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    IMDC Proposal Submission Form

    Uploaded by

    zia ul Rahman
    This document contains a research committee form for Islamabad Medical & Dental College. It requests information about a proposed research study such as the title, names and contact information of the candidate and supervisors, research domain, objectives, methods, ethical issues, significance, references, and signatures of approval. The committee will use this information to review the proposed research study.

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    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd

    IMDC Proposal Submission Form

    Uploaded by

    zia ul Rahman
    16 views3 pages
    This document contains a research committee form for Islamabad Medical & Dental College. It requests information about a proposed research study such as the title, names and contact information of the candidate and supervisors, research domain, objectives, methods, ethical issues, significance, references, and signatures of approval. The committee will use this information to review the proposed research study.

    Original Title

    IMDC Proposal Submission Form (1)

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    This document contains a research committee form for Islamabad Medical & Dental College. It requests information about a proposed research study such as the title, names and contact information of the candidate and supervisors, research domain, objectives, methods, ethical issues, significance, references, and signatures of approval. The committee will use this information to review the proposed research study.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    16 views3 pages

    IMDC Proposal Submission Form

    Uploaded by

    zia ul Rahman
    This document contains a research committee form for Islamabad Medical & Dental College. It requests information about a proposed research study such as the title, names and contact information of the candidate and supervisors, research domain, objectives, methods, ethical issues, significance, references, and signatures of approval. The committee will use this information to review the proposed research study.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    of 3

    Research Committee (RC) of IRB

    Islamabad Medical & Dental College

    RC FORM

    Title: ____________________________________________________________________

    ____________________________________________________________________

    Candidate/Author:

    _________________________ _______________________ _____________________


    NAME DESIGNATION DEPARTMENT

    _________________________ _______________________
    MOBILE EMAIL

    Supervisor:

    _________________________ _______________________ ____________________


    NAME DESIGNATION DEPARTMENT

    _________________________ ________________________
    MOBILE EMAIL

    Co Supervisor:

    ________________________ ________________________ ____________________


    NAME DESIGNATION DEPARTMENT

    ________________________ __________________________
    MOBILE EMAIL

    1
    1. Research Domain

    2. Introduction

    3. Purpose of the Study

    4. Objective(s) of the Study

    5. Description of Method(s) used in Protocol

    a) Study Design
    b) Study setting
    c) Study duration
    d) Study population
    • Brief explanation of subjects (e.g. age range, sex)
    • Inclusion/Exclusion Criteria
    e) Sample Size
    f) Sampling technique
    g) Data collection procedure
    h) Statistical tools

    6. Ethical Issues

    • Human or animal subjects (reason for using as subjects)


    • Confidentiality & privacy of the participants
    • All known/potential risks to the subjects (Nature and degree of risk/adverse effects,
    how these will be managed? who will bear the cost?)
    • Written informed consent obtained
    • State monetary benefit (if any) to the participant (for medication, test or investigation
    done)

    7. Significance of study in context of Pakistan

    2
    8. Has this study been conducted elsewhere earlier?

    If “Yes” why this research is being repeated in Pakistan?

    9. The relevance and expected outcome/impact of proposed study?

    10. Collaborating Labs (if any)

    11. Funding Source (Institutional/HEC/Sponsored)

    12. Estimated Budget and proposed project period

    13. Total number of references. How many older than 5 years? (preferably >80%
    should be within 5 years)

    Signature of Supervisor: ____________________________________

    Date:

    Signature of Co- Supervisor: ____________________________________

    Date:

    Signature of Head of the Department: _____________________________

    Date:

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