications, Patents & Intellectual Rights Upload

For Publications, Scholars should list all published and accepted publications throughout their career under the following suggested headings in a separate documents. Categories may be added as needed. Combine the publication list into one single .pdf document, and upload to MSFHR ApplyNet. There is no page limit for your publication list.

• Publications relevant to the submitted program of research (enter PubMed ID if available) • Published refereed articles (including e-journals) • Accepted or in press refereed papers (attach acceptance letters) • Submitted refereed papers • Published books and monographs (as author or editor) • Presentations as guest speaker (at conferences, presentations, workshops intended for non-

academic audience) • Abstracts – accepted or in-press and submitted (include name of journal, title of article, and

date submitted) • Research reports or reports produced for the government • Articles in professional or cultural journals without review • Research or technical reports

Directions:

• For each multi-authored publications, definie your role and indicate your percent contribution to the team effort.

• Underline names of trainees whose work you have supervised. • Provide additional CV information that could not be captured in the Common CV (e.g. activities,

contributions). • It is recommended to include the journal impact factor and number of citations for each

publication. • Maintain the author order as it exists in the original citation.

Patents and Intellectual Property Rights: This section should include details of patents and intellectual property rights for technology transfer, products, and services. Where appropriate, include information regarding the title, patents, or intellectual property rights number and date, country(ies) of issue, name of the inventors and assignee(s), as well as relevance of the stated item.

Page Format

• Use font size 11 point, Calibri (or equivalent other), single spaced, on one side of a letter sized (21.25 x 27.5cm) / 8.5 x 11 inch) page with 1 inch margins

• All print must be black, of letter quality and legible.

Program of Research Upload

Your Program of Research is limited to 10 pages. If you try to upload a document that is more than 10 pages, you will receive an error message.

Your Program of Research should include the description of a single project and a set of coordinated projects undertaking related research for the five year term. Knowledge translation activities must be embedded within the program of research.

As you prepare your program of research, please consider the following:

• Contact your host institution’s research office to find out when the internal deadline is for submission of your final application. It will be earlier than the MSFHR deadline of January 31, 2019.

• Your host institution’s research office is also an important resource for information on how to write a successful grant. We strongly encourage our applicants to reach out to your research office for support.

• Be aware of MSFHR’s formatting guidelines. Reviewers may mark you down for failing to observe the guidelines.

• You have 10 additional pages for your Appendices, which may include references, tables, charts, figures and photographs. Appendices are uploaded as a separate document. Reviewers are not obliged to review your Appendices. If you have data that is important to your program of research, include it in your Program of Research and ensure it is clearly labeled.

Format your Program of Research to be easy to read. Use headings to show a logical progression, and break up text into paragraphs.

Possible headings you may want to consider for your Program of Research may include, but are not limited to:

• Rationale, background and statement of the problem • Research question or hypothesis, aim and objectives • Study • Methodology • Expected outcomes • Dissemination of results and publication policy • Duration of the project, including a timeline for each activity • Problems anticipated • Ethical considerations

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Appendices Upload

Your Appendices upload is limited to 10 pages. If you try to upload a document that is more than 10 pages, you will receive an error message.

Your appendices upload may include references, tables, charts, figures and photographs. Appendices are to be uploaded as a separate document. Reviewers are not obliged to review your Appendices. It is recommended that if you have data that is important to your program of research, include it in your Program of Research and ensure it is clearly labeled.

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Letter(s) of collaboration Upload

Letter(s) of collaboration (if applicable) should describe:

• The role and time commitment of the collaborator(s) • The relevance and significance of the support being provided • The pertinent expertise of the collaborator

Combine all your letter(s) of collaboration into one .pdf document prior to uploading to MSFHR ApplyNet.

Note: If a collaborator has provided a reference letter, he/she may not submit a letter of collaboration.

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Consent Forms and Questionnaires Upload

If applicable, please combined all consent forms and questionnaires into a single .pdf file before attaching to MSFHR ApplyNet.

SAMPLE - msfhr.org · • Published books and monographs (as author or editor) • Presentations as...

Documents

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