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Registration page

Page last updated 12 December 2024

Yagila Wadamba Program: Learn to heal

Section A: Delegate information

Title:

First name:

Surname:

RACGP no:*

Contact telephone:

Email:

Emergency contact name:*

Relationship:*

Phone number:*

Do you have any dietary requirements? (please specify):

Please be aware that whilst every effort is made to ensure menu items are allergen free, in the case of specific allergies or medical dietary conditions it is recommended that you consume food and beverages at your own discretion and carry an Epi-pen if recommended by your health care providers.

Menu items may still contain traces of allergen ingredients if they are prepared in venues and/or catering facilities that use and process these products as ingredients in other menu items.

Do you have any special requirements i.e. travel, physical etc. (please specify):

Please confirm that you identify as Aboriginal and/or Torres Strait Islander:

Section B: Course selection and fee

Wherever possible, we aim to accommodate all eligible candidates for this program

Workshop is FREE and includes travel and accommodation, workshop materials, morning tea, lunch and social dinner

Please note: priority is given to candidates sitting the next AKT / KFP

Please indicate when you are planning to enrol in the AKT and/or KFP:*

Please select the workshop you would like to attend:*

Will you be attending the social dinner on Thursday 1 May evening:*

Section C: IGPTN Workshop

This The Indigenous General Practice Trainee Network (IGPTN) workshop will include medical education sessions on clinical reasoning, and planning learning, Medicare and focussed psychological therapies. We will have our usual mock StAMPS and mock CCE giving you the opportunity to familiarise yourself with the style of these clinical exams and explore any performance anxieties you might have well before the real thing. There will be updates from both ACRRM and RACGP on their training programs and transition to college lead training.

IGPTN workshops are a great way to network with college representatives and our IGPTN Fellows who come along to mentor, support and teach. There will be social and cultural activities to help us connect to each other and to country.

If you are interested in attending, please complete this registration form.

If you have any questions, please email admin@igptn.org.au.

Please indicate if you are attending the IGPTN Workshop:*

For those that will be attending both workshops, the RACGP will be required to share your details with IGPTN to organise your travel arrangements. Do you provide consent for the RACGP to share your information with the IGPTN?*

Section D: Declaration

By signing and returning this registration form to the RACGP, I the delegate make the following declarations:

I have read, understood and accept the RACGP Delegate Conditions and Cancellation Policy which can be found at www.racgp.org.au/usage/delegate-conditions (or provided on request).
I have read, understood and accept the RACGP Privacy Statement which can be found at www.racgp.org.au/usage/delegate-conditions (or provided on request) and consent to my personal information being dealt with to administer this event.

Signature of Delegate*

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