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  • Data Request Form

    CHEST WALL INTERNATION DATABASE (CIID) DATA REQUEST FOR RESEARCH
  • Prior to approval of access to CWIS Data, the principle investigator must:

    • Complete the online Research Request Form, including checking the certification/publication acknowledgement box.
    • Provide documentation of either approval or exemption of the study by the investigator’s home institution IRB.
    • Complete the online Relevant Financial Relationship Form. Requests that are submitted without completion of the Conflict of Interest Disclosure Form WILL NOT be reviewed.

    After all documents are submitted, the project will be reviewed by the Research Committee. Please expect approximately 4 weeks for a decision.

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  • Data Request Form

    Study-specific information
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  • Chest Wall Injury Society

    Disclosure of Relevant Financial Relationships
  • A conflict of interest exists when personal activities or relationships interfere (or appear to interfere) with a healthcare professional’s objectivity and judgment in doing what is best for their patient(s) or the operations of the Chest Wall Injury Society.


    Please disclose all relevant financial relationships for yourself (and spouse/significant other if applicable) for the previous 12 months. Financial relationships are those relationships in which the individual benefits by receiving a salary, royalty, intellectual property rights, consulting fee, honoraria for promotional speakers’ bureau, ownership interest (e.g., stocks, stock options or other ownership interest, excluding diversified mutual funds), or other financial benefit.


    Financial benefits are usually associated with roles such as employment, management position, independent contractor (including contracted research), consulting, speaking and teaching, membership on advisory committees or review panels, board membership, and other activities from which remuneration is received, or expected.


    Please note: CWIS considers relationships of the person to include financial relationships of a spouse or partner.

  • Disclosure

    As a reminder, there is no minimum dollar amount for relationships to be significant. Inherent in any amount is the incentive to maintain or increase the value of the relationship.
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  • Attestation

    By electronically signing my name below, I am indicating the above notation is the full and complete disclosure of current relevant financial relationships for myself (and my spouse/significant other, if applicable) and for the previous 12 months.
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  • Questions?

    If you have any questions, please email CWIS at information@cwisociety.org.
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