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CHAIN 1 - research & evidence based practice

Please complete the form below and click the 'Submit form' button at the bottom. All fields marked with '*' are mandatory.

Contact information

Title		Name*


Job title*		Organisation*


Work Address*


Postcode*		Phone*
		ext

Mobile		Fax


Email address*


How would you like to be contacted?
(You can choose more than one option) Post Phone Fax Email Text Mobile

Your role*

(You can choose more than one option)
Healthcare practitioner		Educator
Researcher		Librarian/IM&T
Manager
Other (please specify)

Your interests*

(You can choose more than one option)
Hospital medicine		Surgery
Critical care		Primary care
Public health		Care of older people
Mental health		Women's health
Child health		Pharmacy
Other (please specify)


Please specify further e.g. cardiology, district nursing, general practice, health visiting, palliative care.

Sub-groups

(Please tick in the box next to the cross-cutting subgroup and/or the special interest group you wish to join. You can choose more than one option)

Cross-cutting Sub-groups

Bereavement & Loss

Better Care Without Delays

E-learning/Informal Learning/Pre-employment Learning and Skills for Life

	Special Interest Groups
	E-learning
	Informal Learning
	Pre-employment Learning
	Skills for Life/Language Literacy and Numeracy

Equality & Diversity

Health Care Ethics

Improving patients' experience of care

Mentoring & Coaching

Patient and Public Involvement

Primary Care Researchers in Scotland

Quality Improvement

Special Interest Groups
Clinical Microsystems
Health Analysts
Health Intelligence
Healthcare Associated Infection)
Patient Safety

Self management of long-term conditions

Service improvement among allied health professionals

	Special Interest Group
	People involved in the 100 projects in the DH's AHP SI Programme

Technologies

Workplace Based Learning

	Special Interest Groups
	Knowledge and Skills Framework
	Learning and Service Transformation
	Personal Development Plans

Teaching skills Do you teach skills relevant to evidence-based practice (EBP)? (You can choose more than one option)

Critical appraisal		Implementation of EBP
Literature searching		Research

Further details

*CHAIN Members agreement

Please tell us more about your interest and/or involvement in research and evidence-based practice. Please give as much information as you can and complete as many sections as possible. This will help other CHAIN members carry out accurate, useful searches, and help us send you appropriate information.

Interests*

Activities*

Please can you tell us how you came to hear about CHAIN 1?

If you select 'other' from the above list please state how




CHAIN directories can be accessed only by CHAIN members, and are password-protected. We will send you a password once we have edited and verified your details.