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Advancing the m edical profession.201033124146
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registration ForM/tax invoice 2008 frIdAy 12 SePTeMBer &
MoNdAy 15 SePTeMBer 2008
CanCEllation PoliCY: refunds for cancellation only apply if notification in
This form becomes a tax invoice on payment.
Please keep a copy for your records. ABN 43 064 447 678
writing is received more than 3 full working days prior to the seminar.
Choosing your
This registration form may be photocopied for multiple use.
medical student elective
PRiVaCY StatEMEnt: The information you provide on this form is “personal
Please complete a separate form for each participant/program. information” as defined by the Privacy Act 1988 (the “Act”). This information
is being collected to process your registration and inform you of upcoming
(Please tick) Please register me for the seminar: events. we may give your personal information to sponsors. The provision of
personal information is voluntary. If you do not wish for your information to
for Melbourne University
Choosing your medical student elective on Friday 12 September 2008
Choosing your medical student elective on Monday 15 September 2008
be provided to sponsors, please tick this box .
you have a right to access and alter your information. Any enquiries regarding
medical students
I wish to become an Associate Student member of AMA Victoria our privacy policy should be directed to our Privacy officer.
and take advantage of free registration for this seminar.
SPonSoRShiP: AMA Victoria is committed to the delivery of seminars that
I AM UNderTAkINg A 5, 6, 7 yeAr ProgrAMMe. (Please write year) provide members with information and are not for the purpose of promoting
products. Please be advised that should you choose to seek further advice
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entities, at times, receive non-subscription income through commissions paid
AMA VICTorIA STUdeNT MeMBerShIP No. (If kNowN) by service providers that provide commercial benefits to members. Through
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keep members’ subscriptions to a minimum.
fIrST NAMe
registrations should be forwarded to AMA Victoria by either:
lAST NAMe FaCSiMilE 03 9349 5248 or Mail Po Box 21, Parkville 3052.
AddreSS
Program details are accurate at the time of printing but may be subject
PoSTCode to amendment including the addition of new courses and opportunities.
Advancing the medical profession.
To confirm details, learn about new programs or access additional registration
dATe of BIrTh forms see our website www.amavic.com.au (under training). Alternatively you
TelePhoNe may contact the Training and Professional Support Unit at AMA Victoria on
03 9280 8722 or Country freecall 1800 810 451 or via email to
MoBIle training@amavic.com.au.
eMAIl
SPeCIAl dIeTAry reqUIreMeNTS
Payment details: (Price includes gST)
AMA VICTorIA STUdeNT MeMBer FREE NoN AMA VICTorIA MeMBer $55
BY ChEquE: Cheques should be made payable to AMA Victoria
and sent to AMA Victoria, Po Box 21 Parkville, 3052.
CREdit CaRd: Amex MasterCard Visa
CArd No: australian Medical association (Victoria)
293 royal Parade (Po Box 21) Parkville Victoria 3052
total PaYMEnt $ telephone: (03) 9280 8722
FacsiMile: (03) 9349 5248
exPIry dATe eMail: training@amavic.com.au
CArdholder’S NAMe Web: www.amavic.com.au
coUntrY Freecall: 1800 810 451
CArdholder’S SIgNATUre
Choosing your medical overview Presenters
student elective
datE: friday 12 September 2008 This evening has been designed to provide you with information Friday 12 September 2008
Monday 15 September 2008 to help plan a successful elective. representatives of Melbourne dr Justin tse is Acting Clinical dean at the rMh/wh Clinical School. he is
University Medical faculty, Avant Insurance limited, AMA Victoria and also in private practice in Ivanhoe. dr Tse’s current research project is in
tiME: 6.00pm registration and refreshments medical students who have undertaken recent electives, will outline the area of e-portfolios for medical and dental students.
crucial aspects of the planning process and provide an array of
6.30pm - 8.30pm Seminar Monday 15 September 2008
potential options to help you choose where you will undertake your
associate Professor Wilma Beswick is the Clinical dean of St. Vincent’s/
VEnuE: AMA Victoria medical student elective.
geelong Clinical School. A graduate of the University of Melbourne
293 royal Parade, Parkville herself, Associate Professor Beswick is a fellow of the royal Australasian
Melbourne Medical Faculty will provide a comprehensive College of Physicians.
overview of:
Both evenings:
PRiCE: aMa Victoria Student members: free • The year 5 rotations and rural opportunities in 2009
Ying Chan – Business development Manager for Victoria - avant Mutual.
non aMa Victoria member: $55** • learning activities students will engage with during their clinical
Prior to joining Avant ying worked in marketing within the financial
rotations
(price includes gST) services industry. ying is a qualified financial advisor of Avant products.
• how to organise your placements and preferences
• why do an elective? what are the options? Medical Students Medical students who have experienced recent
FoR: Melbourne Medical Students electives in regional Australia and overseas will make a presentation on
• The Melbourne elective application/approval process
• Travelling to high risk destinations. The good, The Bad and The Ugly of my Medical Student elective and what
I wish Someone had Told Me Before I went!
** Student membership of AMA Victoria is free to all
Ying Chan Business development Manager, avant insurance limited Check www.amavic.com.au/training for a list of student speakers and
medical students. Non-member medical students may
will outline: their electives.
join and gain free registration to this seminar by ticking
• why students need elective insurance aMa Victoria staff will be available to discuss the various member
the appropriate box on the registration form benefits available to medical student members and how they can assist
• Avant’s free electives cover - what are you covered for?
with issues of planning and conduct of your student elective.
• The Medic’s guide to work and electives
light refreshments will be provided
• Student Advisory Committee
the evening will conclude with your questions answered by the
registrations are essential and will close combined panel of presenters.
Monday 8 September 2008
register online at www.amavic.com.au/training
This seminar is proudly supported by Avant
