Fundamental principles of writing a successful grant proposal.

It is important for the field of hand surgery to develop a new generation of surgeon-scientists who can produce high-impact studies to raise the profile of this specialty. To this end, organizations such as the American Society for Surgery of the Hand have initiated programs to promote multicenter clinical research that can be competitive for fiscal support from the National Institutes of Health and other funding agencies. Crafting a well-structured grant proposal is critical to securing adequate funding to investigate the many clinical and basic science questions in hand surgery. In this article, we present the key elements of a successful grant proposal to help potential applicants to navigate the complex pathways in the grant application process.