Application
Package
Emory Mentored Clinical Research Scholars
Program (EMCRS)
(NIH K12 Program)
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Application Guidelines
EMCRS Program junior faculty candidates should submit an
application that includes the following components
and information:
- Abstract: 1 page (maximum) summary of the proposed
research project and clinical and/or translational research training goals and
activities
- Research and Training Plan (15 pages maximum, single spaced, 1 inch margins). This section should include the candidate’s specific aims and goals in the EMCRS Program, including a hypothesis driven clinical and/or translational research proposal that they would develop under the guidance of their Lead Mentor (Research Plan) as well as plans for didactic and mentored clinical and/or translational research training (Training Plan). The Training Plan should indicate the candidate's background and career goals and should also describe the faculty member at Emory who would serve as the lead mentor as well as planned schedule of interactions between the trainee and mentor (be specific and indicate frequency of meetings, types of interactions, etc). The Training plan should also include a description of the didactic training that is planned and may include electives in the 2 nd year. The Lead Mentor should be an established and successful clinical and/or translational investigator at Emory and be described in the Research and Training Plan. Potential lead mentors are listed on the EMCRS web site (www.medicine.emory.edu/EMCRS); other Emory faculty members who are successful clinical researchers are also acceptable lead mentors but would need to be approved by the EMCRS Advisory Committee. Applicants should also include detailed information on what proportion of their time would be devoted to clinical activities and what their clinical activities and responsibilities would be if accepted into the EMCRS Program.
The entire Research and Training Plan should be a maximum of 15 single spaced pages with 1 inch margins. For the specific research proposal, it is suggested to use the NIH PHS 398 format, including a section on Hypothesis and Specific Aims; Background and Significance; Preliminary Data (if any, preliminary data is not required); Research Design and Methods; Biostatistics (can be included in the Methods section); and Data Safety and Monitoring Plan (if applicable).
(NOTE: maximum of 15-pages single spaced for Research and Training Plan; a suggested format is 5 pages for the training component and 10 pages for the research plan).
- Literature Citations. Literature
cited should be listed on a separate page in a standard
bibliographic format following
the research and training plan (this does not count against
the 15 page maximum length of the research and training
plan).
- Budget. A
line item budget (salary and
fringe benefits [25% of salary
requested]), percent effort,
and allocation of technical budget
($30,000 per year) should be
included for the first two years
in the program. A budget justification
(2 pages maximum) should also
be included. The technical budget
must include funds to cover tuition
for the MSCR program in year
1. Further details on MSCR tuition
costs can be obtained
by contacting Cheryl Sroka (csroka@emory.edu
or 404-727-5096). The budget does NOT have to be on PHS398 form.
- Letters
of support from the applicant’s Lead Mentor
and Department Chair (also described in further detail above)
must be included. The letter from the Department Chair must
guarantee that the applicant will have the protected time
(equivalent to the salary support provided by the program)
to carry out clinical research training if accepted into
the EMCRS Program. The Lead Mentor’s letter should
indicate the willingness to serve as a mentor for the candidate,
their assessment of the applicant, prior trainees they have
mentored, a brief summary of the applicant’s research
proposal and a brief summary of their plans for mentoring
the applicant.
- Cover letter from the applicant:
The
cover letter should indicate the applicant’s rank
(e.g., Senior Associate, Instructor, Assistant Professor,
etc) at Emory University
as well as the name of the applicant’s lead mentor.
The candidate should also indicate their interest in pursuing
a career in clinical and/or translational investigation and agree to serve at
least one year on the faculty of an academic institution
pursuing clinical research for each year of support from
the EMCRS program. The applicant should also indicate that
they will agree to the rules of the EMCRS program (e.g.,
meet with the Program Director on an every 6 month basis
to review progress, submit annual progress reports, keep
the EMCRS Program updated on publications and receipt of
funding during and after completion of the program, plan
to complete the MSCR program, etc).
- EMCRS Program Application
Form Cover Page. The one page application form Cover
Page should also
be completed and
be the first page of the application package that is submitted.
This cover page can be found at the end of this application package.
- CVs. A NIH-style biosketch (4 page version) for the
applicant and the Lead Mentor should be
included in the application
package.
- Other Support. The PHS “Other support” form
should be completed for both the Lead Mentor and applicant.
Information on current funding as well as prior funding
should be included. This form can be downloaded from the
EMCRS Program
web site (www.medicine.emory.edu/EMCRS) or the NIH website
(http://grants1.nih.gov/grants/funding/phs398/phs398.html).
- Deadline: The deadline for receipt
of completed applications is March 1, 2007. The original
and
10 copies of the completed application package should be
delivered to Cheryl Sroka, EMCRS Program Office, Emory
University,
Room 120, 1525 Building, 1525 Clifton Road, Atlanta, GA
30322. Telephone 404-727-5096.
Selection/Review Criteria
The selection process will be carried out under the direction
of the EMCRS Advisory Committee (committee members are listed
on the EMCRS web site, www.medicine.emory.edu/EMCRS). The
EMCRS Advisory Committee has established the rules and regulations
for the EMCRS Program. The goal of the EMCRS program is to
select candidates who with proper career development and
clinical research training have potential to become independently
funded, successful and ethical patient-oriented clinical
investigators. Decisions will be based on the strength of
the application submitted by the prospective trainee, the
success and track record of the Lead Mentor in mentoring
previous junior faculty members and other trainees, and diversity
issues. Decisions of the Advisory Committee are final. Potential
applicants are encouraged to contact or meet with the Program
Director (Henry M. Blumberg, M.D.) and/or Co-Program Director
(Thomas Ziegler, M.D.) before submitting an application.
Plan for Recruitment and Retention of Underrepresented Minorities,
Women and those with Disabilities:
The EMCRS Program is committed to meeting the NIH/NCRR goal
and that of Emory University to increase the participation
of women and individuals from ethnic or racial groups underrepresented
in the biomedical and behavioral sciences. Such groups include
American Indian or Alaska Native, Asian, Black or African-American,
Hispanic or Latino, and Native Hawaiian or Other Pacific
Islander. Applications from women and minority candidates
are encouraged. In addition, accommodations will be made
to assist any individuals with disabilities so those persons
with disabilities who are qualified applicants for this program
can complete the program.
Acknowledgments
All publications derived from work supported
by the EMCRS Program/K12 award must acknowledge the Emory
Mentored Clinical Research Scholars Program and NIH K12
support (NIH/NCRR RR017643). The EMCRS Program Office
should be given reprints of abstracts and publications resulting
from this funding.
Submission dates
Applications for funding are due on March 1, 2007. Candidates
will be notified by June 1, 2007 of the status of their
application.
Funding and participation in the program may begin August
1, 2007 and all candidates accepted should begin the program
no later than September 1, 2007.
Submission Instructions: Please submit an
original and 10 copies of the entire application to Cheryl
Sroka at the
EMCRS Program Office. In addition, please submit a CD with all application materials. Support letters should be scanned and converted to PDF format.
At Emory, deliver to:
Cheryl Sroka
EMCRS Program Office
Emory University
Room 120, 1525 Building
1525 Clifton Road, NE
Atlanta, Georgia 30322
404-727-5096
Questions:
Address questions to:
Cheryl
Sroka
EMCRS Program Coordinator
MSCR/EMCRS Program Office, Room 120
1525 Building
1525 Clifton Road,
Atlanta, Georgia, 30322;
phone: 404-727-5096
e-mail: csroka@emory.edu
Henry M. Blumberg, M.D.
EMCRS Program Director
,
Professor of Medicine,
Program Director, Division of Infectious Diseases
email:
hblumbe@emory.edu;
phone 404-727-5096
Thomas Ziegler, M.D.
EMCRS
Co-Program Director
Associate Professor
of Medicine
Director, GCRC-Emory Hospital
email: tzieg01@emory.edu;
phone 404-727-5096
Application for the Emory Mentored Clinical Research Scholars
(EMCRS) Program
Print Version
Applicant’s Full Name and Degree(s):__________________________________________________
Current Title: Senior Associate ‚ Instructor ‚ Assistant Professor ‚ _________________
School, Department, and Division: ________
Address, including ZIP: _________________________________________________
_______________________________________________________________________
Office Telephone: FAX: __________________
E-Mail Address: _______________________________________________
Project Title:_________________________________________________________________________
Funding Requested in Year 1: $_____________
Lead Mentor: _________________________________________________________________
(name & degree(s) Department Division School)
Signatures: Full Name (typed or printed) Signature
Candidate _______________________ _______________________
Lead Mentor _______________________ _______________________
Division Director _______________________ _______________________
(If applicable)
Department Chair _______________________ _______________________
Emory Mentored Clinical Research Scholars Program
Room 120, 1525 Building
1525 Clifton Road
Atlanta, Georgia 30322
Ph. 404-727-5096
FAX 404-7278768
www.medicine.emory.edu/EMCRS
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