username:AnonymousAnonymousAIHW National Perinatal Epidemiology and Statistics Unit; Albury Clinical School; Australian Centre for Nanomedicine; Australian Centre for Perinatal Science; Bankstown Hospital; Black Dog Institute; Brain Sciences UNSW; Calvary Health Care Kogarah; Centre for Big Data Research in Health; Centre for Eye Health, Rupert Myers Building, UNSW; Centre for Healthy Brain Ageing; Centre for Primary Health Care & Equity; Centre for Vascular Research; Centre of Clinical Research Excellence in Aboriginal Health: Sexually Transmitted and Bloodborne Viral Infections; Centre of Research Excellence for Improving Suicide Prevention; Centre of Research Excellence in Mental Health and Substance Use; Children's Cancer Institute; Coffs Harbour Clinical School; Dementia Collaborative Research Centre; Fairfield Hospital; Garvan Institute; Ingham Institute; Justice Health & Forensic Mental Health Network; Kirby Institute; Liverpool Hospital; Lowy Cancer Research Centre; National Cannabis Prevention and Information Centre; National Drug and Alcohol Research Centre; Neuroscience Research Australia; NOT at UNSW Schools, Centres & Institutes; NSW Cancer Survivors Centre; Office of Medical Education, Wallace Wurth; Perinatal and Reproductive Epidemiology Research Unit; Port Macquarie Clinical School; Prince Of Wales Hospital; Royal Hospital for Women; School of Health Sciences; School of Medical Sciences; School of Optometry and Vision Science; School of Population Health; School of Psychiatry, AGSM; Skin and Cancer Foundation; St George Hospital; St Vincent's Centre for Applied Medical Research; St Vincent's Hospital; Sydney Children's Hospital; The George Institute for Global Health; The Simpson Centre for Health Services Research; Victor Chang Cardiac Research Institute; Wagga Wagga Clinical School

NOTES_Student; NOTES_Supervisor; NOTES_FacultySupervisor; NOTES_CoSupervisor; NOTES_Examiner; NOTES_ILPDisciplineDetails; NOTES_ILPInformation; NOTES_FundLocation; NOTES_ApprovalEthics; NOTES_Declaration
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Year 4 Medicine Research Project
To avoid unexpected loss of data entry, please complete this form in a word document and then paste your responses into an online application form.
Receipt Number: BXW7FM (Use this Receipt Number and the Supervisor Email Address to retrieve this saved application).
Application Status: Draft (This form can only be edited when status is Draft or New).



Name:

Comments:



Optional - select comments from the list below (hold [Ctrl] key to select multiple):
AND/OR Type a comment here:
(Once submitted, you cannot edit)

Student Details


*Has this project been designed (negotiated) for a specific student?


*Student ID


*First Name


*Last Name


*Year ILP/Honours will commence


*Potential Research Stream


Supervisor Details

Criteria for Primary Supervisor

1. The supervisor must be UNSW staff member or have a conferred academic title holder (conjoint or adjunct) with UNSW. There are no exceptions to this rule.
2. The primary supervisor must have a Masters degree by research or PhD or medical degree (unless specifically exempted by the Committee).
3. The supervisor should have academic/medical qualifications relevant to the project.
4. The primary supervisor must have had at least 1 publication in a peer reviewed journal in the previous 3 years.
5. The primary supervisor must have supervised (to completion) at least one research student (ILP, Honours, Masters or PhD) previously.
6. If the primary supervisor does not meet our criteria, a Faculty Supervisor can act as a conjoint supervisor with approval of the Committee.


Supervisor Role

The role of supervisor includes the marking and provision of feedback to students. The timeliness of marking will be considered by the ILP and Honours Committee in assessing the suitability of supervisors for future ILP/Honours supervision. More Information on Supervisor Roles and Responsibility

NUMBER OF STUDENTS PER SUPERVISOR: A supervisor can supervise (or co-supervise) a maximum of 4 ILP or Honours students in any one year.



Type name to search:


*UNSW Staff ID


*Title


*First Name


*Last Name


*Contact Email


*Contact Phone


Staff Type

The supervisor entered is not eligible to be a primary supervisor.

*Have you successfully supervised ILP and/or Bsc (Medicine) Honours students?

Please nominate a Faculty Supervisor on the "Faculty Supervisor Details" tab.

*Supervision criteria requires the supervisor to have at least 1 publication in a peer reviewed journal (or PhD thesis publication) in the last 3 years. How many publications have you had in the past 3 years?


*A supervisor must have a Masters degree by research or PhD or medical degree (unless specifically exempted by the Committee). Does the supervisor meet this criterion?

Please nominate a Faculty Supervisor on the "Faculty Supervisor Details" tab.

*A supervisor should have academic/medical qualifications relevant to the project. Does the supervisor meet this criterion?

Please nominate a Faculty Supervisor on the "Faculty Supervisor Details" tab.

*A supervisor must have supervised (to completion) at least one research student (ILP, Honours, Masters or PhD) previously. Does the supervisor meet this criterion?

Please nominate a Faculty Supervisor on the "Faculty Supervisor Details" tab.

Faculty Supervisor Details

Please contact Dr Greg Smith | g.smith@unsw.edu.au for the appropriate nomination.


Type name to search:


*UNSW Staff ID


*Title


*First Name


*Last Name


*Contact Email


*Contact Phone


*Affiliation to UNSW

Co-Supervisor Details

As many previous students have been left without guidance while their primary supervisors were away on leave or attending conferences. All ILP projects now require a co-supervisor.

Criteria for Co-Supervisor

1. The co-supervisor must be UNSW staff members or have a conferred academic title holder (conjoint or adjunct) with UNSW. There are no exceptions to this rule.
2. The co-supervisor must have a Masters degree by research or PhD or medical degree (unless specifically exempted by the Committee).
3. The co-supervisor should have academic/medical qualifications relevant to the project.


More Information on Supervisor Roles and Responsibility



*Number of Co-Supervisors




Co-Supervisor #1


Type name to search:


*UNSW Staff zId


*Title


*First Name


*Last Name


*Contact Email


*Contact Phone


Staff Type

The co-supervisor entered is not eligible to be a primary co-supervisor.

*A co-supervisor must have a Masters degree by research or PhD or medical degree (unless specifically exempted by the Committee). Does this co-supervisor meet this criterion?

Please nominate another co-supervisor.

*A co-supervisor should have academic/medical qualifications relevant to the project. Does this co-supervisor meet this criterion?

Please nominate another co-supervisor.

Co-Supervisor #2


Type name to search:


*UNSW Staff zId


*Title


*First Name


*Last Name


*Contact Email


*Contact Phone


Affiliation to UNSW

Please nominate another co-supervisor.

*A co-supervisor must have a Masters degree by research or PhD or medical degree (unless specifically exempted by the Committee). Does this co-supervisor meet this criterion?

Please nominate another co-supervisor.

*A co-supervisor should have academic/medical qualifications relevant to the project. Does this co-supervisor meet this criterion?

Please nominate another co-supervisor.

Co-Supervisor #3


Type name to search:


*UNSW Staff zId


*Title


*First Name


*Last Name


*Contact Email


*Contact Phone


Affiliation to UNSW

Please nominate another co-supervisor.

*A co-supervisor must have a Masters degree by research or PhD or medical degree (unless specifically exempted by the Committee). Does this co-supervisor meet this criterion?

Please nominate another co-supervisor.

*A co-supervisor should have academic/medical qualifications relevant to the project. Does this co-supervisor meet this criterion?

Please nominate another co-supervisor.

Co-Supervisor #4


Type name to search:


*UNSW Staff zId


*Title


*First Name


*Last Name


*Contact Email


*Contact Phone


Affiliation to UNSW

Please nominate another co-supervisor.

*A co-supervisor must have a Masters degree by research or PhD or medical degree (unless specifically exempted by the Committee). Does this co-supervisor meet this criterion?

Please nominate another co-supervisor.

*A co-supervisor should have academic/medical qualifications relevant to the project. Does this co-supervisor meet this criterion?

Please nominate another co-supervisor.

Co-Supervisor #5


Type name to search:


*UNSW Staff zId


*Title


*First Name


*Last Name


*Contact Email


*Contact Phone


Affiliation to UNSW

Please nominate another co-supervisor.

*A co-supervisor must have a Masters degree by research or PhD or medical degree (unless specifically exempted by the Committee). Does this co-supervisor meet this criterion?

Please nominate another co-supervisor.

*A co-supervisor should have academic/medical qualifications relevant to the project. Does this co-supervisor meet this criterion?

Please nominate another co-supervisor.

Recommended Examiner

1. The examiner cannot be the supervisor, co supervisor or someone with a significant involvement with the project in question but can be from the same department.
2. The examiner should have academic/medical qualifications relevant to the project being examined.
3. The examiner should have a PhD and/or a medical degree.
4. There should be no conflicts of interest that would compromise the integrity of the examination process.
5. Any exceptions to these rules need to be approved by the committee.

More Information on Examiner Roles and Responsibility


Type name to search:


UNSW Staff zId


*Title


*First Name


*Last Name


*Contact Email


*Contact Phone


*Has the recommended examiner agreed to this role?

Please contact the nominated examiner and ensure that he/she agrees to take on the role.

*The examiner cannot be the supervisor, co-supervisor or someone with a significant involvement with the project in question, but can be from the same department. Does this examiner meet this criterion?

Please nominate another examiner.

*The examiner should have expertise relevant to the project being examined. Does this examiner meet this criterion?

Please nominate another examiner.

*The examiner should have a PhD and/or a medical degree. Does this examiner meet this criterion?

Please nominate another examiner.

*There should be no conflicts of interest that would compromise the integrity of the examination process. Does this examiner meet this criterion?

Please nominate another examiner.

Discipline



*Content Stream


*Discipline


*Content Topic


Information

Please note: this section is used by the Year 4 Research Committee to assess the scientific merit, appropriateness and feasibility of the project for an ILP/Honours student.
Please ensure that you provide sufficient information or the Committee will need to request additional information.



*Project Title

Project Summary
What is known; what is unknown; what is to be investigated; and why it is important

*Project Summary:


(Words: )

Maximum : 1000

Hypothesis and Aims/Research question(s)

*Are you testing a hypothesis or have you got a research question?


*Hypothesis and Aims/Research question(s)


(Words: )


What will the student’s role be in the research?
Please be as specific as possible, for example (but not restricted to these: recruiting participants, collecting data, analysing specific variables or aspects of the data, running western blot analysis, running animal experimentations, blood analysis)

*Student Role:


(Words: )

Maximum : 300


*What research methodology will be used?


*Is there sufficient research work for the time frame of ILP/Honours?


*Can the project be completed within the time frame of ILP/Honours?


Fund/Location



*School/Centre for allocation of funds

Please carefully select the school/centre that you are affiliated to. Your fund will be allocated to this school/centre.


*Which Hospital/School/Centre/Institute is the student physically located in?Time Spent at this location
Primary location for project:
%
Secondary location for project: %
Secondary location for project: %
Secondary location for project: %


Ethics Approval

The ethics application is the responsibility of the supervisor although the student can assist in the submission process. Ethics approval should be in place by the time of commencement of year 4. A student who has a project that does not have ethics approval in place by the end of March of their ILP/Honours year, will be required to change projects and potentially supervisors. It is not possible to grant special consideration to students whose final reports are late due to delays in gaining ethics approvals.


*Does your project require ethics approval?


*Do you already have ethics approval for this project?


*State the name of the Ethics Committee who approved:


*Have you already applied for this?


*When do you anticipate applying for this?

clear

*Name the Ethics Committee you have applied to/will be applying to:


*If you do not get ethical approval in time for the ILP/Honours, have you got an option B as a backup project?


*Please provide a summary of your backup project


*If you will not be applying for ethics approval, please give reasons:



Special Note


Special Note

Declaration



*Declaration from supervisor








Do you want to submit this ILP application?