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* 1. First Name

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* 2. Last Name

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* 3. RACGP or ACRRM Number

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* 4. Please provide the name of your practice and which state you are located in (only if you are not currently working on the road with 13SICK, National Home Doctor Service).

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* 5. Please provide your email address so we can send you a certificate of completion.

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* 6. Please provide a contact number in case we have trouble uploading your points.

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* 7. Please rate to what degree the learning outcomes were met

  Entirely Met Partially Met Not Met
List the required equipment for eye examination
Develop strategies to ensure appropriate history is taken and examination techniques utilised to make a correct diagnosis
Demonstrate correct use of mydriatic drops and fluorescein drops
Demonstrate correct management for eye emergencies
Explain the “Golden Eye Rules” from the Melbourne Eye Hospital

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* 8. Please rate to what degree your learning needs were met

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* 9. This activity was relevant to your individual practice

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* 10. The presenter was knowledgeable and well-prepared

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* 11. The materials (e.g. PowerPoint presentation) were relevant, clear and helpful

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* 12. Comments?

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