WEST MIDLANDS TRANSVAGINAL ULTRASOUND WORKSHOP

Will be held on

1 & 2 NOVEMBER 2016

Course Director: Mrs R Reddy

FRCOG and Diploma in Obstetric Scanning

This two day course is aimed at providing training in Transvaginal Scanning (TVS), the emphasis being on providing 'hands-on' practical experience and incorporating specialist lectures. Courses are held twice a year.

The training is carried out on women who are volunteers and patients. Over the two days we can scan up to 150 women in total. The feedback from previous delegates has indicated that this is a very useful workshop for practical TV scans.

Course fee (including dinner): £495

Course Director: Mrs Ragini Reddy, Consultant Gynaecologist.

For further information, please contact Course Co-ordinator Tracey Judkins on 01922 721172 ext. 7737

To book please fill in the form below and send with a cheque to:

Tracey Judkins,
Obstetric and Gynaecology Secretaries
Route 121
Walsall Manor Hospital
Moat Road
Walsall
WS2 9PS

*This course has a limited number of spaces and it is advisable to check availability and book early

Walsall Healthcare NHS Trust

Manor Hospital

Moat Road,
WALSALL
WS2 9PS

TRANSVAGINAL ULTRASOUND WORKSHOP

1st- 2nd November 2016

Application Form

Section 1 – Personal DetailsMale/Female* (*Delete as appropriate)

Surname: ………………………………... Forename: ………………………………………..

Address: …………………………………………………………………………......

………………………………………………………………………………………………

DaytimeTel:……………………………………. Email:………………………………..

Section 2 - Work Details

Place of Work:……………………………………………………………………………………

Designation: ……………………………………………………………………………………..

Have you any experience of performing TV Scans? YES/NO*

Brief outline for your reasons for applying for this Workshop: ………......

…………………………………………………………………………………………………….

……………………………………………………………………………………………………..

Do you have any objection to your details being passed to the medical companies sponsoring the course? YES/NO*

I will/will not be attending the dinner on the evening of the first day*

Dietary Needs (ie Vegetarian): ………………………………………………………………..

Where did you see the advertisement for this course? …………………………………

Payment: Course fee (including dinner): £495 (by cheque only) made payable to
Walsall Hospitals NHS Trustc/o Tracey Judkins,
Mrs Reddy's Secretary Route 121,
Manor Hospital,
Walsall
WS2 9PS

Please ensure that study leave has been confirmed as refunds will only be made up to two weeks prior to commencement of the course for which there will be an administration charge of £25.00. After this date fees cannot be refunded.