Registration Form - DSTC - Definitive Surgical Trauma Care

Definitive Surgical
Trauma Care Course
DSTC Australasia in association with IATSIC
(International Association for Trauma Surgery and Intensive Care)
announce courses for 2015.
THE DSTC COURSE IS THE PERFECT
OPPORTUNITY TO ENGAGE IN:
• Surgical decision-making in complex scenarios
• Operative technique in critically ill trauma patients
• Hands on practical experience with skilled
instructors (both national and international)
• Insight into difficult trauma situations with
learned techniques of haemorrhage control
and the ability to handle major thoracic,
cardiac and abdominal injuries
DSTC is recommended by the
Royal Australasian College of Surgeons
for all consultant surgeons and final
year trainees.
The Military Module is an optional
third day for interested surgeons and
Australian Defence Force personnel
and is currently available at the time
of the Sydney course only.
In conjunction with many DSTC courses,
the Definitive Perioperative Nurses
Trauma Care (DPNTC) course is held.
It is aimed at registered nurses with
experience in perioperative nursing
and allows them to develop these skills
in a similar setting.
For general course enquiries,
please contact Sonia Gagliardi
on (61 2) 8738 3928 or
email: [email protected]
dstc.com.au
Registration
Form 2015
I WOULD LIKE TO ATTEND
THE DSTC COURSE IN:
Only available to qualified surgeons
(including overseas) and surgical trainees in
their final two years of advanced training.
If training, year of advanced training
Brisbane
16-17 March 2015
Perth
3-5 June 2015
Sydney
27 July 2015
(Military Module)
I understand that my contact details may be given
to sponsors who are present at the course only for
purposes of contacting me regarding products used
at this specific course.
I do not wish to be contacted.
Sydney
28-30 July 2015
Auckland
3-5 August 2015
Melbourne
15-17 November 2015
NAME
POSITION & ORGANISATION
POSTAL ADDRESS
SUBURB
PHONE NO
STATE
POST CODE
FAX
COUNTRY
MOBILE
EMAIL
REGISTRATION FEE $3135 (inc GST)
TRAINEES FEE $2850 (GST exempt)
MILITARY MODULE $395 (inc GST)
NEW ZEALAND COURSE NZ $3530 (inc GST)
Fee includes program material (DVD & Manual), lunch, morning and afternoon teas, transport to
laboratory and dinner with the faculty on the first day of the course. Written cancellation will be
accepted up to four (4) weeks prior to the course with 80% of the fee being reimbursed.
(Diners or American Express cannot be accepted)
Please debit my
AMOUNT $
NAME ON CARD
Brisbane: Jenni Ward
Mastercard
EXPIRY DATE
Visa
CCV
SIGNATURE
Ph: (61 7) 3176 5301 Fax: (61 7) 3176 2117 Email: [email protected]
dstc.com.au
Perth: Julie Williamson Ph: (61 8) 9346 3699 Fax: (61 8) 9346 1617 Email: [email protected] Website: http://www.health.wa.gov.au/watec
Sydney: Sonia Gagliardi Ph: (61 2) 8738 3928 Fax: (61 2) 8738 3926 Email: [email protected] Website: http://www.sswahs.nsw.gov.au/liverpool/trauma/
Auckland: Lynn Tucker Ph: +64 (0)9 307 4949 Ext 22798 Fax: +64 (0) 307 8931 Email: [email protected] Website: http://www.trauma.co.nz
Melbourne: Geoff Rose Ph: (61 3) 9426 8667 Fax: (61 3) 9426 8412 Email: [email protected] Website: http://wired.ivvy.com/event/DSTC14