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3.3 Third question: Has the research question

                  been previously considered or is it pioneering a

                                           new branch of study?


               Ideally, the research client with supervision by his/her supervisor or consultant should be
               able  to  answer  this  question.  It  is  indeed  their  responsibility  after  having  obtained  a
               preliminary  understanding  of  the  subject  matter  by  conducting  an  adequate  literature
               review  of  the  subject  prior  to  the  formulation  of  the  research  question(s).  What  the
               biostatistician will need to do now is to make sure the research client has a sound and valid
               justification for their proposed research area and research question(s). There are perhaps
               only  two  possible  answers  to  this  question,  namely:  either  “yes”  or  “no”.  However,
               regardless  of  whether  the  answer  is  a  “yes”  or  a  “no”,  it  will  always  affect  how  the
               subsequent statistical consultation session will proceed.

                   Most of the time, the preferred answer to this question is usually “yes” as it will
               ensure  that  the  proposed  research  topic  and  also  its  scope  of  research  are  both
               highly  relevant  since  many  previous  scholars  had  already  agreed  upon  the
               significance  of  this  proposed  study  area,  and  many  research  findings  had  already
               been published widely in this area. In this case, what the research client will have to
               do  next  is  to  decide  whether  to  delve  further  into  the  research  area,  either  by
               adopting  the  same  previous  research  design  and  also  its  proposed  statistical
               analysis, or preferably by improvising the previous research design through taking
               additional steps to further strengthen its  research methodology and the proposed
               statistical analysis.

                   On the other hand, if the answer to the third question is a “no”, then the biostatistician
               will have to carefully consider the following two possibilities. First, the biostatistician will
               have to decide whether the proposed study is truly pioneering a new branch of study or
               whether  the  research  client  did  not  manage  to  elicit  sufficient  previously  published
               information  about  this  proposed  study  because  a  preliminary  evaluation  of  the  existing
               literature was not adequately performed. It will be more likely for the research clients not
               to have conducted a comprehensive literature review of the topic if they are not a subject
               matter expert in the relevant field and/or they have very little or no prior experience in
               research.  If  this  is  indeed  the  case,  then  the  biostatistician  should  advise  the  research
               clients to first discuss the proposed research area with the subject matter experts in the
               relevant field. For instance, the junior medical doctor in a surgical department may need to
               first  discuss  about  his/her  research  proposal  with  the  surgical  specialist  or  consultant
               surgeon.

                   However, if it has been found that the proposed research is a truly pioneer study, then
               the  biostatistician  can  proceed  by  recommending  the  research  client  to  identify  other
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