Certificate Course on Cytogenomics 2021 [Video Lectures] (C367)

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* Please do NOT provide yahoo email address for receiving the video link. Our email may be blocked by these systems.

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Application deadline: 6 July 2021

Q1. Salutation (Please select as appropriate) *

Q2. Surname - in capital letter (e.g. CHAN) *

Q3. First name (e.g. Tai Man, Simon) *

Q4. Chinese name

Q5. Correspondence address *

Q6. Mobile no. *

Q7. Company name

Q8. Occupation *

Please indicate your profession in the full name (e.g. Registered nurse, Occupational therapist etc.)

Q9. Please select the College(s) for CME (if not applicable, please select N/A ) *

Please select" N/A" if you are not a doctor

Anaesthesiologists

Community Medicine

Dental Surgeons

Emergency Medicine

Family Physicians

Obstetricians and Gynaecologists

Ophthalmologists

Orthopaedic Surgeons

Otorhinolaryngologists

Paediatricians

Pathologists

Physicians

Psychiatrists

Radiologists

Surgeons

MCHK CME (HKMA/ HKDU/ HKAM/ DH) (please provide your MCHK reg. no. in Q10 - mandatory)

N/A

Required

Q10. MCHK registration no. (if not applicable, please enter N/A)

Q11. Please indicate your MCHK CME Administrator or CME Programme(s) you have enrolled (if not applicable, please select N/A) *

HKMA (please provide your member no. in Q12)

HKDU (please provide your member no. in Q13)

HKAM

N/A

Q12. HKMA member no. (if not applicable, please enter N/A)

Q13. HKDU member no. (if not applicable, please enter N/A)

Q14. CNE points for Nurses (if not applicable, please select "No") *

Yes

Q15. Education

Secondary

Undergraduate

Postgraduate

Other:

Clear selection

Q16. Sources of learning about the course (can select more than one option) *

Clinics of Department of Health

Hospital wards

Nursing societies

CME/CPD/CNE colleges

Health related organizations

Patient resources & social centres

The Hong Kong Medical Diary

FMSHK website

Colleagues/friends

Other:

Required

Payment Methods (Course fee $1,000)

1) By cheque:

a) A crossed cheque should be made payable to "Federation of Medical Societies of Hong Kong";

b) A separate cheque should be issued for each course;

c) Please write your full name, mobile no. and the course code: C367 at the back of the cheque;

d) Please mark "Application for C367" on the envelope; and

e) Please send to 4/F, Duke of Windsor Social Service Building, 15 Hennessy Road, Wanchai, Hong Kong.

2) By Cash:

Please submit the exact payment within the office hours from Monday to Friday, 9:30 am - 1:00 pm or 2:00 pm - 6:00 pm.

For inquiries, please feel free to contact Ms. Vienna Lam on 2527 8898 or email at vienna.lam@fmshk.org. Thank you.

3) Confirmation by email
The successful applicants will receive the confirmation email on 7 July 2021.

Guidelines for Video Lectures

1) Participants will be allowed to watch the videos within 3 days.

2) Participants have a maximum of 3 times to login and access each video link.

3) Participants are required to login and logout the system to collect the attendance record.

4) Participants can submit the questions in Q&A box after watching the videos.

5) Participants who have achieved 70% (4 out of 6 lectures) or above attendance will be entitled to an e-Certificate.

6) e-Receipt and e-Certificate will be provided to participants after the course finished.

7) Quiz for doctors: To tie in with the new CME requirements for video lectures, DOCTORS are required to complete a quiz after the completion of the videos.

Note

1) CME/CNE Accreditation is in application.

2) Fees are NOT REFUNDABLE, except in the event of the course being oversubscribed or cancelled.

3) The Federation of Medical Societies of Hong Kong (FMSHK) reserves the right to cancel or re-schedule the course due to any unforeseen circumstances. The FMSHK is not responsible for any cost incurred by the collaborating organizations or the participants, should cancellation or any changes take place after any participants registered for the course.

Personal Data Collection Statement

1) The personal data provided by you will be used by the Federation of Medical Societies of Hong Kong (FMSHK) for purposes related to the processing of registration, academic, administrative, and statistical purposes.

2) The personal data (including name, address, email and contact number) provided by you will be used by FMSHK for delivering information including any events and functions to be held, courses to be organized and activities related to FMSHK. Your personal data will not be transferred to any third party.

I have read and agreed to the above statement

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