Advanced Trauma Life Support - MEDICAL EDUCATION at ...

Advanced Trauma Life SupportApproved by The Royal College of Surgeons of EnglandCourse Dates: 25 th – 27 th September 2013Course Fee: £560. (to include all course material and meals).Advanced Trauma Life Support (ATLS®) ATLS is a three-day course with theaim to teach a simple systematic approach to the management of traumapatients through interactive tutorials, skills teaching and simulated patientmanagement scenarios.This is a multidisciplinary course enabling a standardised language of traumacare across the specialties. Attendance at a course also exposes the candidate toa network of motivated colleagues with an enthusiasm for trauma management.This highly interactive course combines lectures, discussions, interactivetutorials, skills teaching and simulated patient management scenarios(moulage).There are continual assessments throughout the course, and candidates mustcomplete a pre-course MCQ.An ATLS® manual; pre-course reading is essential to be able to participate fullyin the course.ATLS is recommended during first or second year of specialist training.If you are unsure about any of the above please contact either meTo apply for a place on this course, please complete the application form onpage 2 of this document and return along with your payment.Medical Education 024 7696 8722

Participant Application FormSurname: .................................................................................................(please print in block capitals)First Name: .......................................…………………………………………………Dr Mr Mrs Miss Ms (please tick)Job Title: .................................................................................................(i.e. F2, CT, ST, Registrar, Consultant etc.)Speciality: ................................................................................................Hospital: ..................................................................................................Correspondence address:………………...........................................................................................................................................................................................................................................................................................Telephone No:(Hospital).......................................................................(Home) .........................................................................(Mobile)………………..………………………………………………...Email:.......................................................................................................GMC Number:.....................................D.O.B..............................................Will you be attending the Course Dinner Wednesday 26 th June – Yes No(included in the course fee)Dietary requirements (i.e. vegetarian/vegan):....................................................Do you require accommodation detailsYes NoPlease return this registration form, with your cheque of £560.00 made payable to‘University Hospitals Coventry & Warwickshire NHS Trust’Medical Education DepartmentUniversity HospitalClinical Science (CSB)Clifford Bridge Road, Coventry CV2 2DX: 024 7696 8722 Fax: 024 7696 8715Or you can pay by debit/credit card by contacting our credit control department on024 7696 8749 and quote reference UXX813 MF7000**Please note that no booking will be secured unless this form is accompanied with payment**