da Vinci Application form - Urology · competence in urologic robotic surgery including discussing...

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Mr Application Form ROBOTIC UROLOGY CADAVERIC COURSE 22-23 May 2018 The Urology Foundation Centre of Robotic Training Newcastle Surgical Training Centre Freeman Hospital, Newcastle Upon Tyne Newcastle Surgical Training Centre delivers over 170 advanced training courses from regional, national and international surgeons representing multi specialties. Collaboration with national and international faculty drives a greater understanding of surgical techniques delivering improved patient care. www.nstcsurg.org This course is designed for surgeons, urologists, and multi-disciplinary teams to gain system knowledge and develop a working understanding of the da Vinci and learn technical skills useful in the operating theatre. The desired result from this event is that the learner increases or enhances his knowledge and competence in urologic robotic surgery including discussing the surgical technique for safe and effective robotic surgery, indications and contraindications, and methods to manage complications.

Transcript of da Vinci Application form - Urology · competence in urologic robotic surgery including discussing...

Page 1: da Vinci Application form - Urology · competence in urologic robotic surgery including discussing the surgical technique for safe and effective robotic surgery, indications and contraindications,

Mr

ApplicationForm

ROBOTICUROLOGYCADAVERICCOURSE22-23May2018TheUrologyFoundationCentreofRoboticTrainingNewcastleSurgicalTrainingCentreFreemanHospital,NewcastleUponTyne

NewcastleSurgicalTrainingCentredeliversover170advancedtrainingcoursesfromregional,nationalandinternationalsurgeonsrepresentingmultispecialties.Collaborationwithnationalandinternationalfacultydrivesagreaterunderstandingofsurgicaltechniquesdeliveringimprovedpatientcare.www.nstcsurg.org

Thiscourseisdesignedforsurgeons,urologists,andmulti-disciplinaryteamstogainsystemknowledgeanddevelopaworkingunderstandingofthedaVinci

andlearntechnicalskillsusefulintheoperatingtheatre.Thedesiredresultfromthiseventisthatthelearnerincreasesorenhanceshisknowledgeandcompetenceinurologicroboticsurgeryincludingdiscussingthesurgical

techniqueforsafeandeffectiveroboticsurgery,indicationsandcontraindications,andmethodstomanagecomplications.

Page 2: da Vinci Application form - Urology · competence in urologic robotic surgery including discussing the surgical technique for safe and effective robotic surgery, indications and contraindications,

• DISSECTORS:ACCESSTOCLINICALLECTURESANDCADAVERICPROCEDURES

• NONDISSECTORS:-CLINICALLECTURESANDACCESSTOSIMULATORONLY

• AVAILABLETOALLUROLOGYTRAININGGRADES/CONSULTANTS

FACULTYProfessorNaeemSoomro–CourseDirector

ConsultantUrologistNewcastleUponTyneHospitals

AdditionalFacultytobeconfirmed

FurtherinformationForfulldetailsandregistrationinformationvisit

www.nstcsurg.org

Orcontact:LouiseSoreFreemanHospital,NewcastleuponTyne

Tel:(+441912138589Email:[email protected]

NewcastleSurgicalTrainingCentre www.nstcsurg.org

SPECIALFEATURESOFTHECOURSE

• Intensivetwo-daycourse• Highfaculty-to-participantratio• NumberofDISSECTORSlimitedto8• InteractiveclassroomandHandson

ProceduresONFRESHFROZENSPECIMENS

• Coursedinnerandallrefreshmentsincluded

Coursecertificate-CPDPENDING

COURSEAIMSANDOBJECTIVES

TobecomefamiliarwiththefunctionandoperationofthedaVinci®SurgicalSystemTobecomefamiliarwiththeergonomicsofthedaVinci®SurgicalSystemrobotandtheavailableroboticinstrumentationTounderstandtheselectionprocessforpatientposition,daVincisurgicalteampositionandroboticsurgicalapproachesTobecomefamiliarwiththetechniqueofroboticsurgeryintracorporealsuturingandknottyingTolearn"tricksofthetrade"tomakeroboticsurgicalproceduresmoreefficientwithoutmuchcomplication.Tolearnrobotictissuedissectiontechniquesusingmonopolarbipolar,harmonicandplasmakineticenergyinroboticsurgery.TolearnintracorporealsuturingandknottingtoperformroboticsurgeryTolearnscientificportpositiontodoproperdockingduringroboticsurgeryTolearnbaseballdiamondconceptofportpositionofroboticsurgeryTolearnergonomicprincipleofroboticsurgeryforproperandtroublefreesurgery.TolearnbowelanastomosisandtremorfreepyeloplastydaVincirobot

FRESHFROZENCADAVERS

PROCEDURESINCORPORATE:

ROBOTICASSISTEDCYSTECTOMY,ROBOTICSASSISTEDLYMPHNODEDISSECTION

ROBOTICASSISTEDPROSTATECTOMY,ROBOTICASSISTEDNEPHRECTOMY

Page 3: da Vinci Application form - Urology · competence in urologic robotic surgery including discussing the surgical technique for safe and effective robotic surgery, indications and contraindications,

Surname: Title:(Mr /Mrs /Miss /Ms )Forenames:

JobTitle:

GRADE::

HospitalAddress:

Postcode:

MobileTelephone: Email:

FurtherdetailsHowdidyouhearaboutthiscourse? TrustWebsite Mailing OtherPleasestateanyspecialdietaryrequirements:Signed: Date:

DAVINCIROBOTICUROLOGYCADAVERICCOURSE

DATE:22-23May2018Delegatefee:£1200□OBSERVERS:£300(ACCESSTOLECTURESANDSIMULATOR)

Pleasenote:Thecoursefeewillincludelunchandrefreshments.PaymentcanbemadeviaBACS(automaticbanktransfer)bycreditcard,orby cheque,payable toNewcastleuponTyneHospitalsNHSTrust.Fulldetailsandregistrationinformationcanbefoundatwww.nstcsurg.org

Pleasenote,paymentisdueatregistrationtosecureyourplaceandattendanceonthecourseisconditionaluponadvancepaymentbeingreceived.Refundscannotbegivenintheeventofyourcancellationwithintwoweeksofthecoursedate.NSTCcannotacceptliabilityforcostsincurredintheeventofacoursehavingtobecancelledasaresultofcircumstancesbeyonditsreasonablecontrol.Thereisanadministrationchargeof10%(or£50,whichever isgreater)ofthetotalcoursefee.However,withinfourweekspriortothestartdateofthecourse,thetotalcoursefeewillbechargedunlessinexceptionalcircumstancesatthediscretionoftheNSTC.Whilewemakeeveryefforttoruncoursesasadvertised,wereservetherighttochange the timetableand/or the teaching staffwithoutpriornoticeand to cancel any courseswithout liability (inwhich case therewillbea fullrefund of course fees to participant). Note that any consequential losses (e.g. travel or accommodation costs) incurred in such cases remain theresponsibilityofthebooker,andconsiderationshouldbemadetotakingoutappropriatetravelinsuranceforanynon-refundablecosts.

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CARDNumber ______________________________________________________________________

ExpirationDate _____________________________________________________________________

Validfromdate

Securitynumber(3digitnumberonbackof

Visa/MasterCard

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