2017 WMX Monthly Wilderness Medicine Lecture Series
Event Address: 3 Peter Park, 31 Montague Drive, Montague Gardens, Cape Town
Event location (Google Maps):
https://goo.gl/maps/Be6RdbJJGAH2
Event staring time: 18:30
Contact us at 021- 555 3864 during office hours or
ross@wildmedix.com
/
gela@wildmedix.com
* Required
Email address
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Your email
Registration
First Name
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Your answer
Surname
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Your answer
Cellphone number
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Your answer
Please select all that apply:
*
I am registered with the HPCSA
I am a member of WEMSSA
I am a member of WMS
I am a FAWM candidate
I don't know what any of this means
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If registered with the HPCSA, enter your number here:
Your answer
CPD points
While attendance of the lecture series is free to all comers, if you wish to obtain CPD and/or FAWM credits for the events, you will be requested to pay an administration fee of R250. This covers all sessions for the year, whether you attend only one or all twelve. We will issue you with a certificate of attendance for the events you attend, on successful completion of the quiz. If you don't know about the FAWM or would like more information, please see
www.wms.org/fawm
. Please note that you will need to become a member of the WMS and register yourself as a FAWM candidate. If you would like to register for CPD/FAWM credits, select "Yes" below, and we will send you an invoice for the administration fee.
Do you want CPD points and/or FAWM credits?
*
Yes
No
If you answered "Yes" to wanting CPD points credits, please enter your HPCSA registration number:
Your answer
For our interest, what are your qualifications? (Select all that apply)
*
Specialist doctor (Consultant)
FAWM
DiMM
Medical doctor
Nurse (all levels)
Prehospital practitioner (ALS)
Prehospital practitioner (BLS or ILS)
WFA/WFR
Wilderness/mountain rescue volunteer
Wilderness/mountain leader
Recreational wilderness user
Other:
Required
What are your professional affiliations (hospital, academia, emergency services, mountain club, etc)?
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Your answer
Event attendance
Will you be attending in person or via the online webcast?
*
In person
Webcast
Probably a mixture
Which lectures in the series are you planning on attending?
Overview of expedition medicine
Canyoneering injuries & management
Viral haemorrhagic fevers
Heat illness
Overview of dive medicine
Physics & physiology of altitude
Cold weather hiking and trekking
Overview of search and rescue
Exercise physiology
Water purification methods
Envenomation by reptiles
Improvised wound management
How did you hear about this event?
WEMSSA mailing list
Friend
Facebook
Other:
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Anything else?
Comments and/or questions
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A copy of your responses will be emailed to the address you provided.
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