DATE: VENUE: 17th September 2014 Clinical Anatomy Skills Centre, University of Glasgow, Thomson Building, G12 8QQ Closing date for applications: 29th August 2014 Suitable for all surgical trainees with an interest in Breast Surgery. Tutors are all experienced Consultant Surgeons with 4:1 participant/faculty ratio. Maximum of 4 delegates per cadaver. The course will provide hands on experience using fresh/frozen cadaveric material. The programme will include: Skin sparing mastectomy Implant based breast reconstruction (including device assisted) Axillary node dissection Latissimus dorsi flap breast reconstruction This course will be held in the state of the art, Clinical Anatomy Skills Centre (CASC) which is a joint facility run by the Royal College of Physicians and Surgeons of Glasgow and the University of Glasgow ENHANCING SKILL EXPANDING KNOWLEDGE ADVANCING CARE REGISTRATION FORM Breast Reconstruction Surgery Cadaveric Training Day Name: Position: Hospital (if applicable): Address for correspondence: Postcode: Home telephone: Work telephone: Email: I wish to register for the Breast Reconstruction Surgery Cadaveric Training Day on 17th September 2014 A photographer may be present on the day of the course. Photographs of course participants may be taken and used in College marketing material. I consent to my photograph being taken as a course participant Fees: Full 195 Royal College of Physicians and Surgeons of Glasgow Fellow/Member 150 PAYMENT I enclose a cheque for Please make cheques payable to Royal College of Physicians and Surgeons of Glasgow I wish to make payment by credit card of Cardholder name: Credit card number: Type of card: (Visa, Mastercard, etc. We do not accept American Express) Start date: Expiry date: Security code: Issue no: Billing address (if diferent from above): Postcode: Please note that should your payment fail and consequently Royal College of Physicians and Surgeons of Glasgow incurs a charge, then a standard administration fee of 20 (inc VAT) will apply. Should you wish to make further enquiries relating to payment charges, please contact the Finance Department. BOOK ONLINE OR SEND YOUR COMPLETED REGISTRATION FORM TO: Joanne Woollard Supervisor - Clinical Anatomy Skills Centre Laboratory of Human Anatomy University of Glasgow University Avenue | Glasgow | G12 8QQ T 0141 330 2063 E joanne.woollardED@rcpsg.ac.uk www.rcpsg.ac.uk Please note: Your registration will only be confrmed and a place reserved once your registration fee has been received. We regret that refunds cannot be made for cancellations within fourteen days of the event. The Royal College of Physicians and Surgeons of Glasgow is a registered Scottish charity: registration number SC000847. 06.14 University of Glasgow, charity no: SC004401 BOOK ONLINE http://rcp.sg/events Sponsored by