/mecorALAT2012_LEVEL1

Page 1

LEVEL 1

APPLICATION FORM (DUE BY August 15th, 2012)

METODOS EN EPIDEMIOLOGÍA CLÍNICA RESPIRATORIA (MECOR) MÉTODOS EM EPIDEMIOLOGIA CLÍNICA RESPIRATÓRIA (MECOR) METHODS IN EPIDEMIOLOGIC, CLINICAL & OPERATIONS RESEARCH (MECOR) November 5th thru 10th, 2012 – Pelotas, Brasil

LEVEL 1: INTRODUCTION TO CLINICAL RESEARCH METHODS Is appropriate for clinicians and academicians who are engaged in the clinical practice of respiratory and sleep medicine, public health, allergy and critical care and wish to improve their skills in clinical research and investigation. No prior experience with research is needed. The textbooks used are Epidemiology by Leon Gordis (2nd Edition, Saunders) and Research Methods for Promotion of Lung Health, published by the Union (previously the International Union Against Tuberculosis and Lung Disease). LAST NAME

FIRST NAME

NUMBER & STREET ADDRESS

APT/SUITE/ROOM

CITY

STATE

ZIP CODE

COUNTRY

HOME TELEPHONE # *** Please include country and city codes

FAX#

ATS MEMBER # (if member)

ALAT NUMBER# (if member)

E-MAIL: Important : MECOR staff COMMUNICATE with applicants by e-email. You **MUST** provide a reliable email address and check it frequently!! PLEASE WRITE CLEARLY !!

INSTITUTION/HOSPITAL/AGENCY

WORK TELEPHONE#

DEGREE


Issuu converts static files into: digital portfolios, online yearbooks, online catalogs, digital photo albums and more. Sign up and create your flipbook.