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Dear Colleague,

We would like to introduce you to the Canadian Cardiovascular Research Network (CCRN). We are a not-for-profit academic research organization that aims to foster basic, translational, clinical and population level research efforts and generate new knowledge to improve cardiovascular care in Canada. An additional mandate is to develop state-of-the-art knowledge integration platforms that feature multidisciplinary and inter-specialty collaboration focusing on the future of health care delivery, research and academia-industry interface. We invite you to explore our site to learn more about us.

We are now inviting physicians who have an interest or experience in clinical trials/registries, as well as participation in CME programs, to join our network of Canadian physicians who are dedicated to improving patient care through evidence based medicine. Through such a network, we will be able to more accurately identify opportunities that may be of interest to you. CCRN will then inform you of relevant research or educational opportunities that you may choose to participate in with no obligation.

Please complete the response form below to inform us of your interest in joining the Canadian Cardiovascular Research Network. The information you provide will be kept strictly confidential and will not be shared outside of CCRN.

We hope you will consider providing us your information and join our network of physicians who wish to improve cardiovascular care in Canada.

Sincerely,

Dr. Milan Gupta - Co-Medical Director

Dr. Subodh Verma - Co-Medical Director

Events and Registration

We're excited to announce the following events:

Saturday, June 8th 2013

Learn More »



Physician name: Date:

Address: City: Province: PC:

Phn: Fax: Email:

Yes, I am interested in joining the CCRN Network in order to be made aware of research and CME opportunities that may be of interest to me.

Please complete the information below about your practice in order to assist us in identifying opportunities that you may be of interest to you.

I do not wish to be contacted for research and/or CME opportunities.

Your information:
1.
General Practitioner Internal Medicine Endocrinology Nephrology
Cardiology Community Interventional Cardiology Cardiac Surgery
Academic Other -

2.
Number of years in practice: <5 5-15 16-20 >20

3.
Is your practice a solo or group practice?
Solo Group – How many physicians?
If you are part of a group practice, please indicate all other specialties represented in your office:
General Practitioner Internal Medicine Endocrinology Nephrology
Cardiology Interventional Cardiology Cardiac Surgery Rheumatology
Obstetrics Pediatrics Neurology Other -

Other onsite services:
Nurse Blood Collection Dietician Pharmacy
Echocardiogram Holter Monitoring 24 ABPM ECG
-20°C sample storage freezer

4.
Does your practice use paper or electronic medical records (EMR): Paper EMR Both
If you have EMR or an office database, are you able to search for potential study patients?
Yes No N/A

5.
Do you have experience participating in research studies? Yes No
If yes, please indicate type of study experience and number of trials you have participated in:
Registries 1 2-5 >5
Phase 2 Clinical Trials 1 2-5 >5
Phase 3 Clinical Trials 1 2-5 >5
Phase 4 Clinical Trials 1 2-5 >5

6.
Do you have a study coordinator? Yes No

7.
What type of ethics approval does your site require for outpatient trials?
Central Institutional Unknown

If your site requires Institutional approval please answer below:
How long does it take to obtain ethics approval on average?
1 month or less 2 months 3 months >3 months

For outpatient trials, do you require a separate institutional and/or departmental approval(s) in order to obtain ethics approval? Yes No
What is the cost for initial ethics approval at your site? $ Unknown