ABS Research Request Form - American Board of Surgery

Research Request Form

Proposals must include a project summary

To be considered for a research partnership, please complete the this form. Submissions must include a proposal that is 1-3 pages in length. Please see here for a list of the data fields that are most commonly requested and available for research purposes.

Priority is given to requests that align with the mission of the ABS and its research agenda, and the ABS offers a list of topics that are of high priority in our Research Policy.

Projects that are not necessarily aligned with the ABS research agenda may be considered on an individual basis.

For additional information regarding research opportunities with the ABS, please visit our Research Requests page.

For any questions about this form or about ABS procedures related to research, please contact our team.

Principal Investigator Name(Required)

First Last

Principal Investigator Email Address(Required)

Principal Investigator Institution(Required)

Principal Investigator Vita(Required)

Accepted file types: pdf, Max. file size: 10 MB.

If the person submitting this form is not the Principal Investigator, please enter your name.

First Last

If you are the Principal Investigator, please skip this question.

If the person submitting this form is not the Principal Investigator, please enter your email address.

If you are the Principal Investigator, please skip this question.

Title of study(Required)

Study Overview(Required)

Please upload a brief description of your study that incorporates the following fields: Background; Hypotheses; Research questions; Methods and analysis; Resources and specific data fields required of ABS; Proposed outlet for study (e.g., presentation/publication).

Accepted file types: pdf, Max. file size: 10 MB.

Does your data request involve EPA data?(Required)

Yes

Has study (if applicable) been approved by an Institutional Review Board (IRB)?

Please provide documentation. If the study has been determined to be exempt, please skip this question.

Accepted file types: pdf, Max. file size: 10 MB.

I verify that I have reviewed the form and my proposal adheres to the following criteria:(Required)

I have reviewed the proposal submission guidelines

I have reviewed the data fields that are available from the ABS

This project has IRB approval OR has been determined to be exempt

I have specified the data fields that I am requesting in the proposal

I have funding available for this project

This field is for validation purposes and should be left unchanged.

Proposals must include a project summary

Have questions?