Comrec Form PDF Details

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QuestionAnswer
Form NameComrec Form
Form Length2 pages
Fillable?No
Fillable fields0
Avg. time to fill out30 sec
Other namescomrec pdf, comrec, comrec malawi, comrec online

Form Preview Example

UNIVERSITY OF MALAWI - COLLEGE OF MEDICINE RESEARCH and ETHICS COMMITTEE (COMREC)

CHECKLIST TO ACCOMPANY RESEARCH PROPOSALS SUBMITTED TO THE COMMITTEE When you submit a research proposal for the Committee to approve, first read the document entitled General Guidelines on Health Research (Revised in September 2010). Make sure that your proposal is in the format outlined in the Guidelines.

Before sending or giving the proposal to the Committee, complete the following check-list by ticking each item you have included. Do not submit the proposal unless you can tick all the boxes, or provide a reason for the absence of any item. Attach the completed check-list to the front of your submission.

TITLE OF PROPOSAL:

________________________________________________________________________________________________________

_______________________________________________________________________________________________________

Name of Principal Investigator: __________________________________________________________________

Name of Sponsor and amount of sponsorship______________________________________________________

(tick boxes)

Have you applied for a waiver of 10% COM overhead fee from the Office of Postgraduate Dean of Studies and Research? If yes,

please attach a waiver letter.

Yes or No

Have you submitted this proposal to another Ethics Committee?

Yes

or No

If yes, please specify whether approval has been given, and if approval has been awarded, please submit a copy of the approval letter with this submission_------------------------------------------------------------------------------------------------------------

________________________________________________________________________

The following are included in or with this proposal:

1. Covering letter of introduction from Investigator

2. Letter of support from Head of Department(s) in which work will be done

(a) Principal Department hosting the research

(b) each other Dept. in which any work will be done

3. A copy of registration from Medical Council of Malawi for Principal Investigator and other investigators which are involved in clinical research

4. Submit an electronic copy and 4 hard copies of the proposal and attached documents (which should include:

Title

Investigators

Brief CV of each investigator, Institution involved, Executive Summary

Background/Introduction

Rational/J justification

Objectives of the study

Methods

-Type of study - place of study

- Study population

-Study period Sample size

- Data collection [NB: include data proformas] - Data management/analysis

Presentation of results Dissemination of results Ethical considerations

1 | C O M R E C C h e c k l i s t v e r s i o n 2 . 0 d a t e d 1 5

t o a c c o m p a n y p r o t o c o l s u b m i s s i o n s , t h A p r i l , 2 0 1 3 .

- NB: include consent forms in both English & Chichewa

 

Possible constraints

 

Requirements

 

Training provided for

 

Budget and Justification of budget

 

References

 

Material transfer agreement forms/documents

 

Indemnity cover

yes

If any item is not ticked, explain why this is not included with the submission.

 

Signed: ________________________Name (print): _________

Date:

_____________________________________

 

or no

2 | C O M R E C C h e c k l i s t v e r s i o n 2 . 0 d a t e d 1 5

t o a c c o m p a n y p r o t o c o l s u b m i s s i o n s , t h A p r i l , 2 0 1 3 .