Children's Discovery & Innovation Institute (CDI) Scientific Seminar Series: Marlin Touma, MD, PhD on 6.17.21| 12-1pm on Zoom

Please RSVP to attend. Thank you.

Visit CDI website for 2020-2021 series schedule, updates and more speaker information including flyers to share and map/directions. www.uclahealth.org/cdi

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* 1. Contact information:

First Name

Last Name

Email Address

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* 2. What is your highest degree?

MD, PhD

PhD

MD, MPH

MPH

MA or MS

BA or BS

None

Other (please specify)

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* 3. Your primary field or focus of training?

Medicine

Psychology

Dentistry

Nursing or other Allied Health

Biostatistics

Computing

Engineering

Other (please specify)

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* 4. What is your current primary affiliation?

UCLA Dept. of Pediatrics (and specify Division in Comment box below)

Other UCLA Dept., School or Center (and specify in Comment box below)

Outside Academic Institution (and specify in Comment box below)

Community Agency or Group (and specify in Comment box below)

Other (and specify in Comment box below)

Please specify affiliation

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* 5. What is your current title?

Full Professor

Associate Professor

Assistant Professor

Fellow or Postdoctoral Fellow

Medical Resident

Medical Student

Graduate Student

Undergraduate Student

Administrative/Management Staff

Other (please specify)

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* 6. Which setting best describes your current role/interest?

Mainly research (scientist, investigator, research coordinator, lab technician, etc.)

Mainly clinical practice (licensed professional, student or trainee in clinical setting, etc.)

Both research and clinical care (eg. scientist-practitioner, research physician, clinical study coordinator, etc.)

Other (please specify)

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* 7. If you do work in a research setting, what is your primary type of studies? Translation -
to HUMANS (T1), to PATIENTS (T2), to PRACTICE (T3), to POPULATION HEALTH (T4)

Basic Science & T1: Basic science (preclinical and animal studies) or very early first in human clinical trials

T2: Later phase clinical trials (drugs, devices, interventions including behavioral treatments) tested in patients

T3: Clinical research in real-world settings; dissemination/implementation and health services research

T4: Studies that improve population health; social determinants of health

Comments (optional)

Question Title

* 1. Contact information:

Question Title

* 2. What is your highest degree?

Question Title

* 3. Your primary field or focus of training?

Question Title

* 4. What is your current primary affiliation?

Question Title

* 5. What is your current title?

Question Title

* 6. Which setting best describes your current role/interest?

Question Title

* 7. If you do work in a research setting, what is your primary type of studies? Translation - to HUMANS (T1), to PATIENTS (T2), to PRACTICE (T3), to POPULATION HEALTH (T4)

* 7. If you do work in a research setting, what is your primary type of studies? Translation -
to HUMANS (T1), to PATIENTS (T2), to PRACTICE (T3), to POPULATION HEALTH (T4)