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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
Describe the key features on history and examination for otitis media, bacterial tonsillitis, croup, asthma and bronchiolitis
Explain the Centor score for evaluating bacterial tonsillitis
Develop a checklist to identify the red flags in bronchiolitis
Discuss the Therapeutic Guidelines for treatment of otitis media
Discuss the Therapeutic Guidelines for treatment of bacterial tonsillitis

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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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