University of Liverpool &

ANGLO-FRENCH MEDICAL SOCIETY

26th Weekend Course in Medical French

13th to 15th April 2018

Faculté de Médecine, Université Catholique de Lille

Title, Forename, Surname: ______

Position held (students - year and medical school) : ______

______

Address for Correspondence:

______

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______Postcode: ______

Tel.: ______Email : ______

If you wish to register for the course, please enclose a cheque for the total amount

Indicatedbelow, payable to "Anglo-French Medical Society (Conference account)”

Residential:

Doctor (£580) ______FY1/FY2 (£480) ______

Early bird discount of £30 discount for doctors and FY1/2 who book and pay prior to January 31 2018

Student £280 (if sharing a room) ______£310(single room) ______

You can pay by bank transfer, using the following details:

NatWest Bank

Account holder Anglo French Medical Society

Account no 57009740

Bank sort code 60 20 29

BIC NWBK GB 2L

IBAN GB98 NWBK 6020 2957 0097 40

Please reference payment with your surname and MEDICAL FRENCH

Please inform us if you have any special dietary requirements.

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Have you been to the Course before? If so, when and which group were you in?______

How did you hear about this course? ______

Are you a member of the Anglo French Medical Society? ______

If all the places are already allocated, would you:

Like to go on the waiting list for this one? Like details of future courses?

Please complete the questionnaire overleaf, and return this form to:

Christine Greenwood, Clinical Sciences Centre (3rd floor), University Hospital Aintree, Longmoor Lane, Liverpool, L9 7AL

Tel: 0151 529 5885 email:

Test your survival skills in French!

Please fill in this questionnaire – it should only take a minute or two. This will help us to put you in a group with others whose French is at about the same level. So please be honest!

Please note: this is a rough guide only, and you can easily move to another group if the allocated one doesn’t suit you.

En route to a medical conference, your plane has to ditch. Luckily, nobody is hurt but, inexplicably, you find yourself sharing a life-raft with an improbably attractive woman/man (delete as appropriate) who speaks French but no English.

While awaiting rescue, you strike up a conversation.

Please put 1-5 in each box (1 = very easy; 5 = very difficult) to show how you could cope with explaining or asking the following:

• Your name, age and where you come from□
• You are a doctor/medical student □
• Your work or what you hope to do when qualified□
• What you like most about France□
• His/her ankle looks painful and needs an X-ray□
• He/she will be back to ski-ing in no time□
• Does he/she have any existing medical problems?□
• Diabetes is the most interesting disease in the world□
• It’s all because of global warming□
• Explain medical training in the UK□

• You wait 12 days for a rescue boat, then two come

along at the same time□

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Please make sure to give each sentence arating between 1-5