{"id":3929,"date":"2024-03-12T23:55:42","date_gmt":"2024-03-12T23:55:42","guid":{"rendered":"https:\/\/mernaenterprise.ca\/chct\/?page_id=3929"},"modified":"2024-03-22T15:54:06","modified_gmt":"2024-03-22T15:54:06","slug":"new-pi","status":"publish","type":"page","link":"https:\/\/mernaenterprise.ca\/chct\/new-pi\/","title":{"rendered":"New PI"},"content":{"rendered":"<div class=\"wpb-content-wrapper\">[vc_row][vc_column][vc_single_image image=&#8221;4227&#8243; img_size=&#8221;large&#8221; alignment=&#8221;center&#8221;][vc_column_text]\n<h3>New PI<\/h3>\n<p>We have partnered with world\u2019s largest pharmaceutical sponsors and CRO (Contract Research Organizations) and we are consistently looking for new sites and Principal Investigators to participate in our clinical trials. If you interested to participate in our ongoing clinical trials, we will like to know more about your site, patient population, therapeutic areas and diagnoses. Please answer the questions below to your best ability so that we can find the best possible match for you.<\/p>\n<p><strong>NOTE: The form can be filled by Individual Principal Investigator as well, if you are interested to directly participate in clinical trials. We will provide you all the required support.<\/strong>[\/vc_column_text][\/vc_column][\/vc_row][vc_row][vc_column]\n<div class=\"wpcf7 no-js\" id=\"wpcf7-f3955-o1\" lang=\"en-US\" dir=\"ltr\">\n<div class=\"screen-reader-response\"><p role=\"status\" aria-live=\"polite\" aria-atomic=\"true\"><\/p> <ul><\/ul><\/div>\n<form action=\"\/chct\/wp-json\/wp\/v2\/pages\/3929#wpcf7-f3955-o1\" method=\"post\" class=\"wpcf7-form init\" aria-label=\"Contact form\" novalidate=\"novalidate\" data-status=\"init\">\n<div style=\"display: none;\">\n<input type=\"hidden\" name=\"_wpcf7\" value=\"3955\" \/>\n<input type=\"hidden\" name=\"_wpcf7_version\" value=\"5.9.3\" \/>\n<input type=\"hidden\" name=\"_wpcf7_locale\" value=\"en_US\" \/>\n<input type=\"hidden\" name=\"_wpcf7_unit_tag\" value=\"wpcf7-f3955-o1\" \/>\n<input type=\"hidden\" name=\"_wpcf7_container_post\" value=\"0\" \/>\n<input type=\"hidden\" name=\"_wpcf7_posted_data_hash\" value=\"\" \/>\n<\/div>\n<p><label> How many doctors do you have in your practice?<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"doctors-practice\"><input size=\"40\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" autocomplete=\"doctors\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"doctors-practice\" \/><\/span> <\/label>\n<\/p>\n<p><label> Please specify the therapeutic areas of all the doctors working at your practice?<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"therapeutic-areas\"><input size=\"40\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" autocomplete=\"doctors\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"therapeutic-areas\" \/><\/span> <\/label>\n<\/p>\n<p><label> How many Nurse Practitioners do you have in your practice?<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"Nurse-Practitioners\"><input size=\"40\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" autocomplete=\"Nurse-Practitioners\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"Nurse-Practitioners\" \/><\/span> <\/label>\n<\/p>\n<p><label> What are the total number of patients seen at your practice monthly?<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"total-number-of-patients\"><input size=\"40\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" autocomplete=\"total-number-of-patients\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"total-number-of-patients\" \/><\/span> <\/label>\n<\/p>\n<p><label>What are your Theraputic Area expertise?<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"textarea\"><textarea cols=\"40\" rows=\"10\" class=\"wpcf7-form-control wpcf7-textarea wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" name=\"textarea\"><\/textarea><\/span><br \/>\n<\/label>\n<\/p>\n<p><label> Do you have a pharmacy at your place? If yes, please mention the number of pharmacists working at your practise, if no, please write N\/A.<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"pharmacy\"><input size=\"40\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"pharmacy\" \/><\/span> <\/label>\n<\/p>\n<p><label> What are the average total number of monthly prescriptions written by doctors at your practice?<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"prescriptions\"><input size=\"40\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"prescriptions\" \/><\/span> <\/label>\n<\/p>\n<p><label> Do you have separate storage space for study related materials (source documents, investigational product etc.)?<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"prescriptions\"><input size=\"40\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"prescriptions\" \/><\/span> <\/label>\n<\/p>\n<p><label>Are you willing to install new instruments at your setting, if required as per the study protocol?<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"text\"><input size=\"40\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"text\" \/><\/span> <\/label>\n<\/p>\n<p><label>How many years of Clinical Research Experience does your doctors\/Principal Investigators have?<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"text\"><input size=\"40\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"text\" \/><\/span> <\/label>\n<\/p>\n<p><label>Has your site participated in clinical trials before?<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"menu-572\"><select class=\"wpcf7-form-control wpcf7-select\" aria-invalid=\"false\" name=\"menu-572\"><option value=\"\">&#8212;Please choose an option&#8212;<\/option><option value=\"Yes\">Yes<\/option><option value=\"No\">No<\/option><\/select><\/span><br \/>\n<\/label>\n<\/p>\n<p><label>If yes, list the phase of clinical trial, Therapeutic Trial and number of patients your practice added to the trial.<\/label>\n<\/p>\n<p><label>Phase of Clinical Trial<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"textarea\"><textarea cols=\"40\" rows=\"10\" class=\"wpcf7-form-control wpcf7-textarea\" aria-invalid=\"false\" name=\"textarea\"><\/textarea><\/span><br \/>\n<\/label><br \/>\n<label>therapeutic Trial<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"textarea\"><textarea cols=\"40\" rows=\"10\" class=\"wpcf7-form-control wpcf7-textarea\" aria-invalid=\"false\" name=\"textarea\"><\/textarea><\/span><br \/>\n<\/label><br \/>\n<label>Number of patients enrolled<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"textarea\"><textarea cols=\"40\" rows=\"10\" class=\"wpcf7-form-control wpcf7-textarea\" aria-invalid=\"false\" name=\"textarea\"><\/textarea><\/span><br \/>\n<\/label>\n<\/p>\n<p><label>Which of the following best describes your site?<\/label>\n<\/p>\n<p><label>Research Centre<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"menu-572\"><select class=\"wpcf7-form-control wpcf7-select\" aria-invalid=\"false\" name=\"menu-572\"><option value=\"\">&#8212;Please choose an option&#8212;<\/option><option value=\"Yes\">Yes<\/option><option value=\"No\">No<\/option><\/select><\/span><br \/>\n<\/label>\n<\/p>\n<p><label>Public Health Clinic<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"menu-572\"><select class=\"wpcf7-form-control wpcf7-select\" aria-invalid=\"false\" name=\"menu-572\"><option value=\"\">&#8212;Please choose an option&#8212;<\/option><option value=\"Yes\">Yes<\/option><option value=\"No\">No<\/option><\/select><\/span><br \/>\n<\/label>\n<\/p>\n<p><label>Single Speciality Group Practice<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"menu-572\"><select class=\"wpcf7-form-control wpcf7-select\" aria-invalid=\"false\" name=\"menu-572\"><option value=\"\">&#8212;Please choose an option&#8212;<\/option><option value=\"Yes\">Yes<\/option><option value=\"No\">No<\/option><\/select><\/span><br \/>\n<\/label>\n<\/p>\n<p><label>Hospital<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"menu-572\"><select class=\"wpcf7-form-control wpcf7-select\" aria-invalid=\"false\" name=\"menu-572\"><option value=\"\">&#8212;Please choose an option&#8212;<\/option><option value=\"Yes\">Yes<\/option><option value=\"No\">No<\/option><\/select><\/span><br \/>\n<\/label>\n<\/p>\n<p><label>University\/Academic Centre or Institution<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"menu-572\"><select class=\"wpcf7-form-control wpcf7-select\" aria-invalid=\"false\" name=\"menu-572\"><option value=\"\">&#8212;Please choose an option&#8212;<\/option><option value=\"Yes\">Yes<\/option><option value=\"No\">No<\/option><\/select><\/span><br \/>\n<\/label>\n<\/p>\n<p><label>Independent Practice<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"menu-572\"><select class=\"wpcf7-form-control wpcf7-select\" aria-invalid=\"false\" name=\"menu-572\"><option value=\"\">&#8212;Please choose an option&#8212;<\/option><option value=\"Yes\">Yes<\/option><option value=\"No\">No<\/option><\/select><\/span><br \/>\n<\/label>\n<\/p>\n<p><label>Other (Please specify)<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"menu-572\"><select class=\"wpcf7-form-control wpcf7-select\" aria-invalid=\"false\" name=\"menu-572\"><option value=\"\">&#8212;Please choose an option&#8212;<\/option><option value=\"Yes\">Yes<\/option><option value=\"No\">No<\/option><\/select><\/span><br \/>\n<\/label><br \/>\n<label><br \/>\n<strong>PHYSICIAN\/ PRINCIPAL INVESTIGATOR DETAILS<\/strong><br \/>\n(If there are multiple principal investigators, please fill separate form for all of them) <\/label>\n<\/p>\n<p><label> Your name<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"your-name\"><input size=\"40\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" autocomplete=\"name\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"your-name\" \/><\/span> <\/label>\n<\/p>\n<p><label> Street Address<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"your-name\"><input size=\"40\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" autocomplete=\"name\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"your-name\" \/><\/span> <\/label><br \/>\n<label> City<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"your-name\"><input size=\"40\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" autocomplete=\"name\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"your-name\" \/><\/span> <\/label><br \/>\n<label> State\/Region<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"your-name\"><input size=\"40\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" autocomplete=\"name\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"your-name\" \/><\/span> <\/label><br \/>\n<label> Postal\/Zip Code<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"your-name\"><input size=\"40\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" autocomplete=\"name\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"your-name\" \/><\/span> <\/label>\n<\/p>\n<p><label> Your email<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"your-email\"><input size=\"40\" class=\"wpcf7-form-control wpcf7-email wpcf7-validates-as-required wpcf7-text wpcf7-validates-as-email\" autocomplete=\"email\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"email\" name=\"your-email\" \/><\/span> <\/label>\n<\/p>\n<p><label> Your Phone Number<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"PhoneNumber\"><input size=\"40\" class=\"wpcf7-form-control wpcf7-tel wpcf7-validates-as-required wpcf7-text wpcf7-validates-as-tel\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"tel\" name=\"PhoneNumber\" \/><\/span> <\/label>\n<\/p>\n<p><label><strong>Practice Manager Contact Details <\/strong> (Leave blank if not applicable)<\/label>\n<\/p>\n<p><label> Your name<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"your-name\"><input size=\"40\" class=\"wpcf7-form-control wpcf7-text\" autocomplete=\"name\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"your-name\" \/><\/span> <\/label>\n<\/p>\n<p><label> Your email<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"your-email\"><input size=\"40\" class=\"wpcf7-form-control wpcf7-email wpcf7-text wpcf7-validates-as-email\" autocomplete=\"email\" aria-invalid=\"false\" value=\"\" type=\"email\" name=\"your-email\" \/><\/span> <\/label>\n<\/p>\n<p><label> Your Phone Number<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"PhoneNumber\"><input size=\"40\" class=\"wpcf7-form-control wpcf7-tel wpcf7-text wpcf7-validates-as-tel\" aria-invalid=\"false\" value=\"\" type=\"tel\" name=\"PhoneNumber\" \/><\/span> <\/label>\n<\/p>\n<p><input class=\"wpcf7-form-control wpcf7-submit has-spinner\" type=\"submit\" value=\"Submit\" \/>\n<\/p><div class=\"wpcf7-response-output\" aria-hidden=\"true\"><\/div>\n<\/form>\n<\/div>\n[\/vc_column][\/vc_row]\n<\/div>","protected":false},"excerpt":{"rendered":"<p>[vc_row][vc_column][vc_single_image image=&#8221;4227&#8243; img_size=&#8221;large&#8221; alignment=&#8221;center&#8221;][vc_column_text] New PI We have partnered with world\u2019s largest pharmaceutical sponsors and CRO (Contract Research Organizations) and we are consistently looking for new sites and Principal Investigators to participate in our clinical trials. If you interested to participate in our ongoing clinical trials, we will like to know more about your site, [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"footnotes":""},"class_list":["post-3929","page","type-page","status-publish","hentry"],"_links":{"self":[{"href":"https:\/\/mernaenterprise.ca\/chct\/wp-json\/wp\/v2\/pages\/3929","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/mernaenterprise.ca\/chct\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/mernaenterprise.ca\/chct\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/mernaenterprise.ca\/chct\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/mernaenterprise.ca\/chct\/wp-json\/wp\/v2\/comments?post=3929"}],"version-history":[{"count":13,"href":"https:\/\/mernaenterprise.ca\/chct\/wp-json\/wp\/v2\/pages\/3929\/revisions"}],"predecessor-version":[{"id":3957,"href":"https:\/\/mernaenterprise.ca\/chct\/wp-json\/wp\/v2\/pages\/3929\/revisions\/3957"}],"wp:attachment":[{"href":"https:\/\/mernaenterprise.ca\/chct\/wp-json\/wp\/v2\/media?parent=3929"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}