Please complete the form below to begin your registration. Survey! QuestionQuestionDo you have hospital privileges?REQUIREDAnswerAnswer Yes No QuestionWhich hospital(s) do you have privileges at?OPTIONALAnswer QuestionIf you have hospital privileges, please indicate what type:OPTIONALAnswer I have courtesy hospital privileges I have active hospital privileges I have cross-coverage arrangements with other colleagues I don't have hospital privileges QuestionDo you do rheumatology call?REQUIREDAnswer Yes No QuestionIf you do rheumatology call, please indicate whereOPTIONALAnswer QuestionWhich description describes you best?REQUIREDAnswer Community Rheumatologist Academic Rheumatologist Hybrid (both community and academic) QuestionPlease indicate how many years you have been working as a rheumatologist:REQUIREDAnswer Resident 1-2 years 3-4 years 5-10 years 11-15 years 15 years plus QuestionDo you see pediatric patients (i.e. under 18?)REQUIREDAnswer Yes No QuestionAre you working in team based care?REQUIREDAnswer Yes No QuestionWho do you work with as part of your team—check all that apply:OPTIONALAnswer Not Applicable Registered Nurse Nurse practitioner ACPAC trained Physiotherapist ACPAC trained Occupational therapist Arthritis Society therapist Pharmacist Social worker Other QuestionHow do you fund your Model of Care? Check all that apply:OPTIONALAnswer Not Applicable Personally Research grant Industry grant University Ministry Other QuestionDo you use an EMR or EHR?REQUIREDAnswer Yes No QuestionIf you are on EMR/EHR, which system do you use?REQUIREDAnswer Accuro OSCAR TELUS/PSS Cerner Epic Meditech I do not use EMR/EHR, I only use paper charts Other QuestionIf the ORA develops a highly-efficient, made-for-rheumatology EMR, pays for the transfer costs, and pays for your EMR license fees for 2 years, would you switch to the new EMR?OPTIONALAnswer Yes No I'd like more information QuestionHow do you store your data? Check all that apply:OPTIONALAnswer Local Server Cloud-based (ASP) Paper chart Other electronic database (MS Access, etc.) Not applicable I’m not sure QuestionIf you are providing virtual care, which platform do you use?OPTIONALAnswer OTN Medeo Doxy-me Zoom Other Not Applicable QuestionIf you are providing virtual care, which platform do you use?REQUIREDAnswer Telephone OTN Medeo Doxy-me Zoom Other Not Applicable QuestionAre you planning to attend the Ontario Rheumatology Association Annual Scientific Meeting May 27-29, 2022?REQUIREDAnswer Yes No I'm not sure QuestionIf you are planning to attend next year’s Annual Scientific Meeting, please indicate your preference for the meeting format:OPTIONALAnswer In-person Virtual Hybrid meeting I’m not sure QuestionAre you interested in joining a committee within the ORA?REQUIREDAnswer Yes No QuestionHave you retired or are you considering retiring in the next 5 years?REQUIREDAnswer Yes No QuestionTo support members who are close to retirement and ready to "transition" their practice, we are planning a workshop. Would you be interested in participating in a "practice transition" workshop?OPTIONALAnswer Yes No QuestionAre you considering doing a locum in the next year?* Note, the www.rheumcareers.ca website is advertising locum positions. Contact Sandy Kennedy (skennedy@ontariorheum.ca) for more information.OPTIONALAnswer Yes No QuestionAre you considering doing a locum in the next year?REQUIREDAnswer Yes No QuestionAre you considering a long-term leave where you require a locum to work in your office during your absence?REQUIREDAnswer Yes No QuestionWhich languages do you speak?REQUIREDAnswer English French Other (please list below) QuestionPlease list other languages you speak.OPTIONALAnswer QuestionWhat are your core interests?REQUIREDAnswer Inflammatory arthritis Connective tissue disease Vasculitis Osteoarthritis Osteoporosis Paediatric rheumatology MSK injections Sports Medicine Advocacy Models of care Medicolegal Quality Improvement Medical Education MSK ultrasound Digital health and Tech Other (please list below) QuestionOther InterestsOPTIONALAnswer QuestionPlease confirm that you have reviewed the ORA Code of Ethics and Professional Conduct.REQUIREDAnswer I have reviewed the ORA Code of Ethics and Professional Conduct on the ORA Website Hidden: User ID Hidden Field: User LevelEmail Is profile Registration - Step 2 Please fill in your registration and payment information below. TitleMr.Mrs.Ms.Dr.*First Name*Last NameOffice Phone (Public)Phone (Private)*EmailFaxC/O (Optional)*Street*City*Country*Province*Postal Code*Password *Confirm Password Trainee 0.00CAD Discount () -0.00CAD Subtotal Fee 0.00CAD