Please read carefully before proceeding with the submission.

CPCR is a one-year certificate program composed of approximately 40-44 hours of didactic and interactive activities focused on research methodology and research regulatory standards. The program is specifically designed for individuals with an interest in developing their clinical research career with aspirations of obtaining research funding.

PROGRAM OBJECTIVES
At the end of this educational program, learners will be able to:
1) Describe principles of research methodology including study design, epidemiology, statistics in addition to grant writing best practices.
2) Apply principles of research methodology to their proposed research projects and to review of medical literature.
3) Describe and follow IRB, VA IRB and common rule regulations that apply to conduct of safe and ethical research.
4) Identify VA and non-VA resources that are available to conduct research.
5) Identify qualities of a high-quality research mentors and research collaborations.

PROGRAM REQUIREMENTS
Applicants must hold an BA, BS, MD, PhD, MBBS, DMD, DDS, PharmD, DNP, DC, DPhil, or equivalent post-graduate degree. Applicants must be affiliated with the VA, UCF, HCA Healthcare, or Nemours Children's Health.

Classes are held virtually every 1-2 weeks for 1-2 hours (excluding national holidays) via Zoom. Computer access and attendance with ‘video on’ is required because the class involves extensive interaction, homework review, quizzes, and hands-on computer work. Individuals who want to attend just a few classes are discouraged from applying as the educational activities for each class build on the previous class. Because the content is connected, it is difficult to understand and catch up by attending intermittently. Research career development comprises a significant portion of this program, thus preference will be given to applicants who:
· are part of a fellowship training program and for whom research training is a requirement
· interested in clinical research and need assistance with grant development and establishing a research career
· have already completed some pilot research and are interested in expanding to a larger grant o funded project
· have academic appointments that include teaching research methods to students / residents.

A certificate of completion is awarded only to participants who attend >80% of classes and assignments, and receive a passing grade on the final examination. Some learners may be able to receive CME credits.

To apply, please complete and submit this form no later than July 1, 2025. Selected applicants may be asked to complete a 15-minute virtual interview with the Program Directors. Applicants will be notified of their of their status by, July 19, 2025, and classes will start on approximately September 10, 2025.

Please answer all questions, incomplete applications will not be accepted.

This application will take approximately 10 minutes to complete and it requires an essay and that you upload your CV.


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* 1. What is your LAST Name?

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* 2. What is your FIRST NAME?

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* 3. What is your highest educational degree? Select all that apply.

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* 4. What is your specialty?

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* 5. What institution are you affiliated with?

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* 6. Please upload your most recent CV.

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* 7. At what email address would you like to be contacted?

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* 8. Do you have your supervisor's permission to participate in this class and / or block clinical duties so you can attend class?

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* 9. Please list your supervisor's name and contact email below:

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* 10. Do you have any current or prior research experience?

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* 11. Are you currently, or have you been in the past, funded to do research?

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* 12. Have you published your research in peer reviewed journals? (Case reports do not count)

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* 13. Have you completed any CITI Program Certification in Human subject research?

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* 14. In 250 words or less, please tell us why you are interested in this class and how you think you will benefit from participating. If you have future research aspirations or ongoing research projects, detail them briefly here.

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* 15. How confident or comfortable are you with...

  Not at all confident or comfortable Somewhat confident or comfortable Confident or comfortable Very confident or comfortable
Your knowledge of study design?
Your knowledge of epidemiology?
Your knowledge of statistics?
Your knowledge of IRB or research regulatory affairs?
With the peer reviewed publication process?
Your ability to establish collaborative research projects? 

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* 16. How interested are you in...

  Not at all interested Somewhat interested Interested Very interested
Conducting research?
Conducting large scale, collaborative research?
Obtaining funding for research?
Publishing in peer-reviewed journals?
Teaching about research methods?
Using your knowledge of research to practice evidence-based medicine?
Using your knowledge of research to teach evidence-based medicine?
Conducing quality assurance and quality improvement projects?

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* 17. Do you attest that you hold the adequate educational degree to participate in this program?

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* 18. Do you attest that you have permission from your supervisor to attend this class?

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* 19. Do you understand that this program involves interactive coursework, requires camera-on attendance, and requires you to complete assignments, homework, quizzes, and a final examination?

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* 20. Do you understand that this program lasts 1 year and to receive the certificate you must attend more than 80% of the classes, complete more than 80% of the assignments and pass the final examination?

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