REGISTRATION FOR CLINICAL TRIALS TRAINING COURSES

    The CANTRAIN registration is a two-step process that will ultimately give you access to the CANTRAIN Learning Management System (LMS) where all the courses and webinars are located. This registration form is sent to the National Manager of the learning stream you have selected (visit Clinical Trial Training Programs). The National Manager will contact you with log-in credentials to access the LMS.

    By completing this registration form, you acknowledge and agree that your data can be collected and securely stored in the CANTRAIN database and may be used to guide future CANTRAIN clinical trials training programs (visit Clinical Trial Training Programs).

    Once you begin the registration process, you must complete the entire form and hit “SUBMIT YOUR REGISTRATION”. If you experience any problems, contact us at: info@wecantrain.ca

    Your log-in credentials will expire after four (4) months. If required, you can request an extension of your access by emailing the National Manager of the stream (see below).

    After completion of each of the courses in the "Common Core Foundation", you will be asked to complete a brief evaluation survey to provide your feedback on the overall content and quality of each course. Following completion of this survey, you will be able to download your certificate of completion.

    All courses on the CANTRAIN platform are available free of charge.

    Title*:

    First Name*:

    Last Name*:

    Preferred Name:

    City/Town*:

    Province*:

    Preferred E-mail Address*:

    Public or private organization affiliation:
    YesNot Applicable


    Current Position (employed or volunteer, if applicable)

    Highest Level of Education Achieved:

    Have you completed ICH-GCP (Good Clinical Practice) training?

    Date of completion:


    From where:
    Your organizationSCRS (Society for Clinical Research Sites)N2 Canada (CITI Program)Other

    Have you completed Health Canada, Part C, Division 5 training?

    Date of completion:


    From where:
    Your organizationSCRS (Society for Clinical Research Sites)N2 Canada (CITI Program)Other

    Have you completed any Human Research Ethics training?

    Date of completion:


    From where:
    Your organizationSCRS (Society for Clinical Research Sites)N2 Canada (CITI Program)Tri-Council Policy Statement-Ethical Conduct for Research Involving Humans (TCPS2 2022 or before)Other

    Have you completed any other type of training relative to the conduct of clinical trials?
    NoYes

    Which one(s):
    Title:
    From where: Your organizationSCRS (Society for Clinical Research Sites)N2 Canada (CITI Program)Other

    Date of completion:

    + Another

    Title:
    From where:
    Your organizationSCRS (Society for Clinical Research Sites)N2 Canada (CITI Program)Other

    Date of completion:


    + Another

    Title:
    From where:
    Your organizationSCRS (Society for Clinical Research Sites)N2 Canada (CITI Program)Other

    Date of completion:

    How many years of experience do you have in clinical trial research? (as a qualified health professional or as patient/patient partner)

    Please describe any previous clinical trial / clinical research experience you have:

    Count: 400

    Please tell us about your clinical trial / clinical research area(s) of interest:

    Count: 400

    Please insert your LinkedIn or another weblink if you have one:

    Which of the Clinical Trials Training Program (CTTP) streams would you be most interested in?

    Stream 1: Graduate and Postdoctoral Trainees (GPT)Stream 2: Clinical Research Professionals (CRP)Stream 3: Trialists/Clinical ResearchersStream 4: Community Partners and Patients/Families

    Please note: At this time, learners from each stream have all access to the Common Core Foundation comprising of fundamental e-learning courses, including the Welcoming Orientation, Regulatory Compliance courses and the CANTRAIN Common Core Foundation Courses.

    To access the subsequent stream-specific courses, you will need to register again.

    Stream 1: Graduate and Postdoctoral Trainees (GPT)

    I am pursuing a Master’s/PhD degree or I am a postdoctoral fellow in a field of medical / health sciences, and I have an interest in pursuing a career in clinical trial research.
    YesNo

    Stream 2: Clinical Research Professionals (CRP)

    Please select the option that best reflects your current role in clinical trials / clinical research in Canada.
    I am a:

    Stream 3: Trialists/Clinical Researchers

    Please select the option that best reflects your current career development in clinical trial research in Canada:
    I am in the final year of residencyI am beginning a clinical fellowshipI am a licensed clinician (physician, nurse practitioner, pharmacist, exercise physiologist, nutritionist, social worker, etc.)I have a Master’s or PhD degree (or am in the process of completing one) in Epidemiology, Statistics, or equivalent, with an interest in pursuing a career as a methodologist in clinical trial researchOther(s)

    Interested in conducting or collaborating in clinical trial researchAlready engaged in clinical trial research

    Stream 4: Community Partners and Patients/Families

    1) Which of these most clearly represents you:
    PatientFamily memberEssential caregiverCommunity partnerMember of a health charitable organizationDisease specific and/or patient lead organizationOther

    2) Please choose the learning pathway in which you are most interested:
    Patient Research Fellow: This pathway is for patient and community partners who wish to be recognized as having an expert level of knowledge in clinical trials and to be co-partners on research projects.Patient Advocate: This pathway is for patient or community partners who wish to provide services to patients and support them in navigating the complex field of clinical trials.Patient Partner: This pathway is for patient or community partners who wish to obtain expert knowledge about patient engagement in research and understand best practices in this area.

    3a) How long have you been involved in patient engagement?

    3b) Please tell us about your patient engagement experience (e.g. in research, in clinical care, in health professional education, etc.):

    Count: 400

    4) Please list any course(s) you have taken relating to patient engagement:

    Title:

    From where:

    Date of completion:

    Title:

    From where:

    Date of completion:

    Title:

    From where:

    Date of completion:

    5) Additional comments (is there anything else you would like to share with us?):

    Count: 400

    EDIA PRINCIPLES
    Please consult: Equity, Diversity, Inclusion and Accessibility Principles

    SELF DECLARATION
    Please consult: Self-identification data collection in support of equity, diversity, and inclusion

    Select the option that best describes your current gender identity:
    Gender fluidManNonbinaryTrans manTrans womanTwo-SpiritWomanNot specified abovePrefer not to answer

    Select the sexual orientation that best describes how you currently think of yourself:
    AsexualBisexualGayHeterosexualLesbianPansexualQueerTwo-SpiritNot specified abovePrefer not to answer

    Do you identify as a person with a disability as described in the Act?
    YesNoPrefer not to answer

    Do you identify as Indigenous, that is, First Nation (North American Indian), Métis or Inuk (Inuit)? (check all that apply)
    Yes, First NationsYes, Inuk (Inuit)Yes, MétisNoDo not knowPrefer not to answer

    Select the population group(s) you identify with: (check all that apply)
    ArabBlackChineseFilipinoJapaneseKoreanLatin AmericanSoutheast AsianWest AsianWhiteOtherPrefer not to answer

    Disclaimer

    The recommendations, and e-learning and e-training resources found within the CANTRAIN website and learning management system for Clinical Trials Training are intended to inform and instruct various streams of learners and other stakeholders who are interested or deliver services related to the conduct of clinical trials.
     
    The best available and relevant evidence and science have informed the content of these courses.
     
    Patient, parents, and/or caregivers may wish to bring their healthcare and other providers’ attention to these resources when considering enrolling in clinical trials. Healthcare professionals should also consider their own judgment, and the preferences of their patients, in their decisions relating to the conduct of clinical trials.
     
    The CANTRAIN project team, designers, developers, contributors, mentors, subject / content matter experts and supporting partners shall not be liable for any damages, claims, liabilities, costs, or obligations arising from the use or misuse of these courses including loss or damage arising from any claims made by a third party.
     
    Any citations or changes must be accompanied by the statement: “Adapted from CANTRAIN curriculum with/ without permission,” according to whether or not permission was sought and/or given.

    Signature:*

    Signature date:*