Paediatric Advanced Practice Network (PAPn)- Presenter Expression of Interest form
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1.
Name
(Required.)
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2.
Email address
(Required.)
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3.
Job role
(Required.)
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4.
Employing Organisation
(Required.)
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5.
What is your registered profession?
(Required.)
Nurse
Paramedic
Physiotherapist
Podiatrist
Radiographer
Dietitian
Midwife
Other (please specify)
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6.
What are you interested in presenting?
(Required.)
Teaching
Cased Based Discussion
Audit
Research
Quality Improvement Project
Teaching and learning improvements'
Service Development
Role Development
Other (please specify)
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7.
Please give a description of the topic you would like to present on?
(Required.)
