PTS Membership Survey Proposal

Distribution of research surveys/questionnaires to health care professionals is an effective method to explore practice patterns, knowledge, etc. In order to distribute a survey to the PTS membership, the survey must first be vetted by the PTS Research Committee. Please provide the following information

First Name:
Last Name:

Please select one:

Request for "Approval as-is"
  1. We understand that some surveys may have already been administered to the membership of other medical societies, and that changes to your survey at this stage in the process might preclude a direct comparison of results between members of PTS and other organizations.
  2. If you submit your survey to us without the ability to suggest revisions, we will review it, but please be advised that we may suggest changes prior to agreeing to submit it to our membership in its present form.
Request for PTS Research Committee to "Review and suggest revisions prior to approval"
  1. We will solicit feedback from at least 2 members of the PTS Research Committee regarding your survey.
  2. We will do our best to help you improve your survey questions in order to ensure it is suitable for distribution to the PTS membership.
  3. Once you have reviewed and addressed any concerns that arise, we will consider your survey for submission to our membership.

Please select which component(s) of the PTS Membership you would like to receive your survey:
All PTS Members
Academic Researcher (PhD, MPH and Masters)
Nurses, PAs, Program Manager, Advanced Practice Nurse, Allied Health Staff
International MD, DO
International Academic Researcher (PhD, MPH and Masters)
International Nurses, PAs, Program Manager, Advanced Practice Nurse, Allied Health Staff
International EMS
International Resident/Student/Fellow
Other (please specify): (Injury Prevention, Critical Care Staff, Therapists, Advocacy, Research/Data Coordinator, Social Workers, Pharmacists)

Please upload a brief (1-2 page) letter with details of your proposal. These should include the following as bullet points:
  1. Overarching purpose and specific aims of the research study
  2. How was your survey developed and if/how it was tested for validity and reliability
  3. What is the anticipated length of time that it will take to complete the survey
  4. Data management and analysis plan
  5. IRB protocol number and its approval status (e.g., not yet submitted, pending, approved)
  6. Data confidentiality statement
  7. Outline where you expect to present and publish the findings, and how this data could be used for future work
Upload letter

Please upload a copy of your survey in an editable format for committee review:

If you have a link for the survey, please provide it below. This will allow the PTS Research Committee to test the survey prior to distribution to our membership. If a link is not yet available, please provide the complete survey information (Introduction, Questions) as an attachment to your Proposal Letter and indicate n/a in the box below.
*Please note that any entries from testing will be unreliable data and not suitable for downstream analysis.

The documents will be distributed to the members of the PTS Research Committee for vetting. A response to the investigator will be sent by the chair of the research committee within 6-8 weeks. Document submission or questions about this process should be sent by email to the PTS office to

Please note, there is a $300.00 fee for distributing a survey though PTS. Please check here to confirm acknowledgement.

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Phone: 978-927-8330 | Fax: 978-524-0498