Wilmer Biostatistics Center Service Intake Form

Wilmer Biostatistics Center Service Request Form

Mission: To provide biostatistical expertise in support of ophthalmologic research at the Wilmer Eye Institute. Support services are provided for Wilmer full time faculty and/or NEI funded researchers at Johns Hopkins

Director: Xiangrong Kong
Program Manager and Contact: Yanzhao(Izzie) Wang (ywang682@jhu.edu)
Biostatistics consultants: Ximin Li, Joseph Ssekasanvu, Nicolas Gasquet, Dr. Peng Huang

The WBC is currently partially supported by a P30 grant through NEI. The first 30 hours of WBC effort for a project is free after which hours will be charged at $100/hr. Service is free for requests pertaining to NEI funded projects - please provide the grant number.

NOTE: WE ARE EXPERIENCING A HIGH VOLUME OF REQUESTS AND THERE MAY BE DELAYS IN RESPONDING TO YOUR REQUEST.

Your Name:

Your Email:

Principal Investigator Name:

Principal Investigator JhedID/Email:

Which division is the Principal Investigator in:

Is the PI an Early Stage Investigator (ESI) as defined by NIH? (An ESI is a Program Director/Principal Investigator who has completed their terminal research degree or end of post-graduate clinical training, whichever is later, within the past 10 years and who has not previously competed successfully as a PD/PI for a substantial NIH independent research award.

Yes
No

Project Name (Working title of IRB, Grant or Publication submission):

Aims of this project (please briefly describe the project):

Funding source of this project:

NEI
Other NIH Institutes:
Other grants (please specify):
None

Grant # (if applicable):

IO# for billing (Only billed after >30hours):

What is the purpose for this request (check all that apply):

Publication preparation
Grant application preparation
Conference abstract preparation
Other:

Activities for which you request biostatistical input (check all that apply for this request):

Advise on study design, conceptualization, methodologies
Write up of statistical methodology
Determination of sample size/power
Data analysis
Response to reviewer's comments on statistical methods
Data management
Other, please specify:

Deadline:

Please note: Current volume of requests may impact consultation timeline.

Other Comments or Requests (e.g. if you have previously worked with a consultant on a topic related to this project, you could specify the consultant here):

Please confirm that you agree with the following (check all):

Acknowledge the P30 grant (P30EY001765) in publications emanating from WBC assistance.
Potential charges: The first 30 hours of WBC effort for a project is free after which hours will be charged at $100/hr.
To include consultants as authors when their contribution justifies co-authorship. Submission of manuscripts or grant applications requires consultants' review and explicit permission because it implies endorsement of the work.