2025 Workshop on Research Methods in Supportive Oncology

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* 1. Name

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* 2. Email Address

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* 3. Office Address

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* 4. Institution

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* 5. Discipline

Psychologist

Physician- Oncologist

Physician- Palliative Care

Physician- Psychiatrist

Physician-Other

Nursing

Social Work

Other

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* 6. Current Status (Participants are required to have a doctoral degree, but some years we are able to accept students toward the end of their doctoral programs.)

Student

Post-doctoral trainee (fellow, resident, intern)

Faculty/Attending

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* 7. Have you applied for this workshop in the past?

Yes

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* 8. Please list a research mentor at your institution. If you are accepted, we will send the mentor a survey about you.

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* 9. Email Address for Research Mentor at Your Institution

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* 10. Race (please check all that apply)

White

Black of African American

Asian

Native American or Pacific Islander

Other

More than one race

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* 11. Ethnicity

Latino/a or Hispanic

Not Latino/a or Hispanic

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* 12. Please indicate if you currently have funding from any of the following organizations.

American Cancer Society

National Palliative Care Research Center

Palliative Care Research Cooperative

None of the above

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* 13. Please indicate if you a member of the following programs.

Palliative Care Research Cooperative

DFHCC/U Mass U54

None of the above

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* 14. Please upload your latest NIH biosketch. If you do not already have a NIH biosketch, instructions for creating one are available online (https://grants.nih.gov/grants/forms/biosketch.htm).

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* 15. At the workshop, participants will write a research protocol or proposal with mentorship from faculty. Please upload an abstract for the study you plan to write during the workshop. In 500 words of less, please provide the purpose and rationale for the study, the proposed study design, and general methods.

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