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Required format:

PoRCH Support Request Form

Welcome to the PoRCH Support Request Portal!

This portal is designed to collect basic details about your research project and current needs. A member of the PoRCH team will review your request and reach out with any additional questions and next steps.

PoRCH is a research support infrastructure that provides assistance to fellows, new faculty, and researchers looking to initiate research as part of their medical education curriculum or new projects which will lead to grant-supported work in the future. The PoRCH team serves a broad range of needs from grant preparation, coordinator support, study organization, clinical trial support, study design planning, sample size calculations, REDCap development, data analysis planning and execution, as well as manuscript development.

Due to our scope of work and involvement with the greater pediatrics and OB-GYN departments, we must prioritize projects by concrete deadlines. As such, we ask that you provide details regarding your ultimate project goals and any firm submission deadlines to meet along the way. If you need assistance with more than one research study, please submit a separate request form for each individual research study.

If you have any questions, please email PoRCH@peds.ufl.edu

Type of Request:

I have a project (regardless of stage) or am planning a project, and would like PoRCH Support

I would like to speak to a PoRCH team member about an idea or question (not a specific project)

I need help with REDCap from the PoRCH technical team

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Project Title:

*This can be short/descriptive if none formally assigned yet

Project PI:

*Last, First

Requestor (Your) Name:

*Last, First

Primary Department:

Requestor (your) Position/Role:

Are you a student, resident, fellow, or other non-faculty member (such as a Clinical Research Coordinator):

Pediatrics Division:

OB/GYN Division:

Other Division:

Mentor:

Type of Project:

Investigator-initiated protocol

Industry-Sponsored Clinical Trial

External grant/contract application

Existing externally funded grant/contract

Existing internally funded grant

Publication in peer-reviewed journal

Conference abstract or presentation

Other

I am unsure

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Progress To-Date:
*please select the closest option

Study/Protocol planning

Protocol Finalized, working on data collection planning (logistics, database infrastructure etc.)

Data collection in-progress

Data collection has been completed, analysis not yet conducted

Analysis has been conducted, presentation/abstract/manuscript in-progress

Revise & Resubmit of previously submitted work

Other:

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Project Regulatory Requirement:

Current Status:

IRB #:

Do you plan to use, or are currently using, REDCap for data collection?

Yes

No, but I have not yet collected my data

No, and I am already using another method (detail below)

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Please list where you are collecting & storing your data:

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Do all people on your study team who will need access have a REDCap account?

*note use of the UF REDCap platform requires you create an account, it is not automatically verified via gatorlink credentials like some UF resources
If you have not completed REDCap registration yourself, and will need to, you may Click Here to navigate to the UF registration page. It should not take you more than 5 minutes to sign up.

Yes No Unsure

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Progress To-Date:
*please select the closest option

Data Collection Instrument in development, but not yet put in REDCap

Data Collection Instruments developed, but not yet put in REDCap

REDCap has been started - would like assistance with development

REDCap has been completed - would like review to assure it is correctly setup

Other:

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Project Goals:

Professional Conference Presentation/Research Day

Abstract Submission

Manuscript Publication

Internal Presentation

Pilot data for Grant submission or future work

Research Registry Database

Other:

Do you have a target journal in mind?

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General Project Request:
(Check all that apply)

Coordinator Support

Generation of figures for publication

Health Informatics (such as EMR data analysis)

OneFlorida Data Request

Other Secondary Data Analysis - acquisition/data management

Planning for statistical analysis of data

Protocol Development

REDCap development or review

Sample size and power calculations

Start-up Activities for Industry-Sponsored Clinical Trials (budget/contract negotiation, etc)

Statistical analysis of existing data

Study Design

UF IDR Request (Integrated Data Repository - this contains our UF health data)

Writing appropriate manuscript sections

Writing sections of grant proposal or protocol

Other:

A Note on Project Timelines:
The Pediatric Research Hub (PoRCH) team is happy to assist investigators with a variety of needs. At any given time, PoRCH manages multiple projects at various stages of the research process in the Pediatrics and OB-GYN departments. Therefore, realistic timelines and turnaround requests will be taken into account (as it applies) for: the IRB approval process, revisions to add study team members, time needed to align schedules for meetings, feedback and adjustments to study plans/databases etc.

As the research project evolves, we will program time for data cleaning and analysis, and manuscript writing. Data management components require dedicated time blocks by our staff and generally require a minimum of 2 weeks once data are appropriately prepared for analysis, depending on complexity. We encourage you to plan ahead and allow for ample lead-time to complete all phases you are seeking assistance with for your project. The PoRCH team holds normal business hours and follows university closures in accordance with the posted UF HR Calendar.

Please Contact Sarah Barbey for Clinical Trials
Phone: (352) 273-5085
email: sarah.barbey@peds.ufl.edu

Do you have any firm submission deadlines?
*A firm submission deadline is not a personal goal, but rather something such as: "The PAS submission deadline" or an editors deadline for a revise and resubmit of a manuscript

* must provide value

Yes No

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Describe this deadline:

Enter deadline here:

* must provide value

M-D-Y

Desired Completion Date:

M-D-Y

Details regarding your deadline and/or desired completion date:

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If you have a protocol written, or a draft, please upload here as part of your application:

( MB)
Upload file

If you have a data collection instrument developed, or a draft, please upload here as part of your application:

( MB)
Upload file

If you have a Confidential Disclosure Agreement (CDA) from an Industry Sponsor, please upload here as part of your application:

( MB)
Upload file

If you have any additional useful files to upload, you may insert here:

( MB)
Upload file

If you have any additional useful files to upload, you may insert here:

( MB)
Upload file

If you have any additional information you would like to share you may include a brief note here:

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Please Describe your Question Here:

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Please provide a brief description of your need/question in REDCap:

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Please complete the contact information below for follow-up:

Primary Contact Name: *Last, First	Primary Contact Email:
Additional Contacts: (please list 1 per line) *Last, First	Emails: (please list 1 per line)

Date of Request:

M-D-Y H:M:S

Thank you for completing the PoRCH Support Request form!

By clicking 'Submit' below your application will be sent to our system administrator and reviewed by a team member. We will reach back out for follow-up as soon as possible!

You have selected an option that triggers this survey to end right now.

To save your responses and end the survey, click the 'End Survey' button below. If you have selected the wrong option by accident and/or wish to return to the survey, click the 'Return and Edit Response' button.