Registration form - PHYSICAL - FRCPath Part 2 Histology course in the EoE 5.9.22-16.9.22

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Due to Covid-19 pandemic, at the moment the course is planned as hybrid (limited physical participants with a virtual option). The following details may be subject to change nearer the time depending on government guidelines. Venue - The Harlow Hotel, Harlow, Essex
Scanned slides will be made available. Access to course materials (PDFs, videos etc) will be via a tablet based app therefore a TABLET DEVICE with sufficient capacity is MANDATORY as there will be no other web/laptop based option.
Event Timing: 8 am to 8 pm Monday to Friday - 5.9.22-16.9.22
Saturday morning: 10th September Mock Exam 8 am-6pm
Event Address: Zoom Web conference link will be sent to registered attendees
Contact us at eoepathology2019@gmail.com or frcpathineoe@gmail.com
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PLEASE ENSURE YOU COMPLETE YOUR EMAIL AND NAME CORRECTLY AS THIS WILL BE USED TO SEND YOU COURSE INFORMATION AND FOR CERTIFICATES
Fees (all fees in GBP)
Physical course
Early bird (before 15.6.22) - no microscope hire - £800
Early bird with microscope hire - £1000
Full fee no microscope hire - £900
Full fee with microscope hire - £1100
Overseas candidates microscope hire - £50
Consultants no microscope hire - £1100
Consultants with microscope hire - £1300

East of England trainees (no microscope hire option) - £600

Email *

First Name *

Surname *

Place of work *

Country of residence *

Where did you hear about this course? *

Word of mouth

Web search

Other:

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If you ticked "Other" please state how you heard about this course

Have you taken the exam before? *

Yes

Booked for Part 2 Exam April 2023

Booked for Part 2 Exam October 2022

Other:

If you haven't taken the exam before, when are you planning to take the FRCPath part 2? *

2022 Autumn

2023 Spring

Not Applicable

Other:

If you have taken the exam before, what are the areas that you found most challenging? *

Short surgical cases

Non Gynae Cytology

Frozen Sections

Macro OSPE

Management OSPE

Written OSPE

Long Case

Not applicable

Required

Have you attended our July/August, 30 webinar or Prepinar series? *

Yes - 30 webinar series (SEASON 1 OR 2)

Yes - Summer 2020 webinars

Yes - Prepinar series 2021

Required

I understand that in order to received attendance confirmation, I will need to use my full name when I log into Zoom. *

I agree to the above statement

I do not agree to the above statement and understand that I will not receive attendance confirmation

Other:

Do you have a tablet device? *

Yes - Apple

Yes - Android

No - I understand I will not be able to access the course companion resources

Other:

IF NO TABLET AVAILABLE-PLEASE ADVISE AS LINKS WILL BE INCORPORATED INTO WORD DOCUMENT

I agree to this session being videoed via web conferencing platform *

Yes

Other:

I consent to join the course WhatsApp group for communication. *

Yes

Other:

If you consent to join the WhatsApp group - please provide your mobile number with country dialling prefix.

I am aware that I cannot record this session myself or share access/course materials (including videos and model answers) with others as this would be in breach of Copyright law, Data protection laws and would represent a probity issue to any healthcare regulatory body (e.g. GMC). By answering yes, I agree that the access to course materials and videos will be for myself only and I am aware that my details will be stored securely on file in order to confirm that access has not been shared. *

I agree to the above confidentiality statement and am aware of the consequences of sharing course material.

Other:

We would like to keep in touch with you regarding further courses/seminars. We will never sell your data and promise to keep your details safe and secure. You can change your mind at anytime by emailing PathologyWebinarinEoE@gmail.com "We" includes the course organisers and administrators of www.eoepathology.com Please tick the boxes below to tell us all the ways you would prefer to hear from us. *

Yes please, I would like to receive communication by email

Yes please, I would like to receive communication by telephone

Yes please, I would like to receive communication by text message

No thanks, I do not wish to receive communication from you by email, telephone or text message

Other:

Required

Please tick the box below to confirm you will make payment for the FRCPATH SYSTEMIC Course by emailing FRCPATHinEOE@gmail.com for payment link. Please note that joining information for the webinars and online access will not be provided until payment has been made. *

I will request payment link from FRCPATHinEOE@gmail.com

I have already made payment.

Other:

I understand that I can access the privacy policy outlining the use of my personal data via this link - https://www.privacypolicies.com/privacy/view/8ed207f5dff625fa1bc4919d53f7d6f2 and the GDPR compliant Disclaimer can be accessed via this link - https://www.privacypolicies.com/agreement/view/b33eac256ed379b13db02bb434d1ad62 *

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