On January 15th, 2014, Dr Brett Thombs gave this conference organized by RRISIQ at McGill University. Dr Thombs (William Dawson Scholar and Associate Professor, McGill University - Senior Investigator, Lady Davis Institute for Medical Research, Jewish General Hospital) described a relatively new, not well known clinical trial design, as well as a study he is currently conducting using this design. This presentation is of particular interest to experienced researchers interested in learning about this design as an option for their future studies. Students will also find it useful to learn about a design not included in quantitative methods text books.