date: 28th to 29th january 2016 cost: facilitator: dr mary ... · date: 28th to 29th january 2016...

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DATE: 28th to 29th January 2016 COST: £295 (includes refreshments and lunch) FACILITATOR: Dr Mary Miller SOBELL STUDY CENTRE GENERAL MEDICINE FOR PALLIATIVE CARE PHYSICIANS SOBELL STUDY CENTRE: REGISTRATION FORM Course title: Title: Surname: First name: Job title: Organisation: Work address: Correspondence address (if different): Postcode: Postcode: Work telephone: Home telephone: Email: Special requirements: Purchase order number: Signed: Date: Please send the completed form along with your cheque or invoice details to: Sobell Study Centre, Sobell House, Churchill Hospital, Oxford OX3 7LE I have read and understand the conditions of registration: Please return this form to the address below along with your cheque or invoice details. Alternatively you can register online at www.sobelleducation.org.uk Payment options please select I enclose a cheque for £ payable to: ORHCF – Sobell Study Centre Credit/debit card payment (please call us on 01865 225886) Please invoice my organisation £ Before requesting an invoice you must ensure that you have authority from your funding body and provide a purchase order number. Also check that you have the correct invoice address. Name & address of the person to whom the invoice should be sent Conditions of registration 1. Invoices: you must ensure that you have authority from your funding body before requesting an invoice If you request an invoice without authority you may be personally liable for the course costs. If your organisation uses purchase orders you should provide this with your invoice request. Before requesting an invoice to Macmillan you should provide us with evidence of your grant. 2. Cancellations: Unless otherwise stated for specific courses, the following policy will be applied: Cancellations made up to 28 days before a course will be charged a 10% administrative fee. Cancellations made between 28-14 days 25% of the course fee will be charged. No refunds will be given for cancellations made 14 days or less before a course. For non attendance no refund will be made. No refund will be given if you need to be absent for part of a course. If it becomes necessary for us to cancel the event, we are committed to informing you as soon as possible. Please beaware that we will be unable to reimburse any travel/accommodation costs incurred by pre-booking in connection with the course. 3. Data protection Your details will be added to our database and may be used for course marketing purposes. Please tick if you do not wish to receive information from us A list of participants may be circulated to other course participants before the course. Please tick if you do not wish your name to be circulated Registered Charity Number: 1057295 EDUCATION AND RESEARCH IN PALLIATIVE CARE EDUCATION AND RESEARCH IN PALLIATIVE CARE T: +44 (0)1865 225886 F: +44 (0)1865 225599 E: [email protected] company/sobell-study-centre The course provided a valuable update on general medical conditions that are often seen in palliative care.” Course participant ‘‘ www.sobelleducation.org.uk

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Page 1: DATE: 28th to 29th January 2016 COST: FACILITATOR: Dr Mary ... · DATE: 28th to 29th January 2016 COST: £295 (includes refreshments and lunch) FACILITATOR: Dr Mary Miller SOBELL

DATE: 28th to 29th January 2016COST: £295 (includes refreshments and lunch)FACILITATOR: Dr Mary Miller

SOBELL STUDY CENTRE

General medicine fOR paLLiaTivE CaRE phySiCiaNS

SOBELL STUDY CENTRE: reGiSTraTiOn FOrm

Course title:

Title: Surname: first name:

Job title: Organisation:

Work address: Correspondence address (if different):

postcode: postcode:

Work telephone: home telephone:

Email:

Special requirements:

purchase order number:

Signed: Date:

please send the completed form along with your cheque or invoice details to:Sobell Study centre, Sobell House, churchill Hospital, Oxford OX3 7le

i have read and understand the conditions of registration:

please return this form to the address below along with your cheque or invoice details. alternatively you can register online at www.sobelleducation.org.uk

Payment options please select

i enclose a cheque for £ payable to: ORhCf – Sobell Study Centre

Credit/debit card payment (please call us on 01865 225886)

please invoice my organisation £

Before requesting an invoice you must ensure that you have authority from your funding body and provide a purchase order number. also check that you have the correct invoice address.

Name & address of the person to whom the invoice should be sent

conditions of registration1. invoices: you must ensure that you have authority from

your funding body before requesting an invoice if you request an invoice without authority you may

be personally liable for the course costs. if your organisation uses purchase orders you should provide

this with your invoice request. Before requesting an invoice to Macmillan you should provide

us with evidence of your grant.2.Cancellations:Unlessotherwisestatedforspecificcourses,

the following policy will be applied: Cancellations made up to 28 days before a course will

be charged a 10% administrative fee. Cancellations made between 28-14 days 25% of the course

fee will be charged. No refunds will be given for cancellations made 14 days or less before a course.

for non attendance no refund will be made. No refund will be given if you need to be absent for part

of a course. ifitbecomesnecessaryforustocanceltheevent,weare

committed to informing you as soon as possible. please beaware that we will be unable to reimburse any travel/accommodation costs incurred by pre-booking in connection with the course.

3. Data protection your details will be added to our database and may be used

for course marketing purposes. please tick if you do not wish to receive information from us a list of participants may be circulated to other course

participants before the course. please tick if you do not wish your name to be circulated

Registered Charity Number: 1057295

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T: +44 (0)1865 225886 F: +44 (0)1865 225599 e: [email protected] company/sobell-study-centre

The course provided a valuable update on general medical conditions that are often seen in palliative care.”Course participant‘‘

www.sobelleducation.org.uk

Page 2: DATE: 28th to 29th January 2016 COST: FACILITATOR: Dr Mary ... · DATE: 28th to 29th January 2016 COST: £295 (includes refreshments and lunch) FACILITATOR: Dr Mary Miller SOBELL

ThE COURSE

TARgET AUDIEnCE

Doctorsworkinginspecialistpalliativecare,consultants,associatespecialists, specialty doctors and specialty registrars.

AbOUT ThE COURSE

Inthedeliveryofpalliativecareservices,palliativemedicinephysicianscomeacross patients with general medical problems. how good are you at dealing with these? Do you need to update your knowledge and skills in these areas?

The course complements the Oxford advanced pain and Symptom ManagementCourse,andspeakersaredrawnfromtheirspecialty, from outside palliative medicine.

This course aims to provide: a review of advances and changes in disease management. an opportunity to discuss the management of these problems within the palliative care setting and to share practical tips.

AbOUT ThE FACILITATOR

dr mary miller is a consultant in palliative medicine and Clinical head at SobellHouse,OxfordUniversityHospitalsNHSTrust.SheisanhonoraryseniorlecturerattheUniversityofOxford.ShequalifiedfromUniversityCollege Cork in 1988 and trained in medicine before discovering the specialty of palliative medicine in 1992. Mary trained and worked in palliative medicine in three countries before starting this consultant post in 1998.

pROGRaMME

Website: www.sobelleducation.org.uk email: [email protected] company/sobell-study-centre Website: www.sobelleducation.org.uk email: [email protected] company/sobell-study-centre

cOST£295 (includes refreshments & lunch)

VenUeStAnne’sCollege,Oxford

accOmmOdaTiOnIfyouneedtostayovernightinOxfordyoucanfindacomprehensivelistofhotels and bed and breakfast accommodation at www.oxfordcity.co.uk or telephone the Oxford visitor information Tel: +44 (0)1865 252200 Fax: +44 (0)1865 240261 email: [email protected].

Motor Neurone Disease TBC

pleural Disease Dr Najib Rahman

Diabetes Dr alistair Lumb

Delirium Dr Michael yousif

Cardiac Disease TBC

Dementia TBC

Respiratory support: When to start and how stop TBC

acute Kidney injury TBC

Sepsis Dr Sudhir Singh

Calciphylaxsis,CalciumandPhosphate DrChrisWinearls

Applying for 10 CPD points

The course was very helpful in bringing me, as a palliative care physician, up-to-date.”Course participanman

‘‘PROvISIOnAL TOPICS