The code block below illustrates how one might use # and // as comments in your logic and calculations.

This value you provided is not a number. Please try again.

This value you provided is not an integer. Please try again.

The value entered is not a valid Vanderbilt Medical Record Number (i.e. 4- to 9-digit number, excluding leading zeros). Please try again.

The value you provided must be within the suggested range

The value you provided is outside the suggested range

This value is admissible, but you may wish to double check it.

The value entered must be a time value in the following format HH:MM within the range 00:00-23:59 (e.g., 04:32 or 23:19).

This field must be a 5 or 9 digit U.S. ZIP Code (like 94043). Please re-enter it now.

This field must be a 10 digit U.S. phone number (like 415 555 1212). Please re-enter it now.

This field must be a valid email address (like joe@user.com). Please re-enter it now.

The value you provided could not be validated because it does not follow the expected format. Please try again.

Required format:

nznTkkAD3ahANLLDbZweIsiBrFQ6LWsCsHup4oIak2NbCXboPNTqkPV42GZfAr5QsAMLPhfrbTw5VfKsrYcPHxP

Research Rx - The Research Wizard

The Research Initiation Wizard is a web-based tool that uses branching logic to determine the steps necessary to initiate a research project at UT Southwestern. Through a series of questions and answers, this tool will be able to produce a checklist of the forms, systems and approvals necessary to manage and execute your project successfully.

NOTE: Please Print your results before you submit to save a record of your materials.

Do you have funding in place for your new project?

* must provide value

Yes

reset

1a)

Do you have departmental funding for this project?

Yes

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1b)

Is this funding from a research grant award?

Yes

reset

1c)

Is this funding from an industry sponsored clinical trial?

Yes

reset

1d)

Do you have a Clinical Trial Agreement (CTA) in place for this project?

Yes

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2a.

Do you plan to apply for a grant?

Yes

reset

2b.

Do you plan to apply for an industry sponsored clinical trial?

Yes

reset

Have you identified a sponsor for this project?

Yes

reset

3a)

Is your project Basic Science/Animal Research?

Yes

reset

3b)

Is your project Human Research?

Yes

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3c)

Is your project human research and you need help building a protocol and a budget?

Yes

reset

Will your project involve human subjects?

* must provide value

Yes

reset

4a)

Do you have Institutional Review Board (IRB) approval in place for this project?

Yes

reset

4b)

Will your project involve clinical services?

Yes

reset

Will you be using animal subjects in your project?

Yes

reset

5a)

Do you have IACUC approval in place for this project?

Yes

reset

Will you be using radioactive, biological, or chemical materials/agents in your project?

* must provide value

Yes

reset

6a)

Do you have approval from the Biological and Chemical Safety Advisory Committee (BCSAC) to conduct research using the following hazardous materials/agents:
â€¢ pathogenic/infectious microorganisms/materials including virus, bacteria, fungi, protozoan, or prions?
â€¢ bio-toxins, carcinogens, mutagens, teratogens, or highly toxic chemicals?
â€¢ human material?

Yes

reset

6b)

Do you have approval from the Radiation Safety Committee and the Radiation Safety Officer to conduct research using radioactive materials?

Yes

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Will you be using Organisms/Materials classified as Select Agents or Toxins? If so, are these agents registered with the Responsible Official (RO) for the UT Southwestern Select Agent and Toxin Program and approved for use by the Biological and Chemical Safety Advisory Committee (BCSAC).

* must provide value

Yes

reset

Will you be using recombinant DNA or does your project involve the genetic modification of organisms? If so, do you have approval from the Institutional Biosafety Committee (IBC) to conduct research with recombinant DNA or to genetically modify organisms?

Yes

reset

Does the study involve any of the following: 1) cancer patients, their caregivers or relatives; 2) cancer prevention; 3) assessing cancer epidemiologic, imaging or biological markers for early detection or risk stratification?

* must provide value

Yes

reset

10.

Does your project involve work, materials, or collaborations outside of the United States?

* must provide value

Yes

reset

11.

Will you be performing any activities at University Hospitals and/or Clinics, Parkland or Childrens Medical Center?

* must provide value

Yes

reset

12.

Are you sure that there are a sufficient number of research subjects within the UT Southwestern patient population that meet your draft study enrollment criteria?

Yes

reset

13.

Do you plan on utilizing either a survey or Electronic Data Capture (EDC) forms in your project to gather study-related data?

Yes

reset

NOTE: Please Print your results before you submit to save a record of your materials.

To learn more about conducting research at UT Southwestern, please visit:

The UT Southwestern Research Portal

To learn more about Research Programs offered at UT Southwestern, please visit:

The UT-STAR Portal

FUNDING 1: You indicated that you have departmental funding for this project. If you need to have a new account set-up, please contact your Department Administrator to set-up a new account with the Office of Post Award Administration. If you do not need to have a new account set-up, nothing else is required.

FUNDING 2: You indicated that you have outside funding already in place for this project, nothing else is required.

FUNDING 3: You indicated that you have identified an industry sponsor for your non-human research. You will need to contact the Office for Technology Development, Cooperative Research to initiate a new Sponsored Research Agreement (SRA). Please send an email with details of your project and sponsor to CooperativeResearch@UTSouthwestern.edu More information about Cooperative Research can be found at http://utswtechdev.org/index.php/cooperative-research/sponsored-research-agreements-and-collaborations.

FUNDING 4: You indicated that you have identified an industry sponsor for your human research. To initiate a new Clinical Trial Agreement you will need to complete the OGM1 (Research Contract) form and Clinical Trial Worksheet in the ERGO system. Please click here, ERGO to access these forms. If you have additional questions, please contact the Office of Research Grants and Contracts at ClinicalTrials@UTSouthwestern.edu. More information about Research Contracts can be found at http://utsouthwestern.edu/utsw/cda/dept238840/files/320770.html.

FUNDING 5: You indicated that you need to apply for a grant for a non-human research project. You will need to complete the OGM1 form in the ERGO system. Please click here, ERGO to access the OGM1 form. More information about the Office of Research Grants and Contracts can be found at http://www.utsouthwestern.edu/utsw/cda/dept29530/files/41331.html.

PROTOCOL: You indicated that your project involves humans and that you need assistance in building a protocol or budget. These can be built in the Velos Clinical Trial Management System. Please click here, VELOS to access the Clinical Trial Management System. More information about Velos can be found at HERE .

IRB 1: You indicated that you already have IRB approval for this project. Please note, if you need to make any changes to your original IRB protocol, you will need to submit a modification of your protocol to the IRB for approval. IRB approval of your modification can be done via the eIRB system. Please click here, eIRB to access the eIRB system. More information about the IRB can be found at http://www.utsouthwestern.edu/utsw/cda/dept31018/files/41623.html.

IRB 2: You indicated that you do not have IRB approval for this project. You will need to get IRB approval by submitting the details of your project via the eIRB system. Your project must first be registered in Velos before it can be submitted through eIRB. Please click here, VELOS to register your study in Velos. More information about Velos can be found at HERE .

For more information about current IRB procedures please go to http://www.utsouthwestern.edu/utsw/cda/dept31018/files/41623.html.

COVERAGE ANALYSIS 1:You have indicated that your project will involve clinical patient services. You will need to submit a Clinical Trial Coverage Analysis for this project. For more information about the Coverage Analysis process please contact a coverage analyst within the Central Coverage Analysis Group: Mary Jo Cascardo (214) 648-2238, Sharon Haynes (214) 648-6081, Ann Heard-Sakhaee (214) 648-2242, Marsha Roberts (214) 648-6111.

COVERAGE ANALYSIS 2: You indicated that there will be no clinical patient sevices associated with your project. No further action is needed.

IACUC 1: You indicated that you already have IACUC approval for this project. Please note, if you need to make any changes to your original IACUC protocol, you will need to submit a modification of your protocol to the IACUC for approval. IACUC approval of your modification can be done via the eSIRIUS system. Please click here, eSIRIUS to access the eSIRIUS system through ERGO. More information about the IACUC can be found at http://www.utsouthwestern.edu/utsw/cda/dept41600/files/54634.html.

IACUC 2: You indicated that you do not have IACUC approval for using animals in this project. You will need to get IACUC approval by submitting the details of your project via the eSIRIUS system. Please click here, eSIRIUS to access the eSIRIUS system through ERGO. More information about the IACUC can be found at http://www.utsouthwestern.edu/utsw/cda/dept41600/files/54634.html.

EHS6a: You indicated that you already have the appropriate BCSAC approval(s) in place for this project. Please note, if you need to make any changes to your original submissions to the BCSAC or if your registration has expired, you will need to submit a modified Hazard Registration to Environmental Health and Safety (EH&S). You can obtain approval by submitting the details of your project via PDF forms, which can be found at:
http://www.utsouthwestern.net/intranet/administration/environmental-health-safety/safety/biological-chemical/hazardous-agents/hazard-registration-assistance.html

If you will need to acquire these hazardous materials/agents, you must have the required UDSA permit(s) and MTA(s). If you do not and you need assistance acquiring a USDA permit please contact the Biosafety Officer (214) 645-8341.

EH&S 2: You indicated that you do not already have Environmental Health and Safety (EH&S) approval(s) for this project. You will need to get those approvals by submitting the details of your project via paper forms which can be found at http://www.utsouthwestern.edu/utsw/home/admin/ehs/.

EHS7: You have indicated that, you have notified the RO and obtained BCSAC approval. Please note, if you need to make any changes to your original submissions to the BCSAC or if your registration has expired, you will need to submit a modified Hazard Registration to Environmental Health and Safety (EH&S). You can obtain approval by submitting the details of your project via PDF forms, which can be found at:
http://www.utsouthwestern.net/intranet/administration/environmental-health-safety/safety/biological-chemical/hazardous-agents/

If you will need to acquire the Select Agents or Toxins, you must have the required Division of Select Agents and Toxins (DSAT) transfer forms, UDSA permits, and MTA. If you do not and you need assistance acquiring these documents please contact the RO (5-8341) .

EHS7: You have indicated that you do not have BCSAC approval to use:
â€¢ hazardous materials/agents
â€¢ Select Agents and Toxins

Please note that you are not allowed to conduct any research with these agents until you have obtained BCSAC approval, and registered with the RO. You will need to submit a Hazard Registration to EH&S. You can obtain approval by submitting the details of your project via PDF forms, which can be found at:
http://www.utsouthwestern.net/intranet/administration/environmental-health-safety/safety/biological-chemical/hazardous-agents/hazard-registration-assistance.html

EHS8: You indicated that you already have the appropriate IBC approval(s) in place for this project. Please note, if you need to make any changes to your original submissions to the IBC or if your registration has expired, you will need to submit a modified Hazard Registration to Environmental Health and Safety (EH&S). You can obtain approval by submitting the details of your project via PDF forms, which can be found at:
http://www.utsouthwestern.net/intranet/administration/environmental-health-safety/safety/biological-chemical/hazardous-agents/hazard-registration-assistance.html .

EHS8: You have indicated that you do not have IBC approval to use recombinant DNA or to genetically modify organisms. Please note that you are not allowed to conduct any research with recombinant DNA or genetically modify organisms until you have obtained IBC approval. You will need to submit a Hazard Registration to EH&S. You can obtain approval by submitting the details of your project via PDF forms, which can be found at:
http://www.utsouthwestern.net/intranet/administration/environmental-health-safety/safety/biological-chemical/hazardous-agents/hazard-registration-assistance.html

TECH DEV: You indicated that you will be transferring research materials in relation to this project. You will need to submit the details of your transfers to the Office for Technology Development, Cooperative Research via the MTA (Material Transfer Agreement) form found in iAIM. Click this link, MTA, log in with your UT Southwestern ID and password, and proceed through the forms submission there. More information about Cooperative Research can be found at http://utswtechdev.org/index.php/cooperative-research/material-transfer-agreements.

REGULATORY: Your responses indicate that you have no regulatory approvals or compliance submissions to be filed prior to the initiation of this project.

SCCC: You indicated that you will be conducting this new cancer research project under the umbrella of the Simmons Comprehensive Cancer Center . In order to do so, you must submit an application for PRMC (Protocol Review and Monitoring Committee) approval. To learn more and download the form, go to http://utsouthwestern.net/intranet/departments-centers/cancer/protocol-submission-process.html

EXPORT CONTROLS: Please consult with Institutional Compliance to determine whether an export controls license is necessary for your research project.

PERFORMANCE SITE: Performance Site Approval is required Please submit an NR3 form via ERGO .

utCRIS1: You indicated that you are unsure whether or not you may have a sufficient number of research subjects at UT Southwestern. You may utilize the utCRIS Study Feasibility application via the Clinical Research Data Warehouse (i2b2) to review your criteria to determine how many potential subjects may be eligible.
You may also wish to consult with the Division of Biostatistics in The DCS and link for estimation of sample size requirements.

utCRIS2: You indicated that you plan on using a survey or Electronic Data Capture (EDC) forms in your project to gather participant health information. You should consider using either Velos or REDCap to gather this information. For additional information and to compare the two applications, please review Choosing a Data Management System for Research to determine the best choice for your project.

NOTE: Please Print your results before you submit to save a record of your materials. Printing to PDF will keep links intact.

Print to PDF in Windows
Requirements: Adobe Acrobat Standard or above (Reader will not work)
1. On the keyboard, hit 'Ctrl+P'
2. In the Print window, select "Adobe PDF"
3. Click 'Print'
4. In the "Save PDF File As" window, choose where to save the file (i.e. Documents)
5. Either use the default filename or rename it
6. Click 'Save'

Print to PDF on a Mac
1. Go to File Menu select Print
2. Select the little triangle to drop additional choice
3. Select "Save as PDF"
4. Provide a meaningful name in the Title area
5. Click Save

You have selected an option that triggers this survey to end right now.

To save your responses and end the survey, click the 'End Survey' button below. If you have selected the wrong option by accident and/or wish to return to the survey, click the 'Return and Edit Response' button.