IUD Insertion Training Application

Name*

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Date of Birth*

Email address*

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READINESS: Doctors are required to be at a high level of experience/training to do this training as SHINE SA views IUD insertions at the highest skill end of sexual health practice. Before commencing this training, doctors should be very experienced in contraceptive counselling, IUD assessments, management of IUD problems, and have well developed bimanual pelvic examination skills as assessing the lie of the uterus is fundamental. Generally this would mean you have undertaken a FPAA Certificate in Reproductive & Sexual Health or a RANZCOG certificate or diploma, or have extensive experience in sexual health and gynaecology.

Have you completed a Certificate in Sexual & Reproductive Health or equivalent?*

Yes
No

Do you have Professional Indemnity Insurance?*

Yes
No

It is a pre-requisite of enrolment that you have Professional Indemnity Insurance that covers you for this training.

Do you have unconditional AHPRA Registration?*

Yes
No

It is a pre-requisite of enrolment that you have unconditional AHPRA Registration.

Can you confirm that you will commit to the completion of clinical training within 3 months of the practical workshop?*

Yes
No

Have you completed 2 years experience in general practice or obstetrics and gynaecology in Australia?*

Yes
No

How many consultations regarding sexual and reproductive health issues do you typically see in your current practice per week?*

Consider your level of experience with the following procedures and how often you perform them in your current practice.

Cervical Screening Test*

Bimanual examinations*

Removal of IUDs*

Management of IUD problems, including treatment of PID*

Consider your level of experience with the following procedures and how often you perform them in your current practice.

Curettes / D&C*

Very confident
Somewhat confident
Not confident
N/A

Insertion of IUDs in multiparous women*

Very confident
Somewhat confident
Not confident
N/A

Insertion of IUDs in nulliparous women*

Very confident
Somewhat confident
Not confident
N/A

OTHER INFORMATION TO SUPPORT YOUR APPLICATION FOR IUD INSERTION TRAINING

Work experience relevant to this course

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IUD Insertion Training Application

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