EAST GUIDELINE PROPOSAL FORM

Thank you for submitting an EAST Guideline Proposal Form.  The EAST Guidelines Committee will review all proposals biannually and will score the proposals based on the following:

• anticipated impact and importance to clinical practice
• originality
• likelihood for project completion
• proposal quality and clarity

The EAST Guidelines Committee will only approve a limited number of top-scoring proposals to proceed with development. If a proposal does not receive approval, it may be revised and resubmitted at a later time.  If you have any questions please contact Rachel Dixon, EAST's Association Manager at rdixon@east.org. 

If you need assistance in identifying a Team/Senior Advisor or any Team Members, please contact Rachel Dixon at rdixon@east.org.  Rachel will work with the EAST Guidelines Committee Leadership to help identify someone to help provide oversight and/or volunteers to join the team. 

When submitting this form this does not have to be the final draft, revisions to this proposed Guideline are able to be made as needed.

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Proposer:

Name*

First, Last, Credentials

Title/Position*

Institution:*

Email Address:*

I am a current EAST member:*

• Yes
• No

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Proposed PMG/EBR Information:

PMG/EBR Title:*

Type:*

• Practice Management Guideline (PMG)
• Evidence Based Review (EBR)

Please specify:*

• This proposal is NEW (not previously developed by EAST)
• This proposal is for update to an existing EAST PMG/EBR

Category:*

• Emergency General Surgery
• Injury Prevention
• Surgical Critical Care
• Trauma

What is the relevance of the proposed PMG/EBR to EAST's mission?*

Statement of need:*

Why does this PMG or EBR need to be updated or if new, developed?

What are the possible PICO questions?*

Please list up to five citations that may provide relevant data to answer the PICO question(s). *

Have you reviewed what is available on the proposed PMG/EMR to ensure this is not a duplicate topic?*

• Yes
• No

List citations for any existing systematic reviews &/or PMGs previously published on this topic. *

What makes the proposed PMG/EBR unique and impactful?*

Why is this important? Any gaps in available PMGs? Would new/current evidence change existing recs?

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Team Members:

Team Leader:*

Must be a member of EAST.

Why should this person be Team Leader?*

Senior Team Leader:*

Must be a member of EAST.

Why should this person be Senior Team Leader?*

Proposed Team Members:*

EAST members preferred but not required. See additional note below regarding proposed Team Members.

If applicable, please note proposed team members that are non EAST members:

Team Leader has read about the PMG process & confirms they have the bandwidth to lead this project.*

• Yes
• No

I agree to the new Guidelines Mandatory Criteria (document below) if my proposal is accepted.*

• Yes
• No

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Proposed Team Members:

• EAST members preferred but not required.
• Exceptions include trainees at any level (medical student, resident, fellow) and non-EAST members with expertise related to the PMG/EBR topic.
• All proposed team members must be contacted prior to proposal submission and should have agreed to participate in the working group.

Team Leader Request:

• Please read the "12 Steps to EAST Practice Management Guideline (PMG) Development, 2nd Edition" and answer the question above prior to submitting the proposal form.

EAST Guidelines Committee Mandatory Criteria:

• Please read the new mandatory crtieria required by the EAST Guidelines Committee "EAST Guidelines Committee - Guidelines Mandatory Criteria" and answer the question above prior to submitting the proposal form.