CHI Knowledge Synthesis Intake Form

Thank you for your interest in the George & Fay Yee Centre for Healthcare Innovation's (CHI) Knowledge Synthesis services. To help us better understand your needs, please answer the following questions. After reviewing your request, we will schedule an initial cost-free consultation with you for further discussion.

*Name:

Position:

Institution/Organization:

Department/Unit:

*Email address:

CV sent as attachment, via email, to knowledge_synthesis@umanitoba.ca?

If you are making this inquiry as part of a research team, please tell us about your team members/ co-investigators (names, organizations):

What type(s) of Knowledge Synthesis would you like to discuss?

Please see www.chimb.ca/knowledgesynthesis for additional details on available products and services.

Do you have funding for this project?

If applicable please indicate funding agency:

If applicable please indicate funding period:

If applicable please indicate funding amount:

Do you or will you have personnel directed to this project?

If applicable, indicate the main role and time commitment for each individual:

Please briefly outline your timeline for the proposed Knowledge Synthesis project. (i.e. when would you like to receive a product or service from us?)

What is the intended outcome of this project? (e.g. peer-reviewed publication, clinical guideline, report for policymakers?)

Please fill out the following section ONLY if you are you requesting a full systematic review, rapid review, scoping review or overview of reviews.

Briefly, what is the rationale for your project (1 paragraph):

What is your research question or project objective? (PICOSS format preferred: Population, Intervention/ Exposure, Comparator, Outcomes, Settings, Study designs)

Are you aware of any publications that would potentially meet the inclusion criteria for your review or can be included in your knowledge synthesis project?

Are there existing systematic reviews that address your research questions? If yes, please provide citations and describe what your proposed review will add.

Thank you for completing this intake form.We will review the information provided and follow up with you.

Powered by SimpleSurvey