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Department of Surgery
Beth Israel Deaconess Medical Center
Facilitating Innovative Research and Surgical Trials (FIRST) Program Services Request Form
Clinical Trials Specialist
Clinical Research Administrator
Acute Care Surgery, Trauma, and Surgical Critical Care
Plastic and Reconstructive Surgery
Colon and Rectal Surgery
Thoracic Surgery and Interventional Pulmonology
Vascular and Endovascular Surgery
IRB Protocol Number
Are you the Faculty PI of the project?
Who is the Faculty PI of the project?
Is your request regarding a Clinical Scholarship Program (CSP) project?
Type of help requested. [Please check all that apply]
IRB document submission
Human subjects protections training
IRB audit readiness
Subject screening and recruitment
Manuscript and grant writing
Research staff education/training
Identifying funding opportunities
Sample processing & storage
Pre-submission grant application review
Lab Website Development
Briefly describe the reason for your request:
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