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Essential Embryology for the Pathologists’ Assistant (EEPA)

EEPA Consent Form

Study Name: Essential Embryology for the Pathologists’ Assistant 

Researchers:  
Primary Investigator: Dr. Danielle Bentley, Medical Science Building, room1180, danielle.bentley@utoronto.ca  
Co-Investigator: William Tsui 
Student Investigator: Samantha Nacci 
 

Purpose: The purpose of the Essential Embryology for the Pathologists’ Assistant (EEPA) survey is to determine the embryological learning objectives that are essential for success as a professional pathologists' assistant. 
 

What You Will Be Asked to Do in the Research: Respondents will be asked to electronically complete the EEPA survey. The survey has been designed to capture both 1) respondent demographic information and 2) ratings of importance with respect to proposed learning objectives. 
 

Risks and Benefits: There are no foreseen risks or discomfort from participation in this research. There are no foreseen benefits from participation in the research. All survey respondents who complete the EEPA survey by the November 1st deadline will have the option of providing their email address and entering a draw for one of 10 x $50 amazon gift cards. With 100 anticipated respondents, the odds of winning are approximately 1 in 10. 
 

Voluntary Participation: Your participation in this research via the completion of the Essential Embryology for the Pathologists’ Assistant (EEPA) survey is completely voluntary. Your decision on whether or not to participate will in no way impact your current and/or future relationship(s) with the University of Toronto, the Department of Laboratory Medicine & Pathobiology, and/or any of the affiliated PA institutions across Canada.    
 

Withdrawal from the Study: Due to the anonymity of data collection, once you have submitted your EEPA survey you will be unable to withdrawal your data. Please ensure you select the appropriate response.  
 

Access to Information, Confidentiality, and Publication of Results:
All personal information, including all data from the demographics section of the EEPA survey, will be kept strictly confidential. All data from consenting respondents will be extracted and coded with a unique study ID number by a student researcher. The document connecting a participant's name to their unique study ID will be electronically stored separately from anonymized data. 

It is intended that the results of this research will be publicly shared through formal academic presentation and/or publication. All results shared in such public disseminations will be group averages and will in no way contain identifiable information of participants. 
 

Contacts and Questions:
If you have any questions, please contact the primary investigator: Dr. Danielle Bentley, email: danielle.bentley@utoronto.ca . If you have any questions about your rights and/or how you have been treated as a research participant, please contact the Office of Research Ethics at ethics.review@utoronto.ca 416-946-3273. 
 

Legal Rights and Signatures: 
I consent to participate in the study entitled “Essential Embryology for the Pathologists’ Assistant” conducted by Dr. Danielle Bentley, William Tsui, and Samantha Nacci. I have understood the nature of this project and wish to participate. I understand that by clicking the “agree” button below I am indicating my consent. 

1. Please indicate your preferred consent: *This question is required.