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APOST-CUHK Live Demo Broadcast CUHK Microscopic & Endoscopic Temporal Bone Course 2024

12 Jan 2024

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APOST Course Application Form

Last Name:
First Name:
Date of Birth:
Gender:
M /
F
Country:
City:
E-mail address:
Contact No:
Affiliation:
Title: (current position)
Please select the course you wish to undertake


Specialty:

General /
Rhinologist /
Otologist /
H & N /
Laryngologist /
Trainees
Year of specialty:

< 5 /
5-10 /
11-15 /
16-20 /
> 20
Have you done any endoscopic Sinus surgery as a chief surgeon in the past 6 months?

Yes /
No
If so, how many cases have you performed as a chief surgeon every month?

< 5 /
5-10 /
11-20 /
21-30 /
> 31
Have you done any endoscopic Ear surgery as a chief surgeon in the past 6 months?

Yes /
No
If so, how many cases have you performed as a chief surgeon every month?

< 5 /
5-10 /
11-20 /
21-30 /
> 31
Have you done any Head & Neck surgery as a chief surgeon in the past 6 months?

Yes /
No
If so, how many cases have you performed as a chief surgeon every month?

< 5 /
5-10 /
11-20 /
21-30 /
> 31
What do you expect to learn from this/these course(s) ?

Improve my confidence level
Reduce my procedure time
Related methodology
Improve my knowledge
Expand my horizon in different specialty
Grow my professional network
Improve managing difficult case handling
How did you know about this course?

Website
Facebook
Poster
Referral (please choose the approciate)
by industrial company
by APOST board member
by department head
by colleague who had attended APOST course


Please submit your CV to applications@apost-ent.org after filling in this form.




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