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Masterclass on the Conduct and Use of Patient-Oriented Research Registration Form

We are looking for registrants to be considered for a virtual masterclass designed to prepare future champions for the conduct and use of patient-oriented research in Ontario’s health system and future mentors to others becoming involved in the conduct and use of patient-oriented research.

The virtual masterclass is supported by the Ontario SPOR SUPPORT Unit (OSSU) with funding from the Government of Ontario and the Canadian Institutes of Health Research (CIHR).  The design of the virtual masterclass curriculum and coordination of the faculty involved in its execution are being led by the McMaster Health Forum.

Objectives
- to develop the competencies needed to support the conduct and use of patient-oriented research in Ontario
- to become familiar with the additional training and other supports available in Ontario to conduct and use patient-oriented research
- to identify ways that you, your organization and other organizations with whom you work can better support the conduct and use of patient-oriented research in the future and monitor and evaluate your efforts

Format and dates
- four virtual offerings, each 11 weeks long
- 25 February 2019 to 6 May 2019 (sessions on Mondays and Thursdays, 2:30pm to 3:30pm) [currently underway]
- 23 May 2019 to 1 August 2019 (sessions on Thursdays and Wednesdays, 12:00pm to 1:00pm)
- 9 September 2019 to 25 November 2019 (sessions on Mondays and Thursdays, 2:30pm to 3:30pm)
- 6 January 2020 to 23 March 2020 (sessions on Mondays and Thursdays, 12:00pm to 1:00pm)
- all sessions will take place online using Webex

Participation considerations

Selected registrants will receive an invitation to participate, with priority given to those who:
- have an emerging or strong interest in patient-oriented research
- have experience as one of:
        - patient or family member of a patient who has received care in Ontario's health system,
        - healthcare provider who participates in or uses (or would like to use) patient-oriented research in their clinical practice,
        - policymaker or manager who supports (or would like to support) patient-oriented research or uses it in their decision-making, or
        - researcher or research trainee who conducts (or would like to conduct) patient-oriented research
- have qualities that make them well suited to, and likely to commit to, act as champions for patient-oriented research and, when possible, to mentor others becoming involved in the conduct and use of patient-oriented research
- contribute to the diversity of the participants by virtue of the part of the province where they are from or their gender, first language, ethnocultural background, age (career stage), patient-engagement experience, and focus/interest.
You must be a resident of Ontario to be considered for participation.

Registration instructions
- Please fill out this form and click 'Submit Form'
- For more information about the virtual masterclass, visit this page: https://www.mcmasterforum.org/learn-how/training/virtual-masterclass 
- If you have any questions, contact the McMaster Health Forum at +1-905-525-9140, ext. 22121 or email us at LearnHow@mcmaster.ca 

Section One: Registrant

Please provide your contact details.

Section Two: Registration information

Please rank order the virtual masterclass offerings based on your preference and/or ability to attend all of the sessions in the respective offering. Move the offerings listed in the box on the left to the box on the right so that your first choice is at the top of the list and your last choice is at the bottom of the list.

Reason(s) for wishing to participant in the virtual masterclass?

(please comment specifically on qualities that make you well suited to, and likely to commit to, act as a champion for patient-oriented research and, when possible, to mentor others becoming involved in the conduct and use of patient-oriented research; also, please suggest where and how you are likely to play such roles in future)

Please select your regsitration type (select the most appropriate option)

Please note you will be assigned a group according to your choice, however the selection committee may move you to an alternate group if they feel such a move is a benefit to both yourself and the masterclass. If a move does occur you will have the opportunity to discuss the rationale.

Please define your 'other' registration type:

Region/nearest major city or academic health sciences centre

Please indicate your gender

Do you identify as a member of a visible minority community (e.g. South Asian, Latin American, African disapora, etc.)?

Do you identify as an Indigenous person (First Nations, Inuit, or Métis, status or non-status)?

What is your career stage?

What is your patient-engagement experience?

Briefly describe this experience.