Please enable JavaScript in your browser to complete this form. Consent to Participate in Research: In order to report on the effectiveness of the program, Dr. Andrea Furlan’s research team at the University Health Network will be collecting aggregate data from all participants completing the course. We will be collecting and analyzing data on the following information: participant demographic information, practice location & size, pre-SAP test scores, post-SAP test scores, and accreditation survey results. Study participants will be identified in our databases using a unique study ID. A separate linking log with ID numbers corresponding with name and contact information will be kept in an encrypted file on a secure server for reference by our study staff only. No personal identifying information will be used in any reporting or publications. All data will be securely stored at the University Health Network for 7 years and only be accessed by Dr. Andrea Furlan and her research team. Request to Withdrawal: If you decide to leave the study, you have the right to request withdrawal of information collected about you. Let study project manager know by emailing Nagina Parmar at nagina.parmar@uhn.ca or info@opioidassessment.ca or by calling at 437-238-8467. The University Health Network Research Ethics Board has reviewed this protocol. If you have any questions or clarifications regarding the study, please reach out to our study project manager Nagina Parmar at nagina.parmar@uhn.ca or info@opioidassessment.ca or by calling at 437-238-8467. In addition, if you have any questions about your rights as a research participant, you may contact 416-581-7849 or email reb@uhnresearch.ca. Please note that communication via e-mail is not absolutely secure. Thus, please do not communicate personal sensitive information via e-mail. I consent to participate in research I do not consent to participate in research Signature *Clear SignatureName *FirstLastSubmit