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racgp.org.au/sant/events/ To reduce our eco-footprint, we’re now offering more opportunities to register online. This session aims to provide a greater understanding in common ENT issues that are presented in daily general practice. Course outline This education session will cover: Management of chronic rhinosinusitis (CRS) Paediatric recurrent ear infection and tonsillitis Complications of otitis media Hoarse voice Approach to management of dysphonia • Epistaxis management Date Tuesday 23 July 2019 Time 6.30 –7.00 pm Registration and light dinner 7.00–9.30 pm Education session Venue RACGP SA&NT College House 15 Gover Street North Adelaide Cost $55 Members $90 Non Members $30 GPs in training All prices are inclusive of GST Contact RACGP SA&NT Tel 08 8267 8310 Email [email protected] Ears, nose and throat (ENT) RACGP SA&NT Register online Presenter Dr Leslie Shaw – MBBS MS FRACS Dr Leslie Shaw is a clinical senior lecturer at The University of Adelaide and a specialist in Otolaryngology, Head and Neck Surgery. He is a senior visiting specialist at Women’s and Children’s Hospital and Modbury Hospital. He is also a surgical supervisor for both Advanced ENT training in SA and for ENT training for Year 4 to 6 medical students. 6754

Ears, nose and throat (ENT) · Ears, nose and throat (ENT) RACGP SA&NT Register online Presenter Dr Leslie Shaw – MBBS MS FRACS Dr Leslie Shaw is a clinical senior lecturer at The

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Page 1: Ears, nose and throat (ENT) · Ears, nose and throat (ENT) RACGP SA&NT Register online Presenter Dr Leslie Shaw – MBBS MS FRACS Dr Leslie Shaw is a clinical senior lecturer at The

racgp.org.au/sant/events/To reduce our eco-footprint, we’re now offering more opportunities to register online.

This session aims to provide a greater understanding in common ENT issues that are presented in daily general practice. Course outline

This education session will cover:

• Management of chronic rhinosinusitis (CRS)

• Paediatric recurrent ear infection and tonsillitis

• Complications of otitis media

• Hoarse voice

• Approach to management of dysphonia

• Epistaxis management

DateTuesday 23 July 2019

Time6.30 –7.00 pm Registration and light dinner

7.00–9.30 pm Education session

VenueRACGP SA&NT College House 15 Gover Street North Adelaide

Cost$55 Members$90 Non Members$30 GPs in trainingAll prices are inclusive of GST

ContactRACGP SA&NT Tel 08 8267 8310 Email [email protected]

Ears, nose and throat (ENT)RACGP SA&NT

Register online

Presenter

Dr Leslie Shaw – MBBS MS FRACS

Dr Leslie Shaw is a clinical senior lecturer at The University of Adelaide and a specialist in Otolaryngology, Head and Neck Surgery. He is a senior visiting specialist at Women’s and Children’s Hospital and Modbury Hospital. He is also a surgical supervisor for both Advanced ENT training in SA and for ENT training for Year 4 to 6 medical students.

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Page 2: Ears, nose and throat (ENT) · Ears, nose and throat (ENT) RACGP SA&NT Register online Presenter Dr Leslie Shaw – MBBS MS FRACS Dr Leslie Shaw is a clinical senior lecturer at The

FOR OFFICE USE ONLY RACGP NO (BILL TO)

BATCH NO. ORDER NO. INVOICE NO.

FOR OFFICE USE ONLY RACGP NO (BILL TO)

BATCH NO. ORDER NO. INVOICE NO.

Registration form

Ears, nose and throat | Tuesday 23 July 2019

RACGP SA&NT

Please print letters clearly.Use black or blue pen. Place in all applicable boxes.

Section A: RACGP Member details Title First name Surname

Organisation RACGP no.

Address Postcode

Telephone Mobile number Email

Section B: Registration fee All prices quoted include GST.

RACGP member $55 Non-member $90 GP in training $30

Section C: DeclarationBy 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 Date

How to lodge your application

You can register and pay online OR complete and return this form and an invoice will be issued for payment

www.racgp.org.au/sant/events Fax 08 8267 8319 Email [email protected]

You must contact the RACGP SA&NT office if you have not received your confirmation email within 5 working days of submitting your registration. The RACGP accepts no responsibility for assumed registrations that have not been confirmed in writing by the RACGP SA&NT office.

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