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Reviewer Registration Thank you for your interest in reviewing manuscripts for the Journal of Participatory Medicine. Please return this form as an email attachment to [email protected]. We will confirm your registration by email. For more information about JoPM, visit our website at www.jopm.org. Professional & Contact Information First Name, MI, Last Name Primary Discipline/Degree Other areas in which you are trained Institutional Affiliation Street Address or P.O. Box City, State ZIP/Postal Code, Country Email Phone Fax Availability How often are you willing to review manuscripts? As often as needed Once a month 5-6 times a year 3-4 times a year Twice a year Once a year Review Topics: Please select topics for which you have the most Interest in Reviewing and can provide a knowledgeable review and critique. Please indicate a few topics in which you have Special Expertise. Topic Clinical Topics: Allergy/Immunology Behavioral medicine Bioethics Blood system Cancer - specify: Breast cancer Cervical cancer Colorectal cancer Prostate cancer Cancer screening Cardiovascular Disease Comorbidity/Multimorbidity Chronic pain/Pain management Community/Public health Interest in Reviewing X Special Expertise Clinical Topics (continued) Complementary/Alternative medicine Decision support Dementia/Alzheimer's disease Digestive (gastrointestinal) system Ear, nose, throat (ENT) Education/Curriculum development – specify: Community health education Continuing medical education (CME) Patient education Residency training Emergency medicine Endocrinology – specify: Diabetes Thyroid Evidence-based medicine/Critical review of evidence Exercise/Physical activity Family life issues - specify: Child abuse/neglect Domestic violence Elder abuse Parenting Genetics Guidelines/Clinical practice guidelines Health care delivery/Health services research Health care disparities Health economics Health policy/Health policy research Health promotion/disease prevention – specify: Health behavior change Immunization Screening Well care History of medicine HIV/AIDS Hospice/Palliative care Infectious diseases Injury or violence International health Medical-legal issues Mental health - specify: Anxiety and Depression Attention deficit hyperactivity disorder (ADHD) Child behavior and development Eating disorders Musculoskeltal/connective tissue system -specify: Arthritis Low back pain Orthopedics Osteoporosis Nervous system Nutrition Interest in Reviewing Special Expertise Clinical Topics (continued) Obesity/Weight reduction Patient safety/Medical errors Pharmacology - specify: Antibiotics/Bacterial resistance Pharmacoeconomics Practice-based research Practice-based research networks Pregnancy and childbirth Primary care Renal system Reproductive system Respiratory system - specify: Asthma Chronic obstructive pulmonary disease (COPD) Skin and subcutaneous tissue Spirituality Sports medicine Substance abuse - specify: Alcohol Tobacco Theory, theoretical models Undifferentiated illness – specify: Fatigue Headache Urinary tract problems Women's health Populations: Adolescents African-American Asian Children/Infants Gay, lesbian, bisexual, transgender Hispanic/Latino Homeless Men Native American/First Nations Older people (Geriatrics) Rural Underserved or minority Urban Women Practice and Care Topics: Access to care/Barriers to access Administration and management of health care Clinician-patient communication/relationship Collaborative, interdisciplinary care Continuity of care Decision support Disease management/Care management Patient preferences Patient self-management support Interest in Reviewing X X Special Expertise Practice and Care Topics (continued) Hospitalists Office practice issues Office design/Practice re-engineering Patient-centered care Quality improvement Psychosocial issues - specify: Cultural competence/proficiency Culture and diversity Technology: Electronic health records Information management Innovations in technology Mobile applications Online communities/social media Web-based digital tools Methodology: Qualitative methods - specify: Comparative case studies Focus groups Key informant or depth interviewing Narratives Participant observation Mixed methods (qualitative & quantitative) Participatory research/Action research Quantitative methods – specify: Cost-effectiveness/Cost benefit analysis Decision analysis Epidemiologic methods Geographic information systems (GIS) Measurement issues/Instrument development Meta-analysis Randomized clinical trials (RCTs) Secondary analysis/Large data sets Biostatistics Interest in Reviewing Special Expertise X X Please note any additional topics for which you can provide expert review: