HyperGEN Publication Proposal

Download Form

Send an electronic version of this form to the DCC at:

matthew@wubios.wustl.edu

After a Manuscript Number is assigned, the proposal form will be electronically sent to all the members of the HyperGEN Publications and Presentations Subcommittee.
 
 

Manuscript #  ________________       (leave blank)

Data Rec'd  __________________      (leave blank)

Date Approved  _______________     (leave blank)

1.       Title:  _________________________________________________________________                                                                                                                                  
           _______________________________________________________________________

2.      Brief Title: (no more than 26 spaces)
           _______________________________________________________________________

3.      Writing Group: Guidelines for study-wide data: Suggest no more than three authors from one center and representation of at least three centers, if not all.  In general, total number of authors should be less than eight; list only authors who have already agreed to be part of this analysis group.  If topic possibly overlaps another analysis project, clear with lead author of other project before submitting form.

         Lead Author:  _________________________________________________________________                                                                                                                     
                                                           (include affiliation, address, tel and fax numbers, e-mail address)                                                                                                                                                 
                         _______________________________________________________________________

         2.  _______________________________     3.  _______________________________                                                       

         4.  _______________________________     5.  _______________________________      

         6.  _______________________________     7.  _______________________________      

4.      Timeline:    Anticipate data will be available:                                                                          

                           Analysis to be completed:                                                                                   

                           First draft anticipated:                                                                                        

5.      Rationale: 

6.      Main Hypothesis and Analytic Approach:

7.      Data Needs:

8.      Analysis to be done: DCC:                                                                                                 

         (list chief analyst, if known)                                                                                                  

         Local:                                                                                                                                 

                                                                                 (list site and chief analyst)

R. Curtis Ellison, MD
Professor of Medicine & Public Health
Chief, Section of Preventive Medicine & Epidemiology
Boston University School of Medicine                                                                                              Tel. (617) 638-8080
88 E. Newton Street, B-612                                                                                                            Fax. (617) 638-8076
Boston, MA  02119                                                                                                                     e-mail:  ellison@bu.edu