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Project Summary Letter

To: Investigators with potential DGIM research projects

From: Pamela Ling, MD, Director of DGIM Research Programs

Date: April 28, 2016

Thank you for inquiring about research studies that are potentially based within DGIM or wish to recruit participants from our medical practice. The purpose of this letter is to inform investigators about our procedures to obtain DGIM faculty approval for recruitment of participants from our practices. We would also like to describe what resource are and are not available within the Division.

The Division of General Internal Medicine at Mt. Zion campus has a long history of clinical research by both our own investigators and non-DGIM investigators recruiting from our practice. Currently, in General Medical Practice we follow approximately 27,000 patients. These patients are seen by 46 faculty physicians, 30 primary care resident physicians, 28 categorical resident physicians, and 6 nurse practitioners.

The patients represent a diverse ethnic mix, with a majority non-White: 49% White, 24% Asian/Pacific Islander, 15% Latino, 11% African-American, and 1% American Indian.

The payor mix is also diverse: 38% capitated insurance plans, 24% commercial insurance, 16% Managed Medi-Cal and the remainder a mix of Managed Medicare, Standard Medi-cal, Standard Medicare, and self pay.

Administrative and clinical data are available from the UCSF medical center's computerized information system (APEX) by contacting staff at the UCSF Integrated Data Repository through the My Research environment.

To better utilize DGIM patients and resources, we strongly encourage outside investigators to consider formal collaborative relationships with DGIM faculty, fellows, and residents. DGIM research faculty may also be available to discuss methodologic issues.

We welcome outside proposals that wish to recruit from our patient population and would like to improve our ability to quick respond to requests. Our goal is to review potential projects and notify investigators within three weeks of receipt of the complete application packet. In return, we ask that Investigators keep us updated on the status (and results) of their projects. The review process will not begin until the following has been submitted to us: Practice Impact Survey (please submit as soon as possible before the rest of the materials), the final protocol, IRB approval letter, and the one page DGIM Project Summary (download here). Recruitment materials, questionnaires, and other instruments should be submitted if available. Lastly, we require that you periodically update us as to the status of your project and agree to notify us when recruitment is completed.

All applications and administrative questions should be directed to Katie Mak in the DGIM Administrative Office, tel: (415) 353-7931, fax: (415) 514-8666, e-mail: Katie.Mak@ucsf.edu. Please contact Dr. Pamela Ling directly with other questions or issues: Pamela.Ling@ucsf.edu

DGIM Project Summary (1 page preferred, 2 pages maximum)

Name of Project:

Investigator(s). (Include phone numbers and email address, indicate PI and primary contact)

Research Questions(s):

Brief Background/Significance:

Inclusion/Exclusion criteria (list):

Method of Contact/Recruitment (be specific):

Benefits/Burden for participants (clearly identify potential for harm):

Any benefits or burden to DGIM practicioners?

Timeline for recruitment (projected start and stop dates):

Funding Source:

Potential for DGIM collabrators? (We encourage DGIM resident and fellow involvement in particular):

Do you agree to notify us when recruitment is completed?

Date form completed?

This letter is available for download here.