Instructions for Completing the On-Line Registration Form
1. “Save As” with your LAST NAME as the document title.
2. You can complete the registration form on your computer by tabbing through the fields.
a. Fill in your name and any advanced degrees
b. Complete your address, along with position title, department, and organization. This makes up our
participant listing that will be distributed at the workshop.
3. Please choose an area of interest. This is important for determining the small group composition.
4. Figure out if you qualify for any discounts. We can only offer a limited number of discounts, so please call to
make sure the discount is still available.
5. Total up the workshop fees, and select a method of payment. Please make checks payable to the University of
Colorado Denver, EBHC Workshop. Our tax ID number (FEIN) is 84-6000555. If you wish to pay by Visa or
Mastercard, please contact Jennifer McIntyre Stachelski for a separate form to process your credit card. There
will be an additional charge to cover the credit card processing fees.
6. Fill out the questionnaire on page 3 of the registration form to help us assess your level of experience with
searching and with utilizing evidence-based medicine techniques in your practice setting. Please be very
realistic, even a bit cautious, about assessing your abilities.
7. Save the form with all of your information and either:
a. Attach the document to an email to Jennifer.Mcintyre@ucdenver.edu (preferred method)
b. Print it out and fax it to 303-724-4476. Please be sure to include a cover sheet addressed to Jennifer
McIntyre-Stachelski.
Thank you for your interest in the 14th Rocky Mountain Workshop on How to Practice Evidence-Based Health Care. If
you have any questions, please feel free to call Jennifer McIntyre Stachelski at (303) 724-7550.
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How to Practice Evidence-Based Health Care Registration Form
Please complete and return the registration form and workshop fee(s) to: EBHC Workshop, University of Colorado
Denver, 13001 E. 17th Place, B-119, Aurora CO 80045. For more information please call (303) 724-7550 or email
Jennifer.McIntyre@ucdenver.edu.
Please type or print clearly
Name, Degree:
Position/Title:
Department:
Organization:
Address:
City, State/Region:
Country, Postal Code:
Phone:
Email:
Field, specialty or area of interest:
Family Medicine
Geriatrics
OB/GYN
Pediatrics
Health Policy/Policy Making
Emergency Medicine
Pharmacy
Nursing
Internal Medicine
Public Health
Physical Therapy
Other (specify):
Guidelines Development
Tuition: All prices in US Dollars Tuition includes EBHC 2012 Workshop registration, extensive course materials, and
meal, break and reception functions associated with the workshop. Food and beverage functions may, or may not,
include alcohol as a part of the event.
How to Practice Evidence-Based Health Care Workshop: July 22-26, 2012
Individual Registration on or before May 31, 2012
$1875
Individual Registration after May 31, 2012
$2100
Group – 3 or more persons from the same institution
$1700 each
Government Employees/Students/Residents
$1100 each
Total workshop fees:
(limited number of discounts available)
(limited number of discounts available)
If enrolling as a part of a group, please list the last names of co-registrants:
Each individual must submit their own registration form. Workshop is limited to 63 participants.
Please make checks payable to University of Colorado Denver, EBHC. (FEIN 84-6000555)
If you wish to pay by Mastercard or Visa, please request a credit card payment form.
I have a disability and may require accommodation in order to fully participate in this activity. (You will be contacted
to make arrangements.)
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In order for us to best assign you to a small group, we need you to answer a few questions about your experience.
In the past year, how often have you done literature searches looking for evidence to solve a clinical question?
0
1 – 2 times
3 – 4 times
5 or more times
How often did you find evidence to answer your clinical questions?
0
1 – 2 times
3 – 4 times
5 or more times
How comfortable are you with your ability to critically appraise evidence you have identified and used in the past year?
Not very comfortable
Somewhat comfortable
Fairly comfortable
Very comfortable
Please rate your familiarity with each of the following topics:
Not very familiar
Somewhat familiar
Fairly familiar
Very familiar
The Cochrane Library
Best Evidence or ACP Journal Club
Critical Appraisal of the Evidence Literature
Using “expert search” techniques
Using “clinical queries” in PubMed
Using MeSH (Medical Subject Headings)
Exploding MeSH
Using Boolean Operators (And, Or, Not)
Using Publication Types
Using Age Limits
The difference between subheadings and
subject headings
Please rate your familiarity with each of the following topics:
Not very familiar
Somewhat familiar
Fairly familiar
Very familiar
Study design
Basic statistics
Clinical trial design
Clinical trial interpretation
Sources of bias in literature
Design of screening programs
Evaluation of diagnostic tests
Prospective study design
Retrospective study design
Confounding & adjustment
Economics in clinical studies
Calculation of odds ratios, relative & attributable
risk, number needed to treat
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