Registration Form
By entering your details below you acknowledge:

  • that you hold a National Training Number (NTN) in Emergency Medicine
  • you are based in the Peninsula Deanery
  • you wish to be included in the PEMDEF Microsoft Team and mailing list.

Your details will only be used for the express purpose of regional training and will not be used for other purposes or distributed to any other party.

Please only enter an NHS email address. We cannot accept Hotmail/Gmail/Outlook/Doctors.org/etc - this is a limitation of the NHS Teams licence.
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Email *
Forename *
Surname *
Training grade *
Locality *
Anticipated next rotation change (e.g. progression to next year, CCT, change to OOP) - we will get in touch on this date to ask you to update us with details of your next rotation. *
MM
/
DD
/
YYYY
Are there any months or dates where you will be unavailable to organise either a training day or a journal club presentation (annual leave, exams etc.)? (optional)
Information sharing with HEE
To save you from having to update us each time you rotate you have the option to consent to HEE sharing your current training level with PEMDEF. Your details will only be used for the express purpose of regional training and will not be used for other purposes or distributed to any other party. This is entirely optional and can be revoked at any time. You will need to provide your GMC number.
"I consent to HEE being able to update PEMDEF with changes to the information above" *
GMC number (if Yes)
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