IUD Insertion EOI form

Eligibility Questionnaire

Please complete the eligibility criteria check to be wait listed for the IUD Insertion Training course.

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* 1. Your details

Name

Clinic name

Clinic address

Clinic Suburb/Town and Postcode

Clinic phone number

Mobile number

Email address

AHPRA registration number

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* 2. I am registered as a GP with AHPRA (not a registrar, in other GP training pathway or about to commence GP training)

Yes

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* 3. I have confirmed with my medical indemnity company that I will be covered for IUD insertions after completing the IUD insertion course and submitting my certificate of competency

Yes

Providing IUD insertions in your clinic may involve significant preparation such as purchasing equipment (eg. adjustable examination bed with stirrups and instruments), obtaining administration support and a nursing assistant. Bulk billing is unlikely to cover your costs in providing IUD insertions.

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* 4. I have support from my practice manager/practice owner to provide IUD insertions

Yes

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* 5. I am an Implanon NXT certified inserter and insert at least 10 per year

Yes

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* 6. I have sufficient patients requiring IUD insertion in my practice to do at least 10 per year

Yes

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* 7. I have an appropriate level of experience to participate, including experience in contraceptive counselling, speculum and bimanual pelvic examination skills.

Yes

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* 8. I have a practice nurse to assist for IUD insertions

Yes

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* 9. I have an adjustable examination bed with sufficient space at the end of the bed to perform IUD insertions

Yes

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* 10. My practice has resuscitation equipment (eg. oxygen, bag and mask)

Yes

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* 11. I understand that course costs apply

Yes

During the clinics, you may be required to insert either or both Mirena and copper IUDs under supervision. However, there is no guarantee that there will be an opportunity to practise copper IUD insertions.

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* 12. I understand that IUD training includes both Mirena and copper IUD insertions

Yes

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* 13. I understand that IUD training involves IUD insertions for nulliparous women

Yes

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* 14. I understand that the IUD insertion course is a competency based course which takes a variable length of time to complete, and that some course participants may not reach competency

Yes

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* 15. I am currently working in Victoria (this is an eligibility requirement to both apply for and to undertake this course).

Yes

Please click the submit button once you have finished the survey.