Dear Colleague,
 
I would like to thank you on behalf of the Royal College of Physicians and Surgeons of Glasgow for your support of the MRCP(UK) PACES.
 
If you would like to examine at any of the centres listed, please indicate your availability below.

Please can you also complete the mandatory examiner compliance questions provided at the start of the survey.
 
Best wishes 
 
Fraser Urquhart
Examinations Administrator 
  

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* Title

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* First Name

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* Family Name

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* Examiner Number (if known)

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* GMC Number

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* Place of work

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* Specialty

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* E-mail Address (this is the address to which we will send confirmation and correspondence)

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* Mobile Telephone number

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* Are you a collegiate member or Fellow in good standing with one of the Royal Colleges of Physicians of the UK?

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* (If Collegiate Member) Are you currently working in a substantive consultant post, with a CCT or on the specialist register?

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* If you are a UK based clinician, do you participate in revalidation, including annual appraisal in your current post, and adhere to CPD requirements?

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* Have you been involved with physicians in training within the last two years?

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* Have you undergone equality and diversity training within the last three years?

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* Please indicate all the dates you would be available to examine

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