Title or Position
*
First Name
*
Last Name
*
Degree
E-mail Address
*
Telephone
*
Primary Institution or Affliliation
*
Tufts Medical Center
Asian Task Force Against Domestic Violence
Asian Women for Health
Baystate Medical Center
Blue Cross Blue Shield of Massachusetts
Boston Chinatown Neighborhood Center
Boston Museum of Science
Boston Public Health Commission
Brandeis University Heller School and Schneider Institutes
Carney Hospital
Center for Community Health Education, Research and Service
Center for the Study of Drug Development
Codman Square Health Center/Dorchester House Multi-Service Center
Cummings School of Veterinary Medicine
Friedman School of Nutrition Science and Policy
Immigrant Service Providers Group/Health
Jean Mayer USDA Human Nutrition Research Center on Aging
Lahey Clinic
Latin American Health Institute
Maine Medical Center
MetroWest Medical Center
New England Baptist Hospital
New England Quality Care Alliance
New England Sinai Hospital and Rehabilitation Center
Newton-Wellesley Hospital
Northeastern University Bouvé College of Health Sciences
Pfizer Inc.
RAND Corporation
Sackler School of Graduate Biomedical Sciences
School of Arts and Sciences
School of Dental Medicine
School of Engineering
School of Medicine
St. Elizabeth’s Medical Center
Tisch College of Citizenship and Public Service
Tufts Health Plan
Other
Department or Specialty
*
Address
*
City
*
State
*
Not Applicable
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District of Columbia
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Texas
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Vermont
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Washington
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Wyoming
Zip Code
*
SEMINAR OPTIONS
I would like to register for:
Morning Session (Tuesday, November 10, 2015 from 8:30am - 12:30pm)
Lunch and Poster Session (Tuesday, November 10, 2015 from 12:30pm - 1:30pm)
Afternoon Track I: Using Resesarch Process Improvement to Solve Recruitment Challenges (Tuesday, November 10, 2015 from 1:30pm - 4:00pm)
Afternoon Track II: Comparative Effectiveness Grant Teams (Tuesday, November 10, 2015 from 1:30pm - 4:00pm)
PLEASE COMPLETE THE FOLLOWING QUESTIONS:
Attendance Mode
*
In Person
Online
Area of research interest
*
Basic sciences
Clinical sciences
Health Policy
Health Services
Population Health
Other
The percentage of time you spend doing research
How did you learn about this Tufts CTSI event?
*
Tufts CTSI Website
Tufts CTSI Happenings Announcement
Tufts CTSI Sharepoint Website
Tufts University Publication
Tufts University Website
Tufts Medical Center Website
Tufts Affiliated Hospital Publication
Tufts Affiliated Hospital Website
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