1. Resident Research Grant Application
Insert full title of your research project here
Insert your name and here List your Family Medicine Residency Program here Date application is submitted
Insert a picture of yourself:
Name and of your family physician research mentor:
What is your research question/hypothesis and rationale for the project?
Address IRB/HIPPA compliance:
Description of research project:
Methodology (consult with your family physician research mentor before completing the sections noted below):
Research design –
Setting –
Sample size –
Justification –
Data collection process –
Analysis –
Limitations –
Difficulties –
Budget (line item budget that details how the funds will be spent):
Why is this research important to family physicians?
Timeline from start to end:
Project Collaborators (if any):