START (TL1) Mentored Research Training Program

Key Dates

Submission Process

The application submission process is a two-phase process.  The Pre-application in Phase I and the Application (and other required documents) in Phase 2 are submitted electronically to the CTSI office for administrative approval via the START Program. Only candidates who are recommended by the Review Committee will be invited to submit an Application in Phase II.

Phase I: Submission of Pre-application

• The Pre-application is submitted electronically to the CTSI using the START Program Application form. Applicants will need to be logged into the site with their CTSI credentials to access this form.
  • Personal Information

Applicants are to complete the requested personal information and attach a Personal Statement (2-page limit), which includes a description of their academic qualifications, prior training background, previous research experience and interest in the program.

Phase II: Responding to Invitation to Apply

• Successful candidates will be invited to complete a Research Proposal (3-page limit) and attach a Letter of Support by the primary mentor.
• Application should be submitted electronically to the CTSI using the START Program Application form (find link at TL1 Application Instructions).
• Applicants will need to be logged into the site with their CTSI credentials to access this form.

• Research Proposal

A description of a sound research project that is consistent with the candidate’s level of research development plan must be provided. Please use Arial with font no smaller than 11, single-space text with margins at least ½ inch on all sides. The research plan should be organized under the following sections:

1. Research design, methods, and aims
2. Significance
3. Approach, Feasibility, and Environment

*Plan for Data and Safety Monitoring

Studies that involve clinical trials (biomedical and behavioral intervention studies) must include a description of the plan for data and safety monitoring of the research and adverse event reporting to ensure the safety of subjects.

**Training in Responsible Conduct of Research

The applications must include a description of a program to receive formal or informal instruction in scientific integrity or the responsible conduct of research. Applications without plans for instruction in the responsible conduct of research will be considered incomplete. Candidates should consider instruction in the following areas: conflict of interest, responsible authorship, policies for handling misconduct, policies regarding the use of human and animal subjects, and data management. Document prior instruction in, and propose plans to receive, instruction in the responsible conduct of research in terms of subject matter and duration of instruction.

The candidate should consult with mentor regarding the development of this section if needed.

• Letter of Support by Mentor
  The application must include a signed statement from the primary mentor providing:

• Primary Mentor
  1. Why applicant is appropriate for the START program
  2. Resources and research environment the mentor will provide
  3. Mentor’s expectations of the START Scholar
  4. Mentor’s action plan for the project execution for the START Scholar
  5. Statement of the START Scholar’s protected time for research/research training
• The Primary mentor must agree to provide annual evaluations of the candidate’s progress for the duration of the award.

Program Requirements

• All candidates must name a Primary Mentor who, together with the applicant is responsible for the planning, direction, and execution of the research project. The mentor should be recognized as an accomplished investigator in the proposed research area and have a track record of success in training independent investigators in clinical and translational research. The candidate and mentor must describe a career development program with an emphasis on clinical and translational research that maximizes the use of relevant research, educational resources, and qualified faculty as mentors in clinical and translational research.

Applicant Eligibility Requirements

Before you apply, please note the following information.

Eligibility criteria for TL1 applicants (established by our funding source, the National Institutes of Health) are as follows:

1. Citizenship Status: At the time of appointment to the training program, individuals selected to participate in the training program must be US citizens or permanent residents of the US at the time of the award. Individuals on temporary or student visas are not eligible to apply unless they have begun the process for becoming a permanent resident and expect to be admitted as a permanent resident by the award date. Individuals on temporary or student visas are not eligible for NRSA support.
2. Education/Training: Eligible pre-doctoral and postdoctoral applicants must be currently enrolled and in good academic standing at MCW or a partnering institution in health-related graduate programs.
3. Effort: Trainees must be able to commit full-time effort in the program at the time of appointment.
4. Training Support: No individual trainee may receive more than 5 years of aggregate NRSA support at the pre-doctoral level, including any combination of support from institutional training and individual fellowship awards

TL1 Application Instructions

• Please read these instructions carefully before going online to apply. The application must be completed and submitted online at https://redcap.mcw.edu/surveys/?s=CAJJPJXMJP
• The application process is designed so that you can save your information and return to it (you will be given a code, so be prepared to save that information).
• Materials must be submitted online in PDF format.
• Please use Arial with font no smaller than size 11. Use single-space text. Margins should be at least ½ inch on all sides.
• The letters of support should be addressed to Dr. David Brousseau and Dr. Danny Thomas, incorporated into a PDF file and uploaded in the TL1 application.
• Please make sure you have completed all sections of the entire application. Incomplete applications will not be accepted. No late applications will be accepted.

Scientific Mentorship Team

Applicants will put together a two-person mentoring team.

Primary Mentor

It is expected that the applicant will identify a mentor in their area of clinical or translational research who is likely to be a member of the faculty in the applicant’s unit. Under guidance from the mentor, the applicant will further develop their proposal that describes the clinical research project to be undertaken. Your mentor is responsible for:

• Guiding and encouraging the design and execution of an original, high quality, clinical research project.
• Supervising the preparation of a final report.
• Providing career development and counseling.
• Attending CTSI Mentor training.

Your mentor should meet with you regularly at least monthly and attend occasional meetings/trainings for TL1 trainees and mentors organized by the CTSI.

Project Summary (Research Plan) (limit—3 page)

The Project Summary should not exceed 3 pages.

The proposed research must fit the following definition of clinical research and be situated somewhere on the translational research spectrum from T1 to T4. See Appendix 1 for more information.

Clinical Research: Research with human subjects that is:

1. Patient-oriented research. Research conducted with human subjects (or on material of human origin such as tissues, specimens, and cognitive phenomena) for which an investigator (or colleague) directly interacts with human subjects. Excluded from this definition are in vitro studies that utilize human tissues that cannot be linked to a living individual. It includes: (a) mechanisms of human disease, (b), therapeutic interventions, (c) clinical trials, or (d) development of new technologies.
2. Epidemiological and behavioral studies.
3. Outcomes research and health services research.

The Project Summary should be organized as follows:

(a) Research design, methods, and aims

• Provide a project summary which includes the research design, methods, and aims and objectives of the project, using language that is understandable to a scientifically or technically literate reader not in your field.g., to test a stated hypothesis, create a novel design, solve a specific problem, challenge an existing paradigm or clinical practice, address a critical barrier to progress in the field, or develop new technology.

(b) Significance

• Explain the importance of the problem or critical barrier to progress in the field that the proposed project addresses.
• Explain how the proposed project will improve scientific knowledge, technical capability, and/or clinical practice in one or more broad fields.
• Describe how the concepts, methods, technologies, treatments, services, or preventative interventions that drive this field will be changed if the proposed aims are achieved.

(c) Approach, Feasibility, and Environment

• Describe the overall strategy, methodology, and analyses to be used to accomplish the specific aims of the project. Include how the data will be collected, analyzed, and interpreted as well as any resource sharing plans as appropriate.
• Describe where the study will be conducted and how the environment with contribute to the probability of success. Discuss how the project will benefit from unique features of the scientific environment, subject populations, or collaborative arrangements.
• Discuss potential problems, alternative strategies, and benchmarks for success anticipated to achieve the aims.
• If the project is in the early stages of development, describe any strategy to establish feasibility, and address the management of any high risk aspects of the proposed work.
• Point out any procedures, situations, or materials that may be hazardous to personnel and precautions to be exercised.

Budget and Budget Justification

• Provide the annual stipend, travel expenses, tuition, training related expenses, including fringe benefits requested and a detailed description along with any cost sharing
  11 KBTL1 Trainee Budget Template14 KBTL1 Budget Justification Template

Literature Citations

Literature citations will not be included in page limits.

Supporting Materials

Transcript from Doctoral Granting Institution. Postdoctoral applicants should provide a transcript to document graduate and undergraduate education.

Additional Information

• The CTSI START TL1 Committee will make recommendations for funding of TL1 trainees: Reviewers will evaluate the applications by reviewing: the Trainee, the Training Plan, the Mentors, and the Research.
• Individual Development Plan will be required at three-month intervals.
• Appointed TL1 Trainees are not allowed to simultaneously hold another appointment or position.

Appendix 1: Research Eligibility Requirements

Before you apply, please note the following information.

CLINICAL RESEARCH AND CLINICAL TRIALS

Per regulations, Ruth L. Kirschstein TL1 awards fund clinical research, per the following definitions.

Clinical Research¹: Research with human subjects that is:

1. Patient-oriented research. Research conducted with human subjects (or on material of human origin such as tissues, specimens, and cognitive phenomena) for which an investigator (or colleague) directly interacts with human subjects. Excluded from this definition are in vitro studies that utilize human tissues that cannot be linked to a living individual. It includes: (a) mechanisms of human disease, (b), therapeutic interventions, (c) clinical trials, or (d) development of new technologies.
2. Epidemiological and behavioral studies.
3. Outcomes research and health services research.

Clinical Trial^2: A research study in which one or more human subjects are prospectively assigned to one or more interventions(which may include placebo or other control) to evaluate the effects of those interventions on health- related biomedical or behavioraloutcomes.

Types of Clinical Trials:

1. Diagnostic trials determine better tests or procedures for diagnosing a particular disease or condition.
2. Natural history studies provide valuable information about how disease and health progress.
3. Prevention trials look for better ways to prevent a disease in people who have never had the disease or to prevent the disease from returning.
4. Quality of life trials (or supportive care trials) explore and measure ways to improve the comfort and quality of life of people with a chronic illness.
5. Screening trials test the best way to detect certain diseases or health conditions.
6. Treatment trials test new treatments, new combinations of drugs, or new approaches to surgery or radiation therapy.

Phases of Clinical Trials: Clinical trials are conducted in “phases.” The trials at each phase have a different purpose and help researchers answer different questions. The CTSI TL1 program is funded by the NIH’s National Center for Advancing TranslationalScience (NCATS). The authorization for NCATS limits specific support for clinical trials only through the end of Phase IIA³. Therefore, if your research project is a clinical trial, it should fit one of the following descriptions:

Phase I trials— Tests a new biomedical intervention in a small group of people (e.g. 20-80) for the first time to determine efficacy and evaluate safety (e.g., determine a safe dosage range and identify side effects).

Phase II trials— Study the biomedical or behavioral intervention in a larger, but still limited, group of people (up to several hundred) to determine efficacy and further evaluate safety.

Phase II trials are further divided:⁴

• Phase IIa: Pilot clinical trials to evaluate efficacy (and safety) in selected populations of patients with the disease or condition to be treated, diagnosed, or prevented. Objectives may focus on dose-response, type of patient, frequency of dosing, or numerous other characteristics of safety and efficacy.
• Phase IIb (Not funded by this award): Well controlled trials to evaluate efficacy (and safety) in patients with the disease or condition to be treated, diagnosed, or prevented. These clinical trials usually represent the most rigorous demonstration of a medicine’s efficacy. Sometimes referred to as pivotal trials.
  NCATS provides the additional following distinction: “Phase IIA trials provide data for exposure-response in patients, while Phase IIBtrials [not funded by this award] provide data for dose-ranging in patients.” http://ncats.nih.gov/clinical⁵
• Phase III trials— Not funded by this award. Study to determine efficacy of the biomedical or behavioral intervention in large groups of people (from several hundred to several thousand) by comparing the intervention to other standard or experimental interventions as well as to monitor adverse effects, and to collect information that will allow the interventions to be used safely.
• Phase IV trials— Not funded by this award. Studies conducted after the intervention has been marketed. These studies are designed to monitor the effectiveness of the approved intervention in the general population and to collect information about any adverse effects associated with widespread use.

The Spectrum of Translational Health Research⁶

Per regulations, Ruth L. Kirschstein TL1 awards fund translational research that occupies a particular space on the Clinical &Translational research spectrum: T1 to T4 (excluding clinical trials from Phase IIB to Phase IV).

The application has a section where you will place your research on the spectrum and provide a two to 4 sentence justification for that placement.

Below are definitions and more information.

Translational research involves moving knowledge gained from the basic sciences to its application in clinical and community settings.This concept is often summarized by the phrases “bench-to-bedside” and “bedside-to- community” research. As the concept of translational health research has evolved with practice and time, it is clear that translational research encompasses a bidirectional continuum. For didactic purposes, translational research has often been described in phases of translation, or “T-phases.”

• T0 refers to basic scientific discovery (Not funded by this award). T0 is characterized by the identification of opportunities and approaches to health problems.
• T1 seeks to move basic discovery into a candidate health application. Research examples include: human physiology, first in humans (healthy volunteers), proof of concept, Phase 1 Clinical Trials.
• T2 assesses the value of application for health practice leading to the development of evidence-based guidelines. Research examples include: Phase 2 and Phase 3 Clinical Trials. Clinical trials IIB and following are not funded by this award.
• T3 attempts to move evidence-based guidelines into health practice, through delivery, dissemination, and diffusion research. Research examples include health services research related to dissemination, communication, and implementation; and clinical outcomes research. Phase 4 Clinical Trials are also part of T3, but are not funded by this award.
• T4 seeks to evaluate the “real world” health outcomes of population health practice. Research examples include: population level outcome studies; studies of the social determinants of health.

Source: Harvard Catalyst Pathfinder

Appendix 2: Core Competencies for Clinical and Translational Investigator Training

The task of CTSA education programs is to prepare the next generation of investigators to conduct clinical and translational research that will address the health care challenges faced in the United States. Creating a recognizable discipline centered on clinical and translational science will help build this workforce. To help establish the discipline, the CTSA Education and Career Development Key Function Committee has drafted national standards for core competencies in clinical and translational science.

The thematic competencies identify common, basic elements that should shape the training experiences of junior investigators by defining skills, attitudes and behaviors that can be shared across multidisciplinary teams of clinician-scientists. The overall goal is to create a competency-based education for training clinician-scientists that will define the discipline of clinical and translational science.

Research Methods

• Identify major clinical/public health problems and relevant translational research questions
• Identify, interpret, and critique literature and assess the state of knowledge regarding a problem
• Know how to design a study protocol for clinical and translational research
• Understand study methods, design and implementation
• Use appropriate laboratory, clinical, and population research methods
• Understand the principles of the conduct of responsible research

Analysis, Statistics, and Informatics

• Be able to use appropriate statistical methods and conduct relevant analysis
• Be competent in appropriate bioinformatics

Community & Communications

• Understand the principles of community engagement in clinical and translational research
• Navigate competently among diverse populations and cultures
• Be able to communicate scientific findings to your peers and to disseminate scientific knowledge to those outside your field, including other scientists, university administrators, policy makers, and the public

Leadership & Training

• Participate in cross-disciplinary training and mentoring
• Demonstrate leadership and professionalism
• Engage in translational teamwork

Contact Us

Program Director
David Brousseau, MD
Chief, Professor, Department of Pediatrics
Division, Emergency Medicine
dbrousse@mcw.edu | 414-266-2652

Program Co-Director
Danny G Thomas, MD, MPH
Professor of Pediatrics
Research Director Pediatric Emergency Medicine
Medical College of Wisconsin
dthomas@mcw.edu

Project Coordinator
Kristin Nord
knord@mcw.edu