MISCH contact form

To assist us in processing your request as quickly as possible, please complete the following information:

Contact details

First name *

Last name *

Phone number *

Do you have a University of Melbourne appointment? *

This includes honorary appointments (e.g. you have an email address ending in @unimelb.edu.au)

• Yes
• No

Email address *

University of Melbourne Faculty *
This information is required for our reporting purposes

University of Melbourne School and Dept *
This information is required for our reporting purposes

Research Group

Project details

What is  your PICO research question? *
See https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3430448/  and the MISCH Research & Governance page for more information (http://clinicalresearch.mdhs.unimelb.edu.au/news2/research-governance-and-ethics).

Please provide a summary of your project
(Maximum 200 words)

What are your proposed outcome measures?
(Maximum 200 words)

Study type?

Clinical TrialObservationalRandomised controllled trialRetrospectiveSystematic reviewQuality assuranceLongitudinal surveyOther

Proposed study design *
you can also review the NHMRC document: https://nhmrc.gov.au/sites/default/files/documents/reports/clinical%20guidelines/how-to-use-evidence-cp69.pdf

What is your intervention and comparator

What is your project timeline for work to be completed?

10 working days4-8 weeks3 to 12 monthsgreater than 12 months

Does your project have ethics approval? *

• Yes
• No
• In progress

Project documentation
Please upload your draft protocol and/or grant proposal; please note - do not send data sets or any other material with personal identifiers. We will provide you with instructions relating to our secure file protocol.

Services (Please tick all that apply)

I seek support in the areas of *

• Biostatistics
• Health Economics
• Health Economics (proof of concept grants)
• Health Informatics - data management (e.g. REDCap)
• Health Informatics - database build/REDCap or bespoke
• Co-Design and Consumer Involvement
• Clinical Trial support

I seek support for *

Please note costs apply; refer to  the MISCH collaboration agreement for further details.

• Clinical trial development
• Data analysis
• Ethics application
• Grant development
• Grant review and feedback
• Research networking
• Responding to reviewers comments
• Training and workshops
• STUDIO workup
• Not sure
• Other (please describe below)

Any other information you would like to provide?
Please note: Prior to work commencing beyond the initial free meeting, the MISCH collaboration agreement is required to be signed. Work cannot continue without this agreement in place.

If you are human, do not fill in this field