IUD Insertion Training - Eligibility

Pre-course Survey

Thank you for your interest in Family Planning NSW - IUD Insertion Training.

This course is designed for experienced practitioners working in NSW. In order for us to assess that you meet the entry requirements and to ensure this course is suitable for you, please complete this survey.

If you have any questions regarding your application, please contact us:

E: education@fpnsw.org.au

T: 8752 4300 (option1)

Question Title

* 1. Contact Information

Full Name as appears on AHPRA

Current Workplace

Address of workplace

City/Town

Post Code

Email Address

Phone Number

Question Title

* 2. Date of your course

Question Title

* 3. Have you completed a Reproductive and Sexual Health Course, Family Planning Certificate or equivalent?

YES

If yes, please provide the name of course and the date of completion

Question Title

* 4. How many consultations regarding sexual and reproductive health issues do you typically see in your current practice per week?

Question Title

* 5. Please indicate your confidence level with the following:

	Very confident	Somewhat confident	Not confident	Not applicable
Speculum examinations	Speculum examinations Very confident	Speculum examinations Somewhat confident	Speculum examinations Not confident	Speculum examinations Not applicable
Bimanual examinations	Bimanual examinations Very confident	Bimanual examinations Somewhat confident	Bimanual examinations Not confident	Bimanual examinations Not applicable
Insertion of IUDs in multiparous women	Insertion of IUDs in multiparous women Very confident	Insertion of IUDs in multiparous women Somewhat confident	Insertion of IUDs in multiparous women Not confident	Insertion of IUDs in multiparous women Not applicable
Insertion of IUDs in nulliparous women	Insertion of IUDs in nulliparous women Very confident	Insertion of IUDs in nulliparous women Somewhat confident	Insertion of IUDs in nulliparous women Not confident	Insertion of IUDs in nulliparous women Not applicable
Removal of IUDs	Removal of IUDs Very confident	Removal of IUDs Somewhat confident	Removal of IUDs Not confident	Removal of IUDs Not applicable
Management of IUD problems, including PID	Management of IUD problems, including PID Very confident	Management of IUD problems, including PID Somewhat confident	Management of IUD problems, including PID Not confident	Management of IUD problems, including PID Not applicable

Question Title

* 1. Contact Information

Question Title

* 2. Date of your course

Question Title

* 3. Have you completed a Reproductive and Sexual Health Course, Family Planning Certificate or equivalent?

Question Title

* 4. How many consultations regarding sexual and reproductive health issues do you typically see in your current practice per week?

Question Title

* 5. Please indicate your confidence level with the following:

Question Title

* 6. Tell us about your work experience relevant to this course