Thank you for you interest in being part of the CESPHN CPD education program.

We are seeking expressions of interest from specialists interested in contributing to the professional development of health professionals in the CESPHN region.

All requests are assessed for relevance and presented to our education committee for feedback.

If your application is successful, the CPD Team will contact you. Your application will remain on file and you may be contacted at a later date if an opportunity becomes available. All responses will be treated as confidential.

CESPHN will manage your data in line with our Privacy Policy, which complies with the Privacy Act 1988 (Cth) and the Health Records and Information Privacy Act 2002 (NSW).

If you have any questions or would like to retract your responses, please contact CESPHN’s Privacy Officer – info@cesphn.com.au.

Speaker Information

Name

Credentials

Current position/role titles

Proposed presentation title/topic

Contact email

Contact phone number

Is your practice based in the Central and Eastern Sydney region

YesNo

Identified Need for the event (please include reputable references where relevant e.g. peer-reviewed journal articles) *2-3 paragraphs required i.e. why do you want to hold the event? Is there a new service/process/clinical practice guideline that GPs need to know about? Are patients receiving sub-optimal care because of a service gap that GPs are unaware of? Is there a particular patient population (e.g. CALD, Aboriginal and Torres Strait Islander patients) with poor health outcomes that could be improved if GPs had increased knowledge/confidence in diagnosing/managing a certain condition?

Description of the planned activity (150 words maximum)

Proposed presentation learning outcomes (5 maximum)
What knowledge/skills/attitudes/behaviour/attributes/systems should participants have upon completion of this activity? By the end of the activity, participants will be able to: (use verbs such as identify, illustrate, extrapolate, implement, differentiate, outline, monitor, test, construct).

Brief biography (150 words maximum)

Other affiliations (please disclose any competing interests)

Please include any links to any recordings/webinars where you have presented

Target Audience

General practitioners (note - RACGP accreditation will need to be undertaken for any event with a target audience including GPs)General practice nursesGeneral practice administrative staff (e.g. practice managers & reception)Allied health professionals (please stipulate which disciplines)Residential Aged Care staff