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283 results matching “ersi approval form template”
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Approval of position and supervision form
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We recognise Taiwanese medical schools so that graduates from these schools have the opportunity to undertake NZREX Clinical. We must ensure we only register fully qualified doctors. However, the exclusion of Taiwanese medical schools from WDOMS is due to political factors and not the standard of those schools. The ECFMG has approved graduates of these schools to undertake the prerequisite examination - USMLE Steps 1 and 2.
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DHBNZ - Request for Reference: Resident Medical Officer Position
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This page contains a full list of our forms including application, report and referee forms, as well as checklists and the current fees payable.
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CV template when applying for VOC3
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CV template when applying for VOC4
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This page contains a full list of our forms including application, report and referee forms, as well as checklists and the current fees payable, for physician associates.
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This page contains forms relating to recertification programmes requirements and professional development.
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Provisional vocational scope - application for approval of position and supervisor
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Special Purpose: Visiting Expert - Application for approval of invitation and supervision
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This form outlines the additional information that we will require as part of an application for provisional vocational registration in psychiatry.
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Provisional vocational (VOC4) scope - application for approval of position and supervisor
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Employer application for approval of position and supervisor (UK & Irish graduates, comparable health system, and locum tenens pathways)
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Doctors on provisional general and special purpose scope: Employer application for approval of position and supervisor
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Application for a physician associate general scope of practice
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Each year CPMEC recognises clinical educators across Australia and New Zealand who have made valuable contributions to prevocational medical education and training. PGY1 and PGY2 doctors are eligible to nominate a clinical educator for this award.
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Each year CPMEC recognises junior doctors across Australia and New Zealand who have made valuable contributions to prevocational medical education and training. Prevocational Education Supervisors, Clinical Directors of Training and CMOs are eligible to nominate a junior doctor for this award.
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This form further outlines the additional information that will be required by the ACEM so it can provide us with advice on your application for vocational registration in emergency medicine.
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The purpose of the CPD Associate agreement is to assist you in maintaining safe and competent practice, and to clarify your responsibilities, as well as those of the CPD associate.
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Application for registration: Australian graduates (Interns/PGY1)
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Guide to providing a complete application for registration within a vocational scope of practice.
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ES1 application form for authorisation to provide secondary maternity services
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PGY2-OS - Application for pre-approval to complete PGY2 overseas
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Request for certificate of registration
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NZREX Clinical - Application for new candidates
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Practice intentions - To be completed by doctors applying for a PC to return to work after an absence of three or more years
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Provisional general scope - application to vary practising certificate
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Provisional vocational scope - application to vary practising certificate
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Application for general scope of practice for doctors on a provisional general scope of practice (excluding Interns).
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Application for change of scope from provisional vocational to vocational (ex-provisional)
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If you are in a collegial relationship, you should use this form to record the details of any audits of your medical practice.
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If you are in a collegial relationship, you should use this form to keep a record of the CME activities you complete.
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If you are in a collegial relationship, you should use this form to keep a record of any peer review you do.
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Complete this form to confirm you are enrolled and actively participating in an approved recertification programme.
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Form to confirm that the doctor is enrolled and actively participating in Inpractice, the recertification programme for doctors registered in the General scope of practice.
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NZREX Clinical - Application to withdraw from an examination
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NZREX Clinical - Application to change to a later examination
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Declaration: Special purpose scope of practice – postgraduate training
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Application for a practising certificate for doctors registered in a provisional or special purpose locum tenens scope who are returning to medical practice in New Zealand. This form supersedes the REG9 and REG11 forms.
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APPLICATION FORM SUPERSEDED - Please use the new REG12 form
Application for a practising certificate for an IMG registered in a provisional general scope returning to medical practice in New Zealand. -
Supervision report for IMGs on a provisional vocational or special purpose scope doing telemedicine, pathology, diagnostic and interventional radiology, public health medicine and medical administration.
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Special purpose - postgraduate trainee report: progress towards learning objectives and comments about supervised practice.
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Supervision report form for doctors on General scope or vocational scope.
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Use this form to verify your documentation by Statutory Declaration
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Request for re-evaluation of application for registration within a vocational scope of practice
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This form outlines the additional information that will be required by the ACEM so it can provide us with advice on your application for vocational registration in emergency medicine.
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This form outlines the additional information that will be required by the ACEM so it can provide us with advice on your application for vocational registration in emergency medicine.
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Application to vary practising certificate on a physician associate provisional scope of practice
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Special purpose scope - application to amend practising certificate
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The purpose of this agreement is to set out the terms of reference for the collegial relationship and clarify the objectives and responsibilities of each colleague.
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if you are in a collegial relationship you should use this form to keep a record of the meetings you have with your colleague.
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If you are in a collegial relationship, you should use this form to record any optional activities you complete - that is, activities that are not specifically required.
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Application for registration in New Zealand
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Application for restoration to the medical register
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Referee report for use when applying for registration.
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Application for Special Purpose: Visiting Expert Registration for teaching as a Visiting Expert
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Application for vocational registration if you don't hold an approved postgraduate medical qualification from New Zealand or Australia.
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Application form for provisional vocational registration if you hold an approved postgraduate medical qualification.
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New Zealand and Australian graduates: This checklist will help you to confirm your eligibility for registration, tell you what documents you need to provide, and will tell you what documents you need to have verified at source by EPIC.
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Postgraduate training - Checklist for registration in New Zealand