Registration for Primary Health Care Research Day 2019 - Bursary Application
Step 1 of 3
 

Primary Healthcare Research Day
Bursary Application 2019

Organized by
 
Monday, June 17, 2019
8:00 AM to 4:30 PM
Collaborative Health Education Building | 5793 University Avenue
Halifax, NS  |
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BRIC NS is committed to the principles of patient engagement and recognizes the value of having patients, caregivers and people with lived experience involved in all aspects of the research process.  We have created a bursary program to make it easier for patients and caregivers to attend Primary Health Care Research Day. We have 2 bursaries available that include registration, travel costs, accommodations, and some meals.

This is an application to request one of these bursaries. Your answers don’t have to be long. A few sentences for each question is fine. Your form will be reviewed by a subset of the Primary Health Care Research Day Planning Committee. We may not be able to provide support to everyone who applies.

You can contact Jessica Nowlan at 902- 473-8037 if you have questions about the bursary.
If you are unable to complete this form via computer,
please contact eSource at 902-445-4846 to register through a confidential process on the phone.
 
Your Information
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Alternate Contact
If you are registering on behalf of someone else - fill in your contact information below so that you will be copied on any e-mails/etc pertaining to the event.
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Application
Application: PHCRD Bursary Application

Required:

Required: What is your experience with health research?
(Check all that apply)

I have participated in a research study. This could include being a participant in a clinical trial, answering a research survey, etc.
I have been a member of a Nova Scotia Health Authority (NSHA) quality team
I have been an advisor to a research team (i.e. giving advice for specific parts of a project)
I have been a member of a research team (participating in most aspects of a project from start to finish)
I do not have experience with health research
Other (please describe below):
 

If selected, please describe Other:

 

Financial support requested:

 
Required:

Registration cost

Yes
No
 
Required:

Travel (financial, logistic, etc.)

Yes
No
 

Where will you be travelling from?

 

What method of travel would you prefer in getting to/from the conference?

 

Will you need to stay overnight somewhere to attend the conference?

 
Required:

Please include any other details you wish to share.

 

Accessibility requirements:

 

Please note any accessibility requirements here:
(e.g. devices/equipment/technology required; accompanied by a personal aide, etc.)

 
Required:

Are you a part of a group that has made a submission to either display a poster and/or present a session?

Yes
No
 
Required:

What do you hope to gain from attending the conference?

 
Required:

I am interested in being contacted about other opportunities to learn about or participate in primary health care research as a patient advisor.

Yes
No
 

8:15 – 9:00 am Brewing Ideas - If interested, please select your desired topic.
You will be placed on a waiting list. Each topic is limited to 15 participants.

The purpose of this session is to provide an opportunity to create new,
collaborative research teams with the goal of creating a research question
and applying for research funding.  In this format, small groups will have
the opportunity to discuss an idea and to come up with next steps for moving
the idea forward.  BRIC NS will help these groups set up future meetings
and make connections with other people who may be interested in the topic.

How do we implement patient-centred care in primary care practice?
Patient Engagement in Knowledge Translation: Emerging Opportunities
 
Requests:

For general questions about Primary Healthcare Research Day 2019, please contact:

Jessica Nowlan
bricns@dal.ca
902-473-8037

If you require technical assistance with your online application or are unable to regsiter online, please contact:

eSource Event Registration
902-445-4846
registrar@eSourceEvent.com
9:00 AM to 4:30 PM
Monday through Friday

Please note that submitting an application does not guarantee a bursary registration to the event.
 

 

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902-445-4846