JABSOM Biostatistics Core Facility Request Form

Purpose: To help us determine your needs and prioritize our resoures.

Timeline: All grant requests must be submitted at least four (4) weeks before any required project completion deadline (e.g., 4 weeks prior to a grant submission deadline). All other requested must be submitted at least two (2) weeks before any required project completion deadline.

Authorship: It is our policy that for biostatistical service requests which result in manuscript(s), the biostatistician contribution should be recognized by manuscript co-authorship. Investigators submitting requests for statistical assistance with research grant preparation are expected to include a budget for statistical effort in the grant.

Please review the Biostatistics Core Facility Policies prior to submitting this request.

If funding from Ola HAWAII will be used to support this request, please go here.

JABSOM medical trainees (i.e., medical students, residents or fellows): If you meet the following criteria,

You are the Principal Investigator (PI) of this research project
You will be the first author of forthcoming publications related to this research project

you can directly schedule a consultation appointment through the Biostatistics Core Facility medical trainee consultation calendar (no need to submit a separate JABSOM Biostatistics Core Facility request form).

Please complete the fields below with your contact information.

NHANES (National Health and Nutrition Examination Survey)	BRFSS (Behavioral Risk Factor Surveillance System)
CMS (Centers for Medicare and Medicaid Services)	HHIC (Hawaii Health Information Corporation)
NHIS (National Health Interview Survey)	HRS (Health and Retirement Study)
MEPS (Medical Expenditure Panel Survey)	Other
N/A

[{"Id":1,"Name":"Anatomy, Biochemistry & Physiology"},{"Id":2,"Name":"Cell and Molecular Biology"},{"Id":3,"Name":"Communication Sciences and Disorders"},{"Id":5,"Name":"Family Medicine and Community Health"},{"Id":6,"Name":"Geriatric Medicine"},{"Id":7,"Name":"Medical Technology"},{"Id":8,"Name":"Medicine"},{"Id":9,"Name":"Native Hawaiian Health"},{"Id":10,"Name":"Obstetrics, Gynecology, and Women's Health"},{"Id":11,"Name":"Pathology"},{"Id":12,"Name":"Pediatrics"},{"Id":13,"Name":"Psychiatry"},{"Id":14,"Name":"Office of Public Health Studies"},{"Id":15,"Name":"Surgery"},{"Id":16,"Name":"Tropical Medicine, Medical Microbiology and Pharmacology"},{"Id":20,"Name":"Center for Native and Pacific Islands Health Disparities Research(CNPHDR)"},{"Id":23,"Name":"UH Cancer Center"},{"Id":24,"Name":"Area Health Education Center"},{"Id":26,"Name":"Quantitative Health Sciences"},{"Id":27,"Name":"Center for Cardiovascular Research"},{"Id":31,"Name":"Hawaii Center for AIDS"},{"Id":35,"Name":"Native Hawaiian Center of Excellence"},{"Id":36,"Name":"Pacific Center for Emerging Infectious Diseases Research"},{"Id":37,"Name":"SimTiki Simulation Center"},{"Id":38,"Name":"Sports Medicine"},{"Id":39,"Name":"Telehealth Research Institute"},{"Id":40,"Name":"Hawaii Residency Programs, Inc."},{"Id":44,"Name":"Assessment office"},{"Id":45,"Name":"Clinical Scholar Training"},{"Id":46,"Name":"UH School/College/Hilo/West Oahu/Other Programs under UH"},{"Id":47,"Name":"UH Community College"},{"Id":51,"Name":"College of Engineering"},{"Id":52,"Name":"College of Arts & Humanities"},{"Id":53,"Name":"College of Arts & Sciences"},{"Id":54,"Name":"College of Education"},{"Id":56,"Name":"College of Tropical Agriculture & Human Resources"},{"Id":57,"Name":"Hawai'inuiakea School of Hawaiian Knowledge"},{"Id":58,"Name":"Myron B. Thompson School of Social Work"},{"Id":59,"Name":"School of Architecture"},{"Id":60,"Name":"School of Pacific and Asian Studies"},{"Id":62,"Name":"School of Nursing & Dental Hygiene"},{"Id":63,"Name":"School of Ocean & Earth Science & Technology"},{"Id":64,"Name":"School of Travel Industry management"},{"Id":65,"Name":"William S. Richardson School of Law"},{"Id":66,"Name":"Shidler College of Business"},{"Id":67,"Name":"University of Hawaii at Hilo College of Pharmacy"},{"Id":68,"Name":"University of Hawaii West Oahu"},{"Id":72,"Name":"College of Languages, Linguistics & Literature"},{"Id":73,"Name":"College of Social Sciences"},{"Id":74,"Name":"Pacific Bioscience Research Center (PBRC)"},{"Id":75,"Name":"University of Hawaii at Hilo (School of Nursing)"},{"Id":76,"Name":"Castle Medical Center"},{"Id":78,"Name":"Kaiser Permanente Medical Center"},{"Id":79,"Name":"Kuakini Medical Center"},{"Id":80,"Name":"Queen's Medical Center"},{"Id":81,"Name":"Tripler Army Medical Center (TAMC)"},{"Id":82,"Name":"HPH-Kapiolani Women's & Children's Medical Center"},{"Id":83,"Name":"HPH-Pali Momi Medical Center"},{"Id":84,"Name":"HPH-Straub Clinic & Hospital"},{"Id":85,"Name":"Non-UH Faculty"},{"Id":86,"Name":"HMSA"},{"Id":87,"Name":"HHIC\r\n"},{"Id":88,"Name":"UCLA Faculty"},{"Id":89,"Name":"Visiting Professor"},{"Id":90,"Name":"Visiting Scholar"},{"Id":91,"Name":"Director of Research"},{"Id":92,"Name":"Community Researcher\r\n"},{"Id":93,"Name":"Adjunct lecturer, post-doctoral fellow"},{"Id":94,"Name":"Nurse Practioner"},{"Id":95,"Name":"Institute of Biogenesis Research"},{"Id":112,"Name":"College of Health Sciences & Social Welfare"},{"Id":113,"Name":"UH at Hilo"},{"Id":114,"Name":"Honolulu Community College"},{"Id":115,"Name":"Kapiolani Community College"},{"Id":116,"Name":"Leeward Community College"},{"Id":117,"Name":"Windward Community College"},{"Id":118,"Name":"Kalihi Kokua Valley"},{"Id":119,"Name":"Papa Ola Lokahi (Imi Hale Native Hawaiian Cancer Network)"},{"Id":120,"Name":"Waianae Coast Comprehensive Health Center"},{"Id":121,"Name":"Waimanalo Health Center/Community"},{"Id":123,"Name":"Community Partner"},{"Id":124,"Name":"Microbiology"}]

Aging & Chronic Diseases Prevention/Management	Cardiovascular Health
Cancer Prevention & Health Recovery	Nutrition & Metabolic Health
Growth, Development & Reproductive Health	Respiratory Health
Other

Clinical & Translational Research	Basic Sciences Research
Methodological Research	Other

Native Hawaiians and/or Pacific Islanders Only (include Filipinos)	Hawaii Populations
U.S. Populations	International Populations
N/A

Study Design	Database Design & Management
Biostatistics Data Analysis	Dissemination
Education	Data Analysis Plan Development
Other	Letter of Support

INBRE	COBRE-Diabetes	COBRE-Infectious Diseases	COBRE-Biogenesis Research
Mountain West	NIH Other	State/County Government	Foundation Grant
Department Funding	RTRN	Other

JABSOM BIOSTATISTICS CORE FACILITY REQUEST FORM

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JABSOM BIOSTATISTICS CORE FACILITY REQUEST FORM

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