The ACTA Health Economics Alongside Trials Special Interest Group (HEAT SIG) seeks to facilitate better collaboration between trialists and health economists, ensure growth of workforce capacity in health economics, and to improve clinical trial design and translation through enhanced health economics input into their planning and design. We welcome any health economists with experience or an interest in economic evaluations alongside trials to join us. Please fill in your details below and the group co-chairs will assess your application and inform you of the outcome. (Note applications are reviewed on a monthly basis).

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* 1. Salutation

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* 2. First Name

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* 3. Last Name

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* 4. State

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* 5. What is your current position?

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* 6. Employer / Institution

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* 7. Email Address

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* 8. What is your main purpose for involvement?

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* 9. What is your highest qualification?

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* 10. What year was it awarded? (if appropriate)

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* 11. Please outline your current health economic evaluation experience; in particular, if you have any trial-based health economic evaluation experience

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* 12. Please indicate the number of health economic analyses you have undertaken

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* 13. Do you focus on a specific disease or discipline area? If so, please specify:

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* 14. Are you also interested in being listed on the Find A Health Economist (FAHE) directory? Note, this directory is a contact list of senior Australian health economists with experience in economic evaluation alongside randomised trials

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* 15. Would you like to be added to our monthly ACTA newsletter to stay on top of sector news and events?

Thank you for your interest in joining ACTA HEAT SIG. We review applications on a monthly basis and will get back to you shortly.
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