OMB#: 0925-0648, Exp. date: 06/2024
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*Required field.
Which CTR are you affiliated with?* [select one]
Delaware CTR ACCEL Program
Rhode Island Advance-CTR
The Hispanic Alliance for Clinical & Translational Research in Puerto Rico (Alliance)
Dakota Cancer Collaborative on Translational Activity (DACCOTA)
Great Plains CTR Network
Louisiana Clinical and Translational Science (LA CaTS) Center
Mississippi Center for Clinical and Translational Research (MCCTR)
Mountain West CTR-IN
Northern New England CTR
Oklahoma Shared Clinical and Translational Resource (OSCTR)
Center for Pacific Innovations, Knowledge, and Opportunities (PIKO)
West Virginia Clinical and Translational Science Institute (WVCTSI)
Other (please
specify): [short free text]
What
institution are you primarily affiliated with?* [short free text]
Where is this
institution located?* [select one; list of US states/territories]
Which best
describes your research role?* [select all that apply]
CTR PI or other CTR leader
Other institutional leader (e.g., Director of Research Informatics)
Independent research investigator (e.g., R01 or Clinical Trial PI)
Clinical subject matter expert supporting research (not a trainee)
Technical staff (e.g., software engineering, informatics, data science, biostatistics) supporting research
Research staff (non-trainee working under an independent research investigator)
Clinical trainee (e.g., medical student, resident, fellow)
Post-doctoral researcher
Graduate student
Rate your knowledge of FHIR’s research applications before the webinar [select one]:
Not at all knowledgeable
Slightly knowledgeable
Moderately knowledgeable
Very knowledgeable
Extremely knowledgeable
Rate your knowledge of FHIR’s research applications after the webinar [select one]:
Not at all knowledgeable
Slightly knowledgeable
Moderately knowledgeable
Very knowledgeable
Extremely knowledgeable
How relevant is this webinar to your current work? [select one]
Not at all relevant
Slightly relevant
Moderately relevant
Very relevant
Extremely relevant
Will you use what you learned in this webinar in your work? [select one]
Definitely not
Probably not
Possibly
Probably yes
Definitely yes
Not
applicable—I did not learn anything new from this webinar
What, if any, factors will keep you from using the content of this webinar in your work? [select all that apply]
I need additional training in the subject matter
I will not have the resources I need
I will not be provided opportunities to use what I learned
I will not have the time to use what I learned
My work environment currently does not support using the skills I learned
The webinar content is not relevant to my current work
Other
(please specify): [free response]
What, if anything, do you plan to use from this webinar? [long free response]
How could this webinar be improved to make it a more effective learning experience? [long free response]
What part of this webinar was most helpful to your learning? [long free response]
Are there
any specific FHIR use cases or areas of research that you
are interested in exploring further? [long free response]
Are you interested in attending a future workshop on any of the following topics? [select all that apply]
Reading and writing FHIR specifications (“implementation guides”) for research
Extracting and analyzing FHIR data with a language like R or Python
Using REDCap with FHIR
Other (please specify): [free response]
Questions 15-22 display if “yes” to any option in Question 14:
What is your level of experience with FHIR specifications (often called, “implementation guides”)? [select one]
I have never seen one
I have skimmed through at least one
I have read at least one in detail
I have created
my own
What is your level of experience with R? [select one]
What is your level of experience with Python? [select one]
No experience
Minimal experience
Use regularly as part of work
Expert
If you have
experience with other statistical packages (SAS, Stata, etc.) or
programming languages, please list them here along with your level
of experience: [long free response]
Example:
-
C++, minimal experience
- PHP, use regularly
-
Perl, expert
- SAS, use regularly
What is your level of experience with REDCap? [select one]
No experience
Minimal experience
Use regularly as part of work
Expert
What are you
most interested in learning in a future workshop? [long free
response]
Is there
anything you’d like the workshop leaders to know about you
that would help you to participate in a future workshop? [long free
response]
Enter your
email address if you would like us to contact you when workshop
registration opens for any FHIR for research topic: [short free
response]
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