GP registrar availability to assist with COVID 19 vaccination clinic Survey

Thank you for completing this EOI for Commonwealth funded COVID 19 vaccination clinic workforce planning. Your details will be forwarded to the relevant PHN. If your availability matches a COVID 19 vaccination clinic need you will be contacted directly.

Please note, GP Synergy supports registrars working in vaccination clinics during the COVID-19 pandemic, however, we are unable to guarantee this work will count towards GP training. If you wish this work to be counted towards GP training please discuss this with your medical educator prior to accepting a position to determine if this is a suitable GP training environment.

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* 1. Please complete the details below:

First name:

Last name:

Email:

Best contact phone number:

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* 2. What is your current stage of training?

Hospital terms

Extended skills in hospital

First GP term

Second GP term

Third GP term

Fourth GP term

Extended skills in GP

Advanced Specialised Training/Advanced Rural Skills Training

Leave

Extension awaiting fellowship

Other (please specify)

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* 3. Current Working with Children (WWC) or Working with Vulnerable People Check (WVPC)?

Yes

Date of expiry (DD/MM/YYYY)

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* 4. Preferred location to assist the COVID 19 vaccination clinic?

Town/City

State

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* 5. Please advise on your availability to assist with COVID 19 vaccination clinics:

How many days, which days and what hours are you available to work?

When would you be available to start (DD/MM/YYYY)