DUE study design form
The DUE study design provides an outline of the DUE that you wish to undertake and should be
completed with you preceptor. The study design also verifies that you will be completing this
option within the NITP under the guidance of your preceptor. This form and must be
submitted/uploaded to the PSA Learning Portal.
General information
Unit of competence

8.2 Engage in health, medicines or pharmacy practice research

DUE topic

Content of study (if more room is required please
attach a separate piece of paper)

Method and resources (if more room is required
please attach a separate piece of paper)

Initial comments from preceptor:

Areas to follow up:

Declaration by intern

Declaration by preceptor

I certify that this research project is my own work

I certify that my intern has participated in the above
research project and it is his/her own work

Name:

Name:

PSA/NITP ID:

Signature

Signature:

Date:

Date:

NPS PPR and DUE V 5.0 I © Pharmaceutical Society of Australia Ltd. I 13