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Page 1: da Vinci Application form - Urology · competence in urologic robotic surgery including discussing the surgical technique for safe and effective robotic surgery, indications and contraindications,

Mr

ApplicationForm

ROBOTICUROLOGYCADAVERICCOURSE22-23May2018TheUrologyFoundationCentreofRoboticTrainingNewcastleSurgicalTrainingCentreFreemanHospital,NewcastleUponTyne

NewcastleSurgicalTrainingCentredeliversover170advancedtrainingcoursesfromregional,nationalandinternationalsurgeonsrepresentingmultispecialties.Collaborationwithnationalandinternationalfacultydrivesagreaterunderstandingofsurgicaltechniquesdeliveringimprovedpatientcare.www.nstcsurg.org

Thiscourseisdesignedforsurgeons,urologists,andmulti-disciplinaryteamstogainsystemknowledgeanddevelopaworkingunderstandingofthedaVinci

andlearntechnicalskillsusefulintheoperatingtheatre.Thedesiredresultfromthiseventisthatthelearnerincreasesorenhanceshisknowledgeandcompetenceinurologicroboticsurgeryincludingdiscussingthesurgical

techniqueforsafeandeffectiveroboticsurgery,indicationsandcontraindications,andmethodstomanagecomplications.

Page 2: da Vinci Application form - Urology · competence in urologic robotic surgery including discussing the surgical technique for safe and effective robotic surgery, indications and contraindications,

• DISSECTORS:ACCESSTOCLINICALLECTURESANDCADAVERICPROCEDURES

• NONDISSECTORS:-CLINICALLECTURESANDACCESSTOSIMULATORONLY

• AVAILABLETOALLUROLOGYTRAININGGRADES/CONSULTANTS

FACULTYProfessorNaeemSoomro–CourseDirector

ConsultantUrologistNewcastleUponTyneHospitals

AdditionalFacultytobeconfirmed

FurtherinformationForfulldetailsandregistrationinformationvisit

www.nstcsurg.org

Orcontact:LouiseSoreFreemanHospital,NewcastleuponTyne

Tel:(+441912138589Email:[email protected]

NewcastleSurgicalTrainingCentre www.nstcsurg.org

SPECIALFEATURESOFTHECOURSE

• Intensivetwo-daycourse• Highfaculty-to-participantratio• NumberofDISSECTORSlimitedto8• InteractiveclassroomandHandson

ProceduresONFRESHFROZENSPECIMENS

• Coursedinnerandallrefreshmentsincluded

Coursecertificate-CPDPENDING

COURSEAIMSANDOBJECTIVES

TobecomefamiliarwiththefunctionandoperationofthedaVinci®SurgicalSystemTobecomefamiliarwiththeergonomicsofthedaVinci®SurgicalSystemrobotandtheavailableroboticinstrumentationTounderstandtheselectionprocessforpatientposition,daVincisurgicalteampositionandroboticsurgicalapproachesTobecomefamiliarwiththetechniqueofroboticsurgeryintracorporealsuturingandknottyingTolearn"tricksofthetrade"tomakeroboticsurgicalproceduresmoreefficientwithoutmuchcomplication.Tolearnrobotictissuedissectiontechniquesusingmonopolarbipolar,harmonicandplasmakineticenergyinroboticsurgery.TolearnintracorporealsuturingandknottingtoperformroboticsurgeryTolearnscientificportpositiontodoproperdockingduringroboticsurgeryTolearnbaseballdiamondconceptofportpositionofroboticsurgeryTolearnergonomicprincipleofroboticsurgeryforproperandtroublefreesurgery.TolearnbowelanastomosisandtremorfreepyeloplastydaVincirobot

FRESHFROZENCADAVERS

PROCEDURESINCORPORATE:

ROBOTICASSISTEDCYSTECTOMY,ROBOTICSASSISTEDLYMPHNODEDISSECTION

ROBOTICASSISTEDPROSTATECTOMY,ROBOTICASSISTEDNEPHRECTOMY

Page 3: da Vinci Application form - Urology · competence in urologic robotic surgery including discussing the surgical technique for safe and effective robotic surgery, indications and contraindications,

Surname: Title:(Mr /Mrs /Miss /Ms )Forenames:

JobTitle:

GRADE::

HospitalAddress:

Postcode:

MobileTelephone: Email:

FurtherdetailsHowdidyouhearaboutthiscourse? TrustWebsite Mailing OtherPleasestateanyspecialdietaryrequirements:Signed: Date:

DAVINCIROBOTICUROLOGYCADAVERICCOURSE

DATE:22-23May2018Delegatefee:£1200□OBSERVERS:£300(ACCESSTOLECTURESANDSIMULATOR)

Pleasenote:Thecoursefeewillincludelunchandrefreshments.PaymentcanbemadeviaBACS(automaticbanktransfer)bycreditcard,orby cheque,payable toNewcastleuponTyneHospitalsNHSTrust.Fulldetailsandregistrationinformationcanbefoundatwww.nstcsurg.org

Pleasenote,paymentisdueatregistrationtosecureyourplaceandattendanceonthecourseisconditionaluponadvancepaymentbeingreceived.Refundscannotbegivenintheeventofyourcancellationwithintwoweeksofthecoursedate.NSTCcannotacceptliabilityforcostsincurredintheeventofacoursehavingtobecancelledasaresultofcircumstancesbeyonditsreasonablecontrol.Thereisanadministrationchargeof10%(or£50,whichever isgreater)ofthetotalcoursefee.However,withinfourweekspriortothestartdateofthecourse,thetotalcoursefeewillbechargedunlessinexceptionalcircumstancesatthediscretionoftheNSTC.Whilewemakeeveryefforttoruncoursesasadvertised,wereservetherighttochange the timetableand/or the teaching staffwithoutpriornoticeand to cancel any courseswithout liability (inwhich case therewillbea fullrefund of course fees to participant). Note that any consequential losses (e.g. travel or accommodation costs) incurred in such cases remain theresponsibilityofthebooker,andconsiderationshouldbemadetotakingoutappropriatetravelinsuranceforanynon-refundablecosts.

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CARDNumber ______________________________________________________________________

ExpirationDate _____________________________________________________________________

Validfromdate

Securitynumber(3digitnumberonbackof

Visa/MasterCard

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Accounttype:Visa�MasterCard�Discover�WEDONOTACCEPTDINERSCLUB,AMEXORAMERICANEXPRESSCARDS


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