Research Protocol Proforma

This is your opportunity to make your case for financial support from BAPRAS. The research protocol should be a self-contained document, requiring no further reference to other documentation. This should be in 12 point font using single–line spacing.

Project Summary

300 words maximum

General Information

Project Title
Name of Principal Investigator
BAPRAS Member	Yes / No (delate as appropriate)
Institution Name and address (of PI)
For the Principal Investigator, please list grants held and papers published in the past 10 years. Please detail also any industry collaborations.
Name and Institution of other researchers in team including their role and responsibilities in the project

Rationale & Background Information

Why are you conducting this research? Please include any bibliographic references you have sourced.

Research Goals and Objectives

What do you hope to achieve from this research? These should be simple and specific. Focus on the primary objectives but you may mention secondary ones. 300 words maximum

Methodology

What model is used for the research? Please make particular reference to the following:-

Type of study / Research Design

Population

Time-frame with milestones

Data Management and Statistical Analysis

Follow-up

Quality Assurance including good clinical practice

Anticipating problems / Risk management

3000 words maximum.

Copy and paste here a Gantt chart or trial schema of the study design and procedures including timings.

Expected Impact of the Research

How will your research advance the knowledge and understanding of plastic surgery? How will the results be used? How do you anticipate the research will affect plastic surgery, healthcare and public policy? 300 words maximum

Patient involvement

What is your plan for involving patients? 300 words maximum

Infrastructure Support and other funding sources

Please outline the specific expertise available for the research at the host institution and that of any associated institutions. Please declare also other funding sources associated with the project. 200 words maximum

Commercial exploitation and Intellectual Property

Please describe whether or not the work arising from a BAPRAS award is likely to generate intellectual property and how this will be managed. 200 words maximum

Ethics

Do you have ethical approval (Integrated Research Application System - IRAS)?

Choose an item.
If yes, please include your IRAS Number: