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Page 1: Metro South Health | Report Cover Page template Web viewTrauma & Disaster Management. Project ... the clinical delivery of trauma care or trauma system management ... Metro South Health

2018 Research Support SchemeApplication for

Trauma & Disaster Management Project Grants

Background: In 2004 the Royal Darwin Hospital (RDH) was established as the National Critical Care and Trauma Response Centre (NCCTRC) to provide a medical response to incidents of national significance. In 2010 Queensland Health, via the Metro Health South Hospital and Health Service’s Princess Alexandra Hospital (PAH), was recruited to the NCCTRC to provide a primary link in the event the NCCTRC was required to provide a medical response to an incident of national significance.

As a result of this partnership, Princess Alexandra Hospital (PAH) Division of Surgery established a Trauma Research Fund (as agreed with the NCCTRC), to support research studies in trauma and disaster management.

The aims of the research grants are to:

Increase the evidence base of trauma clinical practice.

Develop research collaborations between Queensland Hospital and Health Services and Northern Territory Health.

Improve trauma patient outcomes through research.

TRAUMA AND DISASTER MANAGEMENT RESEARCH GRANTS are funded by the PAH Division of Surgery Trauma Research Fund and administered through Centres for Health Research.

Small Grants provide seed funding ($25,000) for projects that have the potential to increase the evidence base of trauma clinical practice. Up to two grants may be available.

Project Grants provides support ($75,000) for a defined project that demonstrates potential for the research outcomes to be translated into improved health outcomes (through evidence based practice) and/or result in future national or international grants. One grant may be available.

Enquiries regarding the Trauma and Disaster Management Grants should be directed to:Centres for Health Research

Email: [email protected]

Phone: 07 3443 8057

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Sponsored by:

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APPLICATIONS MUST BE RECEIVED BY THE CENTRES FOR HEALTH RESEARCH NO LATER THAN 9:00 AM, MONDAY 21ST AUGUST 2017

LATE OR INCOMPLETE APPLICATIONS MAY NOT BE ACCEPTED

APPLICATION INSTRUCTIONS

Refer to the Research Support Scheme 2018 Funding Guidelines when preparing your application.

SUBMISSION

Applications must be submitted electronically to [email protected] :

1. A signed copy of the application to be submitted as a PDF,

2. The application must also be submitted in Word format (signatures not required).

3. Files must not exceed 2 MB in size and should be named using the following naming convention:

Applicant Surname_2018 Funding Type

E.g., Smith_2018 Trauma_Small

APPLICANT ELIGIBILITY CHECKLIST

To be eligible for a 2017 TRADIM Small or Project Research Grant, the Applicant must be able to answer:

YES to questions 1-5

NO to question 6

YES NO

1 Are you a member of staff of a Queensland Hospital and Health Service, or Northern Territory Health Service?

2 Will you be employed in the above appointment at least 0.5 FTE for the duration of the grant?

3 Will the majority (more than 50%) of the research take place:

i. within a Queensland Hospital and Health Service, or?

ii. within a Northern Territory Health Service?

iii. In a NCCTRC-approved partnership service facility or organisation within Queensland or the Northern Territory?

If iii, provide details of the NCCTRC-approved partner service facility or organisation in the space provided below.

4 Is at least one member of the investigative team a medical doctor, nurse or allied health professional?

5 Is the proposed research activity currently funded through an award type currently listed on the Australian Competitive Grants Register or international equivalent?

Details of NCCTRC-approved partner service facility/organisationIf you answered YES to Question 3iii above, provide details of the NCCTRC-approved partnership service facility or organisation including location, who approved the service facility/organisation and when it was approved (maximum 300 characters including spaces).

     

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1. APPLICANT APPOINTMENT DETAILSProvide details of your MSH and/or academic partner university appointment(s) (max. 300 characters including spaces) E.g.: Occupational Therapist at PA Hospital; MSH provides UQ with 50% of my salary; QUT

Postgraduate Candidate based at IHBI in the Translational Research Institute

NOTE: N/A (or similar) will not be accepted

     

2. LOCATION OF RESEARCH ACTIVITYProvide details of where the majority (more than 50%) of the research activity will take place (maximum 300 characters including spaces)

     

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RESEARCH SUPPORT SCHEME2018 TRAUMA & DISASTER MANAGEMENT GRANT

RESEARCH PROJECT APPLICATION TYPE ( SELECT ONE )

Small Project Grant Project Grant

1. PROJECT TITLE (Maximum 200 characters including spaces)

     

2. INVESTIGATIVE TEAM The Applicant must be the PI (Principal Investigator).

The maximum number of: Co-Investigators (CIs) = 4; Associate Investigators (AIs) = 2

Title Name Health profession

Organisation

PI Click to choose First name Surname Click to choose Click to choose

CI1 Click to choose First name Surname Click to choose Click to choose

CI2 Click to choose First name Surname Click to choose Click to choose

CI3 Click to choose First name Surname Click to choose Click to choose

CI4 Click to choose First name Surname Click to choose Click to choose

AI1 Click to choose First name Surname Click to choose Type name here

AI2 Click to choose First name Surname Click to choose Type name here

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3. ASSESSMENT OF TRADIM APPLICATIONS WILL BE AGAINST THE CRITERIA LISTED BELOW:(Based on NHMRC Funding rules)

Assessment Criteria 1: Scientific Quality Assessment Criteria 2: Clinical Significance Assessment Criteria 3: Originality and Innovation Assessment Criteria 4: Track Record - Relative to Opportunity Assessment Criteria 5: Collaborative Strength

3.1ASSESSMENT CRITERIA 1: SCIENTIFIC QUALITY (20%)3.1.1 RESEARCH PROPOSAL Provide your research proposal on the following pages. Include Applicant’s name, Title of project; Hypothesis; Expected outcomes, Background, Research protocol and references.

Assessment of the scientific quality of the research will be based on: Definition of project (based on clear articulation of the Hypothesis, Background, Expected outcomes)

Study Design (Based on Methods, Research Protocol)

Feasibility (including assessment of Methods and Budget);

Whether the proposal would be competitive nationally.

Insert your Research Proposal in the box below (You can type directly into the box; cut and paste or insert an embedded PDF. See Instructions – inserting text)

Instructions

1. Research Proposal Format

Maximum 4 pages including references

Arial font with a minimum size of 10 point (including tables, table legends and figure legends)

Line spacing of 1.5 lines

Top and bottom page margins of 2 cm

Left and right page margins of 2 cm

DO NOT alter headers or footers.

2. Inserting Text

Type directly into the text box above, maintaining format as described above; or

Cut and paste (e.g. from a previous document) into the text box – note you may lose formatting if you choose this option; or

Embed a PDF document of your complete proposal, maintaining formatting as described below.

- Prepare your Research Proposal as per the format instructions above - Save your Research Proposal as a PDF document- Place Cursor in the box above- Select “Insert” tab on MSWord Toolbar- Select “Object” and choose “Create from File” from drop down- Browse for your PDF document- Select Insert- Select “Display as Icon”- Click OK- An icon of your Research Proposal content should be displayed in the box above.

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You may remove the text box border for all options.

3.1.2 BUDGET PROPOSAL

Item Description Amount

Personnel/Salaries       $     

Maintenance(consumable items to be purchased)

      $     

Equipment       $     

Other(NOTE: computers will not be funded)

      $     

Total $     

Budget justification (maximum 1,000 characters including spaces)

     

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3.2 ASSESSMENT CRITERIA 2: SIGNIFICANCE (20%)

Assessment of the significance of the proposed research will be on the basis of: The Clinically significance of the research proposal How it addresses clinical delivery of trauma care or trauma system management The translational significance of the research proposal?

3.2.1 RESEARCH SIGNIFICANCE Why is this research clinically significant? (Maximum of 750 characters including spaces)

     

3.2.2 CLINICAL DELIVERY OF TRAUMA CARE OR TRAUMA SYSTEM MANAGEMENT

Describe how this project will address and improve the clinical delivery of trauma care or trauma system management (maximum 750 characters including spaces)

     

3.2.2 TRANSLATIONAL ASPECTS OF THE RESEARCH PROPOSAL What is the translational aspect of your project? (Tick one box)

T0 – Identification of opportunities and approaches to a health problem (basic research)

T1 – Findings from basic research tested for clinical effect and/or applicability (Phase I and II clinical trials; observational studies)

T2 – Health application to evidence based practice guidelines (Phase III clinical trials; observational studies; evidence synthesis and guidelines development)

T3 – Practice guidelines to health practices (dissemination research; implementation research; diffusion research; Phase IV clinical trials)

T4 – Practice to population health (outcomes research; population monitoring of morbidity, mortality, benefits and risk studies)

Not applicable

Definitions taken from UC San Diego Clinical and Translational Research Institute

3.3 ASSESSMENT CRITERIA 3: CLINICAL ORIGINALITY AND INNOVATION (20%)Describe how your proposal is clinically original and / or innovative ? (maximum of 750 characters including spaces)

     

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3.4 ASSESSMENT CRITERIA 4: TRACK RECORD - RELATIVE TO OPPORTUNITY (20%)3.4.1 PRINCIPAL INVESTIGATOR (APPLICANT) PI CONTACT DETAILS

Applicant name Click to choose First Name Surname

Position      

Organisational department Department name

Phone number(s) Primary:       Secondary:      

Email address      

Postal address Address line 1

Address line 2

Address line 3

Suburb and Postcode

P1 ACADEMIC QUALIFICATIONS & APPOINTMENTS

Academic QualificationsEg: MBBS:

     

Academic AppointmentsEg: Senior Lecturer, XXDept, UQ :

     

PI RESEARCH TIME

Expected 2018 time allocation to: This study (hr/wk):       Other studies (hr/wk):      

Do you expect to have an extended period of absence during 2018? Yes No

If Yes, provide expected dates DD/MM/YEAR - DD/MM/YEAR

Reason(300 characters including spaces)

     

PI PUBLICATIONSList your publications produced in the last 5 years which have the most relevance to the study proposed in this application with ALL authors provided) Press <Enter> after each publication to maintain the numbering system

1.      

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PI GRANTSProvide details of research funding received in the last 5 years and indicate whether the funding relates to the proposed research of this application. If more than 8 please eliminate least applicable to this research proposal.

Funding body and type Start dateEnd date

Amount Relevant to this application?

      [DD/MM/YYYY]

[DD/MM/YYYY]

$      Yes

No

      [DD/MM/YYYY]

[DD/MM/YYYY]

$      Yes

No

      [DD/MM/YYYY]

[DD/MM/YYYY]

$      Yes

No

      [DD/MM/YYYY]

[DD/MM/YYYY]

$      Yes

No

      [DD/MM/YYYY]

[DD/MM/YYYY]

$      Yes

No

      [DD/MM/YYYY]

[DD/MM/YYYY]

$      Yes

No

      [DD/MM/YYYY]

[DD/MM/YYYY]

$      Yes

No

      [DD/MM/YYYY]

[DD/MM/YYYY]

$      Yes

No

PI RESEARCH PERFORMANCE RELEVANT TO OPPORTUNITYAre there any disruptions to your career (greater than 28 calendar days) that may have impacted on your research performance that you would like to have taken into consideration?

For example: Pregnancy; Major Illness or injury; Carer responsibilities.

Please outline in the section below in 300 characters or less.

1.      

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3.5 ASSESSMENT CRITERIA 4: COLLABORATIVE STRENGTH (20%)

3.4.2 CO-INVESTIGATOR 1 (CI1)CI1 CONTACT DETAILS

CI1 name Click to choose First Name Surname

Position      

MSH site Click to choose

Organisational department Department name

Phone number      

Email address      

CI1 ACADEMIC QUALIFICATIONS & APPOINTMENTS

Academic QualificationsEg: MBBS:

     

Academic AppointmentsEg: Senior Lecturer, XX Dept, UQ :

     

CI1 RESEARCH TIME

Expected 2018 time allocation to: This study (hr/wk):       Other studies (hr/wk):      

Does CI1 expect to have an extended period of absence during 2018? Yes No

If Yes, provide expected dates DD/MM/YEAR - DD/MM/YEAR

Reason(300 characters including spaces)

     

CI1 PUBLICATIONS List publications produced in the last 5 years which have the most relevance to the study proposed in this

application with ALL authors provided

Press <Enter> after each publication to maintain the numbering system

1.      

3.4.3 CO-INVESTIGATOR 2 (CI2)CI2 CONTACT DETAILS

CI2 name Click to choose First Name Surname

Position      

MSH site Click to choose

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Organisational department Department name

Phone number      

Email address      

CI2 ACADEMIC QUALIFICATIONS & APPOINTMENTS

Academic QualificationsEg: MBBS:

     

Academic AppointmentsEg: Senior Lecturer, XX Dept, UQ :

     

CI2 RESEARCH TIME

Expected 2018 time allocation to: This study (hr/wk):       Other studies (hr/wk):      

Does CI2 expect to have an extended period of absence during 2018? Yes No

If Yes, provide expected dates DD/MM/YEAR - DD/MM/YEAR

Reason(300 characters including spaces)

     

CI2 PUBLICATIONS List publications produced in the last 5 years which have the most relevance to the study proposed in this

application with ALL authors provided

Press <Enter> after each publication to maintain the numbering system

1.      

3.4.4 CO-INVESTIGATOR 3 (CI3)CI3 CONTACT DETAILS

CI3 name Click to choose First Name Surname

Position      

MSH site Click to choose

Organisational department Department name

Phone number      

Email address      

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CI3 ACADEMIC APPOINTMENTS

Academic QualificationsEg: MBBS:

     

Academic AppointmentsEg: Senior Lecturer, XX Dept, UQ :

     

CI3 RESEARCH TIME

Expected 2018 time allocation to: This study (hr/wk):       Other studies (hr/wk):      

Does CI3 expect to have an extended period of absence during 2018? Yes No

If Yes, provide expected dates DD/MM/YEAR - DD/MM/YEAR

Reason(300 characters including spaces)

     

CI3 PUBLICATIONS List publications produced in the last 5 years which have the most relevance to the study proposed in this

application with ALL authors provided

Press <Enter> after each publication to maintain the numbering system

1.      

3.4.5 CO-INVESTIGATOR 4 (CI4)CI4 CONTACT DETAILS

CI4 name Click to choose First Name Surname

Position      

MSH site Click to choose

Organisational department Department name

Phone number      

Email address      

CI4 ACADEMIC APPOINTMENTS

Academic QualificationsEg: MBBS:

     

Academic AppointmentsEg: Senior Lecturer, XX Dept, UQ :

     

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CI4 RESEARCH TIME

Expected 2018 time allocation to: This study (hr/wk):       Other studies (hr/wk):      

Does CI4 expect to have an extended period of absence during 2018? Yes No

If Yes, provide expected dates DD/MM/YEAR - DD/MM/YEAR

Reason(300 characters including spaces)

     

CI4 PUBLICATIONS List publications produced in the last 5 years which have the most relevance to the study proposed in this

application with ALL authors provided

Press <Enter> after each publication to maintain the numbering system

1.      

3.4.6 ASSOCIATE INVESTIGATOR 1Outline the role of AI1 in the broad research plan proposed in this application and indicate why AI1 has been included within the research team (maximum 1,000 characters including spaces)

     

3.4.7 ASSOCIATE INVESTIGATOR 2Outline the role of AI2 in the broad research plan proposed in this application and indicate why AI2 has been included within the research team (maximum 1,000 characters including spaces)

     

3.5 OTHER SUBMITTED GRANT APPLICATIONSProvide details of grant applications related to this study submitted to other funding bodies in the current year

Funding body and type Project title Budget

            $     

            $     

            $     

            $     

            $     

            $     

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3.6 REVIEWER NOMINATIONS

As outlined in the Funding Guidelines (section 3: Eligibility), three eligible reviewers must be nominated. For nominations to be eligible, the Applicant must be able to answer Yes to questions.

YES NO

1 Are all nominated reviewers external to the service facilities/organisations with which the investigative team are associated?

2 Is at least one nominated reviewer from interstate or overseas?

3 Are all three nominated reviewers an acknowledged expert in the field (i.e. publication track record, PhD or equivalent research experience)?

4 Are all three nominated reviewers completely independent of the investigative team and without conflict of interest? (See section 4.1 of the 2016 Funding Guidelines)

5 Have all three nominated reviewers agreed to be available in September 2017 to assess your application?

3.6.1 REVIEWER 1

Name Click to choose First Name Surname

Health profession Click to choose

Organisation/Institution Organisation/Institution name

Department Department name

Phone number:       Email:      

Availability confirmed? Yes No

Comments (300 characters)      

Who contacted this reviewer?      

3.6.2 REVIEWER 2

Name Click to choose First Name Surname

Health profession Click to choose

Organisation/Institution Organisation/Institution name

Department Department name

Phone number:       Email:      

Availability confirmed? Yes No

Comments (300 characters)      

Who contacted this reviewer?      

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3.6.3 REVIEWER 3

Name Click to choose First Name Surname

Health profession Click to choose

Organisation/Institution Organisation/Institution name

Department Department name

Phone number:       Email:      

Availability confirmed? Yes No

Comments (300 characters)      

Who contacted this reviewer?      

3.6.4 EXCLUDED REVIEWERSIf relevant, list details of up to two reviewers you would like excluded from assessing your application and provide justification for their exclusion

EXCLUDED REVIEWER 1

Name Click to choose First Name Surname

Health profession Click to choose

Organisation/Institution Organisation/Institution name

Department Department name

Justification Provide details

EXCLUDED REVIEWER 2

Name Click to choose First Name Surname

Health profession Click to choose

Organisation/Institution Organisation/Institution name

Department Department name

Justification Provide details

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4. AGREEMENTS AND CERTIFICATION OF SUPPORTCERTIFICATION BY THE PRINCIPAL INVESTIGATORPlease carefully read each criterion and ensure the application complies. Ticking each indicates your certification of each criteria. Incomplete applications may be deemed ineligible.

I, [First Name, Surname], certify that:

Written agreement (such as an email) has been obtained from all investigators named in this Research Support application and that all details provided are correct.

I understand that should this application be successful, all named Co-Investigators on this application will be required to sign the Acceptance of Offer.

On behalf of the investigative team, we accept and agree to comply with the ethical standards as set out by the National Health and Medical Research Council, and any additional standards required by the appropriate Human Research/Animal Ethics Committee (including, but not limited to the National Statement on Ethical Conduct in Human Research and Australian Code for the Responsible Conduct of Research).

Research will not commence until all ethical clearances and site specific approvals (SSAs), if required, have been obtained.

The research team meets the relevant eligibility criteria for the Trauma and Disaster Management Grants and all questions have been answered.

Progress reports (Ethics and Projects) must be provided annually and / or a final report must be provided at the end of the support period

On behalf of the investigative team, we accept and agree to comply with Metro South Health. Policies and Procedures and requests from the Centres for Health Research – Metro South Health in the management of these grants.

     

Name of Principal Investigator Signature

DD/MM/YEAR

Date:

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5. CERTIFICATION BY HEAD OF DIVISION/DEPARTMENT

I certify that:

The proposed research is appropriate to the general facilities in my Division/Department and that I am prepared to have the project carried out in my Division/Department.

Experiments involving humans/animals (will) conform to the general principles set out in the National Health and Medical Research Committee’s National Statement on Ethical Conduct in Human Research/Australian Code of Practice for the Care and Use of Animals for Scientific Purposes

For Collaborative Projects ensure that the Head of Department from each Facility completes the below section

     

Name of Head of Department/Division Signature

DD/MM/YEAR

Date:

     

Position

     

Name of MSH site/university school

     

Name of Head of Department/Division Signature

DD/MM/YEAR

Date:

     

Position

     

Name of MSH site/university school

NOTE: If the Head of Department is also the Principal Investigator then he/ she cannot provide certification. Certification must then be given by the Head of Department’s supervisor.

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