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Registration: VCH/PHC PQI L2 Intermediate Training
For help contact:
Eakjot.Kang@vch.ca
After completing this registration form, you will be sent a meeting invite to hold the time in your calendar. Please email Eakjot at
Eakjot.Kang@vch.ca
if your availability changes and you are no longer able to attend.
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First Name
*
Your answer
Last Name
*
Your answer
E-mail
*
Your answer
Phone Number
Your answer
What is your Specialty
*
Choose
Anesthesia
Diagnostic Imaging/Radiology
Emergency Medicine
General Practice/Family Medicine
Pathology & Laboratory Medicine
Medicine
Obstetrics & Gynecology
Ophthalmology
Orthopedics
Pediatrics
Psychiatry
Surgery
Physical Medicine & Rehab
Other
In which Community of Care, do you mostly work? (Select Primary)
*
Choose
Vancouver Acute
Providence Health
Vancouver Community
Richmond
Coastal
Non-health authority setting (e.g., private practice clinics, non-VCH owned and operated long term facilities, etc.)
Other
Register for Training
*
Thursday, June 27 & Friday, June 28, 2024
Email me future dates
Required
If you are a physician, please enter your home address to receive JCC-rate funding. We cannot reimburse you without it. Please enter it in the format: Street Address, City, Province, Postal Code.
*
Your answer
If you are a physician, please provide your MSP Number and whether you are salaries or FFS.
If you are a non-physician, please enter your title.
If you are a project team member, please enter your title and the name of PQI Physician Lead.
Your answer
Please note: Funding for physicians is one-time only. If you have taken Level 2 in the past, you may choose to take a refresher, but you will not be eligible for funding
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