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Look for a gap in the literature
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Carry out a literature review (if possible, a systematic review) to identify gaps or disagreement in published work. See the CRD and website for more details.
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Ask your local NHS librarian or use the CSP library and information services for assistance with literature searching
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Think about what your research will add to your department and the hand therapy community
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Think about how your research can add to, develop or challenge the existing literature
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Consider trialing an intervention/measure in a different environment or with a different population