Internal use
HKCPath Ref.:
HKAM Ref.:
Fellows of Hong Kong College of Pathologists
CME/CPD Program Attendance Record for
Quality Assurance and Audits (QA)
Program Name:
Date / Time:
Venue:
Duration in Hours:
Organizer:
Contact Person:
Tel:
CME Points
Accredited:
Fax:
Email:
2 CME/CPD points per mortality/morbidity meetings, CPC or grand rounds for all
participants, irrespective of duration.
Name
(in block letters)
Name
Signature
(in block letters)
1.
17.
2.
18.
3.
19.
4.
20.
5.
21.
6.
22.
7.
23.
8.
24.
9.
25.
10.
26.
11.
27.
12.
28.
13.
29.
14.
30.
15.
31.
16.
32.
Signature
Please return to:
The College Secretary
The Hong Kong College of Pathologists
Room 606, HKAM Jockey Club Building
99 Wong Chuk Hang Road, Aberdeen, Hong Kong
Tel: 2871 8756
Fax: 2871 8755
Attendance_QA – revised 2014
Signature / Official Chop of Organiser