The code block below illustrates how one might use # and // as comments in your logic and calculations.

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Criteria for Registry

Returning?

A A A

Thank you for you interest in the Medical Student Registry. Please tell us more about your proposed study so we can make sure it meets criteria...we will review your responses and let you know as soon as we can whether the study qualifies as a Registry study.

Upon completion, please email Jeffrey.Wilhite@nyulangone.org to confirm submission of your request.

Name of PI:

PI Role/Title:

PI Department:

PI Email:

Are you the PI?

Yes

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Name of Person Submitting Form if NOT PI:

Email of person submitting form if NOT PI:

Are you (or the PI) already named as a Co-Investigator in either the Medical Student Registry or the Resident Registry IRB?

Co-Investigator in the MEDICAL STUDENT Registry

Co-Investigator in the RESIDENT Registry

None of the above

Not sure

Please list all relevant collaborators:

Please describe your proposed study's RESEARCH QUESTION.

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Please indicate which of the following groups are included in your proposed study's SAMPLE:

Medical Students

Residents

Fellows

Other

Please describe your SAMPLE in greater detail (e.g., Class year or cohort, etc).

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Please indicate which of the following routinely collected educational data you would like to include in your proposed study:

Knowledge exams

Peer assessments

OSCE performance

Assessments of clinical performance

Shelf Exams

Step Exams

Board and/or In-Service Exams

360 Assessments

EHR/EMR (including chart reviews)

Panel performance data

Pre- and post-curriculum questionnaire data

Program evaluation/QI data

Needs assessment surveys/questionnaires

Admissions/entrance data

OTHER

Please describe the data sets in greater detail and/or specify which OTHER data you are interested in.

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When do you plan on using this data for your study?

Please describe the general research design you are using in this proposed study.

(e.g., pulling data from prior to and after the curriculum? cohort analyses? longitudinal analyses? taking advantage of natural experiment resulting from scheduling? correlational design?)

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Does this study involve ONLY routinely collected educational data?

(i.e. data that are collected on and from learners as part of the curriculum)

Yes

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Does this study introduce any new curricular activities or interventions that are being conducted SOLELY for the purpose of research?

Yes

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Does this study involve collecting new or additional data from learners SOLELY for the purpose of research?

(i.e. data that wouldn't routinely be collected as part the learners' educational experience)

Yes

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Is the delivery or the content of educational materials and/or experiences being affected by the proposed research study?

Yes

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The Registry does NOT cover studies that modify/change/influence the curriculum for the sake of research. Registry studies can take advantage of natural and/or quasi-experimental designs based on scheduling and/or other staggered ways that curricular activities are delivered but studies that manipulate who is exposed to curricular elements for the purpose of research are not covered by the Registry.

Are you able to obtain the routinely collected educational data for your study?

Yes

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Do the routinely collected educational data elements include the learners' names or other identifier (e.g. Kerberos ID)?

Yes

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How does the proposed study seek to contribute to improvements in medical education?

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Please upload any relevant materials.

(e.g. study description, list of needed data sets, related articles, etc)

Upload file

Any additional questions or concerns you would like to share?

Expand

Please attach a copy of your current CV/Resume.

Upload file

Please attach a copy of your current CITI Training Completion Report.

Upload file

Thank you so much for completing these questions -- we will review your responses and let you know if your request meets criteria for inclusion in the Registry.

Pease email Jeffrey.Wilhite@nyulangone.org to confirm submission of your request.

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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.