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PAO 3-in-1 REGISTRATION FORMFIRST COME FIRST SERVE BASIS
Date of Registration: _____ / ______ / 11
Last Name: _____________________________________________
First Name: _____________________________________________
Middle Name: ___________________________________________
Designation: ◻ Resident ◻ Fellow ◻ Consultant ◻ Others________________
Email: ___________________________________________________
Cell phone number: ____________________________________
Hospital Affiliation: ____________________________________
___________________________________________________________
I would like to register for
◻ Research Instructional Course: P ______________ Methodological Standards for Research on Diagnosis (Sept 24)
Before Sept 10 Sept 10 to 24
Residents Php 400 600
Consultants Php 600 800
◻ PAO-Pfizer GCP Workshop: P 0 Investigator Training Program on Good Clinical Practice (Oct 6) Admission is FREE but pre-registration is required Pre-registration until September 22, 2011
◻ 1st PAO Research Camp: P _______________ A Workshop on Clinical Research Protocol Development (Oct 14-15) PRE-REGISTRATION REQUIRED
Before Sept 16 Sept 16 to 30
Residents Php 2,000 Php 2,300
Consultants Php 2,200 Php 2,500
◻ Research Wet Lab (free)
◻ Accommodation X ____ days P ______________ (see attached leaflet )
TOTAL FEES: P _____________
PAO 3-IN-1REGISTRATION PROCEDURE
1. Select the courses you like & make payment by any of the following options a. BDO Bills Payment Facility
• Use BDO Bills Payment slip ( orange form)• Fill up the blanks for the following information
Company Name: PAOInstitution Code: 0031Subscribers Acct. No: PAO3333Subscribers Full Name: Full Name of registrant
b. Check payment payable to: Philippine Academy of Ophthalmology, Inc.
c. Cash payment at the PAO office, room 815 Medical Plaza Makati, Amorsolo corner dela Rosa Streets, Salcedo Village, Makati
NOTE: For on-site registration for the instructional course, only cash payment will be accepted.
3. Submit the filled up registration form. If payment was made through BDO, submit the bank deposit slip together with the registration form.
a. Fax: 813-5331
b. Email: [email protected]
c. PAO office: Unit 815 Medical Plaza Makati, Amorsolo corner dela Rosa Streets, Legaspi Village, Makati City
The PAO secretariat may also email the form to you upon request. You may reproduce the form for your friends and colleagues.
4. Except for those who will make payments at the PAO office, you should receive confirmation of registration from the PAO secretariat by email or by text message. If you do not receive confirmation of your registration within 48 hours from the time you sent your registration, call the secretariat at 813-5318.
5. PAO will make reservations regarding accommodations for registrants to the Research Camp who would choose to stay overnight at the venue dormitory.
6. To register for the Research Wet Lab during the Research Camp, follow instructions stated under program in the attached leaflet.
For inquiries, contact the PAO secretariat:Phone: 813-5318 Email:
PHILIPPINE ACADEMY OF OPHTHALMOLOGY PHILIPPINE ACADEMY OF OPHTHALMOLOGY
3 research courses in 1 year
P A OP A O33inin11
2011 RESEARCH INSTRUCTIONAL COURSE2011 RESEARCH INSTRUCTIONAL COURSE
Methodological Standards forMethodological Standards forResearch on DiagnosisResearch on Diagnosis
Understand the principles of diagnostic Understand the principles of diagnostic
research.... research....
Increase your chances of getting fundingIncrease your chances of getting funding
by writing good proposals....by writing good proposals....
Maximize your appreciation ofMaximize your appreciation of
research & its clinical applications in theresearch & its clinical applications in the
round table discussion with perspectivesround table discussion with perspectives
from a clinician, a researcher, &from a clinician, a researcher, &
an EBM practitioner.....an EBM practitioner.....
The Philippine Academy of OphthalmologyThe Philippine Academy of Ophthalmology
invites you to Pfizer'sinvites you to Pfizer's
Investigator Training ProgramInvestigator Training Programonon
Good Clinical PracticeGood Clinical Practice
OCTOBER 6, 2011
Thursday 8:00 AM – 5:30 PMBenavidez Cancer Institute Auditorium
University of Santo Tomas, España, Sampaloc, Manila
Know the regulatory guidelinesKnow the regulatory guidelines
for research...for research...
Learn how to conduct clinical researchLearn how to conduct clinical research
safely... safely...
Increase your chances of getting your proposalsIncrease your chances of getting your proposals
approved by the IRB through good clinical approved by the IRB through good clinical
practice.... practice....
11ST ST PAO RESEARCH CAMP:PAO RESEARCH CAMP:
A WORKSHOP ON CLINICAL RESEARCHA WORKSHOP ON CLINICAL RESEARCH
PROTOCOL DEVELOPMENT PROTOCOL DEVELOPMENT
October 14 – 15, 2011
Friday to Saturday
Occupational Safety and Health Center
North Avenue corner Agham Road, Diliman, Quezon City
Discover the fun way of learning research ...Discover the fun way of learning research ...
Improve your writing skills...... Improve your writing skills......
..... leave the camp with a protocol ..... leave the camp with a protocol
September 24, 2011Saturday, 8:00 AM – 4:30 PM
Dr. Romeo B. Espiritu Auditorium5th floor Sentro Oftalmologico Jose Rizal
PGH Compound, Taft Avenue, Manila
2011 RESEARCH INSTRUCTIONAL COURSE2011 RESEARCH INSTRUCTIONAL COURSE
Methodological Standards forMethodological Standards forResearch on DiagnosisResearch on Diagnosis
SEPTEMBER 24, 2011Saturday, 8:00 AM - 4:30 PM
Dr. Romeo B. Espiritu Auditorium5th floor Sentro Oftalmologico Jose Rizal,
PGH Compound, Taft Avenue, Manila
PROGRAM
Searching for a Topic: A Researcher'sDiagnostic Dilemma
Ethical Considerations in Diagnostic Research
Study Designs for Research on Diagnostic Accuracy
Subject Specification, Selection, Sampling& Recruitment
Planning Measurements in Studies onDiagnostic Accuracy
Making Sense of Sn, Sp, ppv, npv, LR, OD & ROC
Stats that Go with Diagnostic Test
Interpretation & Clinical Application of Results of Diagnostic Test Studies
Round Table Discussion:Practical Applications of Diagnostic Research
with Perspectives from a Clinician, a Researcher,and an EBM Practitioner
Writing for Publication
Investigator Training ProgramInvestigator Training Programonon
Good Clinical PracticeGood Clinical Practice
OCTOBER 6, 2011Thursday, 8:00 AM – 5:30 PM
Benavidez Cancer Institute AuditoriumUniversity of Santo Tomas, España, Sampaloc, Manila
PROGRAM
Introduction to GCP
Planning & PreparationInvestigator Responsibilities & Resources, Interacting
with Sponsors, Pre-initiation Activities, IRB / IEC Submission, Documentation, The Initiation Visit
Recruitment & EnrollmentRecruitment & Enrollment, Entering Subjects into a Study, Randomization, Informed Consent Process
In-Trial ProceduresStudy Documentation, Data Collection, Electronic
Data Capture, Study Activities, Investigational Product, Retention & Compliance, Study Close-Out
Safety in Clinical TrialsSafety in Clinical Trials, Adverse Events,
Responsibilities, Reporting Adverse Events, Data& Safety Monitoring Board, Managing Adverse Events
Monitoring, Audits, Inspections, and PublicationQuality & Monitoring, Audits & Inspection, Publication
Additional Regulations Governing Clinical TrialsUS Code of Federal Regulations & Privacy Laws, EU
Clinical Trials Directive & Privacy Laws
11ST ST PAO RESEARCH CAMP:
A WORKSHOP ON CLINICAL RESEARCHA WORKSHOP ON CLINICAL RESEARCH
PROTOCOL DEVELOPMENTPROTOCOL DEVELOPMENT
OCTOBER 14 – 15, 2011 Friday to Saturday
Occupational Safety and Health Center
North Avenue corner Agham Road, Diliman Quezon City
PROGRAM
Step by step discussion of how to writea clinical research protocol with facilitator-guidedsmall group sessions on actual protocol writing
Research Wet Lab:Bring your protocol and consult the experts
The research wet lab is by appointment only. Those who would want to join the wet lab must inform the PAO secretariat about the sub-specialty topic and the type of study for proper matching with preceptors.
Limited slots are available for the wet lab. Reservations will be on a first come first serve basis. After you have registered, you will be given some guidelines.
RESEARCH CAMPACCOMMODATION OPTIONS
NUMBER OF AVAILABLE ROOMS MAY VARYFIRST COME FIRST SERVE BASIS
I. OCCUPATIONAL SAFETY AND HEALTH CENTER DORMITORY
LOCATION: within the compound
AVAILABLE ROOM TYPE / NUMBER: 20 rooms for 4 persons 2 rooms for 6 persons
RATE: P 1,000 per person per day
INCLUSIONS:• Bed• Air conditioning unit• Locker• Common comfort room with several cubicles for
bath rooms and toilets• 24 hour security
II. PHILIPPINE MEDICAL ASSOCIATION
LOCATION: along North Avenue within 1 kilometer away ( near SM City )
With rooms for less than P 1,000 a day
Reservation to be made by participant.
Phone: 929-6366 Cel phone: 0917-8221357
III. HOTELS OF YOUR CHOICE Reservation to be made by participant.
HOW TO GET TOOCCUPATIONAL SAFETY AND HEALTH CENTER ( OSHC )
North Avenue corner Agham Road, Diliman, Quezon City
To make use of the interactive map: 1. In Google, type < google maps Occupational Safety and Health Center Quezon City > 2. Click on the image 3. Choose your preferred view, either map or satellite view 4. Navigate within the map or satellite image
OSHCOSHC
OSHCOSHC
PMA
OSHCOSHC
MIN
DAN
AO
AV
E
CALTEX
TRINOMA
SM CITYNORTH EDSA
VETERANSMEMORIAL
MEDICAL CENTER
NORTH AVE