1. Member number
2. First name
3. Last name
4. Mobile number
5. Personal email address (your policy will be updated to this email address)
6. Intern Ahpra number (if known)
7. Which specialty are you interested in pursuing? General Practice Anaesthesia Ophthalmology Radiology Surgery Psychiatry Paediatrics Obstetrics and Gynaecology Pathology I do not know Other
Other specialty
8. In which state or territory and Health Service/District will you commence your internship?* NSW WA TAS NT SA QLD VIC ACT
NSW hospitals Bankers and Campers Central Coast Network Central West Concord Canterbury Broken Hill Hospital Eastern to Greater Southern From Coast to Coast Hornsby Northern Beaches Hunter New England Inner West Western Plains Nepean Blue Mountains North Shore Port Mac Oceans 11 South West Sydney Tweed Heads St George Sutherland Albury Griffith Hospitals Westnet
WA hospitals Fiona Stanley Fremantle Hospitals Group Royal Perth Bentley Hospitals Group Sir Charles Gairdner Osborne Park Health Care Group including Joondalup Health Campus St John of God Health Care St John of God Midland Public Hospital WA Country Health Service including Bunbury Albany Broome public hospitals
TAS hospitals Launceston General Hospital North West Area Health Service Royal Hobart Hospital
NT hospitals Central Australia Health Service Top End Health Service
SA hospitals Barossa Hills Fleurieu Local Health Network Central Adelaide Local Health Network Eyre and Far North Local Health Network Flinders and Upper North Local Health Network Limestone Coast Local Health Network Northern Adelaide Local Health Network NALHN Riverland Mallee Coorong Local Health Network Southern Adelaide Local Health Network SALHN Womens and Childrens Health Network Yorke and Northern Local Health Network
QLD hospitals Cairns and Hinterland Central Queensland Hospital and Health Service Darling Downs Hospital and Health Service Gold Coast Hospital and Health Service Mackay Hospital and Health Service Mater Health Service Metro North Hospital and Health Service Metro South Hospital and Health Service North West Hospital and Health Service Sunshine Coast Hospital and Health Service Townsville Hospital and Health Service West Moreton Wide Bay Hospital and Health Service
VIC hospitals Albury Wodonga Health Alfred Health Austin Health Bairnsdale Regional Health Ballarat Health Services Barwon Health Bendigo Health East Gippsland Community Rural Generalist Program Eastern Health Echuca Regional Health Rural Generalist Program Gippsland Rural Intern Training Program Goulburn Valley Health Grampains Rural Generalist Program Melbourne Health Melbourne Health Indigenous Internship Mercy Health Mildura Base Hospital Monash Health Murray to the Mountains M2M Rural Generalist Program Northeast Health Wangaratta Northern Health Peninsula Health Portland District Health South West Healthcare Hospital-based Internship South West Healthcare Indigenous Internship St Vincents Hospital Melbourne Western Health
ACT hospitals Canberra Health Service Calvary Private Hospital TCH Bega
9. What kind of Member benefits are you interested in receiving now and in the future?* Interview preparation CV building and career planningSubscription to journals and publicationsHealth and wellbeing supportMentorship programsNetworking eventsDiscounted products and servicesResearch grants and opportunitiesOther
10. What kind of educational resources are you interested in?* Interview preparation and career guidanceSpecialty specific updates and medical trendsCPD accredited coursesMedico legal blogs and case studiesClinical skillsPatient communicationMedical ethics and legal guidelinesMental health and wellbeingHealthcare technology and innovationInterdisciplinary collaborationEmployment issuesPrivacy and confidentialityOther
11. Which channel would you prefer to access educational resources?* Live webinarsOn-demand videosPodcasts or audio resourcesWritten articles and case studiesLearning platformsMobile appFace to face workshopsSocial media posts and reelsOther
12. Which social media platforms would you like to see us on?* FacebookInstagramX formerly TwitterLinkedInTikTokPinterestThreads
13. How would you prefer to receive communications and updates from us?* EmailMobile appSocial mediaPhone callSMSOther
14. What kind of Member benefits would have helped you during medical school?* Oxford concise medical dictionarySubscription to medical journalsDiscounted study materialsUber Eats voucherMedical equipment discountPrezzee voucherMedshop voucherOther
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