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OBGYN Research Data Repository Request Form

Thank you for your interest in the OBGYN RDR. To help us understand your research needs, please complete this form. After completing the form, we will email you to set-up a one-hour consultation.

Please be advised that because we value scientific integrity, we do not take data build and analysis projects with deadlines less than six months before an abstract or paper submission due date.

Contact OBGYNRDR@med.cornell.edu with any questions.
Thank you!

Survey Date

* must provide value

M-D-Y

Are you seeking services for a specific deadline?

* must provide value

Yes

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Date:

* must provide value

M-D-Y

First Name:

Last Name:

Email Address:

Current Appointment:

Please specify current appointment:

First Name:

Last Name:

Email Address:

Current Appointment:

Please specify current appointment:

Project Name

* must provide value

Project Type

* must provide value

Data build only (I will do my own data analysis)

Data build and data analysis

One time summary statistics (e.g., prevalence for a power analysis)

Repeating summary statistics (i.e., data report)

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Research Question
Please describe the objective of your study and study hypotheses

* must provide value

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Primary Outcome

Disease or condition to be studied (secondary outcomes may be discussed during the consultation meeting)

* must provide value

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Exposure
Key risk factor thought to be associated with the primary outcome

* must provide value

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Explanatory variables
Other factors associated with the primary outcome (predictors/confounders/covariates)

* must provide value

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Anticipated data pull start (e.g., 1/1/2022)

* must provide value

M-D-Y

Anticipated data pull end (e.g., 12/31/2022)

* must provide value

M-D-Y

Data from which institutions?

* must provide value

Weill Cornell Medicine/NYP

Brooklyn Methodist/NYP

Queens/NYP

Anticipated scholarly product

* must provide value

Manuscript

Abstract

Grant submission

IRB submission

Summary statistics (e.g., data report)

QI Project

Other:

Do you have prior IRB approval for the proposed work

* must provide value

Any additional information?

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