BPG Working Group Expression of Interest Form Thank you for your interest in contributing to the CAMRT Best Practice Guideline (BPG) Program. BPG Working Groups support the development and review of evidence-informed guidance to support MRT practice across Canada.This form is intended to help us better understand your professional background, experience, and areas of interest to support the composition of future Working Groups. Question Title * 1. Name: Question Title * 2. Email: Question Title * 3. What discipline(s) do you currently practice in or hold credentials in? (Choose all that apply) RTT RTNM RTMR RTR Question Title * 4. Please indicate your areas of expertise or special interest that may contribute to the development and review of Best Practice Guidelines (e.g., radiation safety, person-centred care, MR safety, quality assurance, education, leadership, research, etc.). Question Title * 5. Are you currently serving on any professional committees, advisory groups, or working groups with CAMRT? Yes No If yes, please list them Next