Application form for the EULAR 2018 Epidemiology Course

Berlin, June 29-30 2018

This two day course is aimed at young European rheumatologists/HPR/researchers with some experience in epidemiology/outcomes research. It is a selective course, with competitive admission. Applicants will be selected based on their age (the course is aimed at participants below 40), curriculum vitae andgeographic diversity. Applicants should have at least some previous knowledge of research and of statistics/epidemiology, as this is an intermediate/advanced course.

The main goal of the course is to increase the interest, knowledge and skills of young researchers in epidemiology and outcome measures, and stimulate critical thinking in the design and reading of research studies. Furthermore, the course will also allow young researchers to get together, which will facilitate future collaborations; as well as interact with the prestigious speakers.

The course willfurther focus on interactive learning and practical training, as reflected in the time dedicated for discussion and workshops.

Please note that the course is run entirely in English: a high level of English is mandatory.

The application deadline is April 6, 2018, confirmation of participation will be sent by email by mid-April2018.For more information, please refer to the course description:

Please fill in the form below (where boxes exist they can be checked by double-clicking the box and choosing the option checked)and send it to:

Mrs Gaëlle Notzli, c/o MCI Suisse SA

Phone:+41 22 33 99 628

E-mail:

Please indicate as header:

Epidemiology Course Berlin 2018

GENERAL DATA
Name:
Year of birth:
Gender:
Nationality:
Email:
Alternative email (optional):
Telephone:
Current position:
Work affiliation, institution and country:
Name of Head of Department:
STATISTICAL/EPIDEMIOLOGY KNOWLEDGE
Have you had previous training in statistics and/or epidemiology? Yes No
Have you had previous training in outcomes research? Yes No
If yes to any of the above questions, please explain (maximum 100 words):
Have you ever done, yourself, a multivariable analysis?
Yes No What´s that?
Which statistical software do you usually use?
Excel SAS PowerPoint Stata SPSS Other, which one? ______
CURRICULUM VITAE
Main diplomasand year:
Current activities:
% time spent for clinical work:
% time spent for research:
Grants and awards:
International experience:
Are you a member of EMEUNET? Yes No
Have you already participated in a EULAR project or a EULAR workgroup?
Yes No
If yes please explain:
Publications or oral presentations at major congresses (maximum 10 in total; if more than 10 please choose only 10):
WORKSHOP CHOICE- please rate the following workshops according to your order of preference, from 1 (preferred) to 3 (non-preferred); please note that we may not be able to satisfy all workshop preferences.
Workshop / Order of preference
Workshop 1: Validity of outcome measures – practical approach
Workshop 2: Responsiveness
Workshop 3: Reliability
PERSONAL STATEMENT (please explain here in maximum 100 words, what this course will bring you and why you want to come)
DID YOU APPLY for the EULAR Epidemiology course in previous years? YES NO
If yes, did you attend the EULAR Epidemiology in previous years? YES NO
If yes, in which year did you previously attend the course?
2012 2013 2014 2015 2017
BURSARY
Are you applying for a EULAR bursary? Yes No
If yes, please apply online (
EULAR COURSES
Which EULAR courses have you already done? (3 options)
Participated in / Heard of / Not heard of
E-learning
EULAR On-line Course on Rheumatic Diseases / ☐ / ☐ / ☐ /
EULAR On-line Course on Connective Tissue Diseases / ☐ / ☐ / ☐ /
EULAR On-line Course on Systemic Sclerosis / ☐ / ☐ / ☐ /
EULAR On-line Introductory Ultrasound Course / ☐ / ☐ / ☐ /
EULAR / PReS On-line Course in Paediatric Rheumatology / ☐ / ☐ / ☐ /
EULAR On-line Course for Health Professionals / ☐ / ☐ / ☐ /
Training DVDs / ☐ / ☐ / ☐ /
EULAR courses and meetings
EULAR Seminar on Teaching and Learning / ☐ / ☐ / ☐ /
EULAR Postgraduate Course / ☐ / ☐ / ☐ /
EULAR Ultrasound Course / ☐ / ☐ / ☐ /
EULAR Ultrasound Trainer Course / ☐ / ☐ / ☐ /
EULAR Imaging Course / ☐ / ☐ / ☐ /
EULAR Course on Health Economics on Rheumatology / ☐ / ☐ / ☐ /
EULAR Course on Capillaroscopy / ☐ / ☐ / ☐ /
EULAR Course on Epidemiology / ☐ / ☐ / ☐ /
EULAR Course on Immunology / ☐ / ☐ / ☐ /
EULAR RODS meeting / ☐ / ☐ / ☐ /