Sydney Medical School-Northern
Junior Medical Officers Clinical Teaching program 2016
Yes I would like to take a group of students while I am based at RNSH during 2016.
**Information / form also available:
http://sydney.edu.au/medicine/northern/tutors/teaching-opportunities/jmo-teaching-opportunities.php**
Name:
Email:
Mobile:
Intern / PGY 2 / PGY3 (please circle)
nb. If more senior, please complete Tutor Recruitment form: http://sydney.edu.au/medicine/northern/tutors/index.php
University of graduation in medicine:
Term location during 2016:
Term
1
Hospital
Unit/Dept*
2
3
4
5
Leave dates
(if known)
* If you are on a RELIEF term please state if you are still available for that period.
Teaching experience:
Preference for days (if any):
 I have attached my current CV (required).
 I have diarised to attend the JMO tutor briefing & will attend.
Return completed forms to:
Kay Worrell, Level 7 Kolling Building RNSH, kay.worrell@sydney.edu.au or Fax number 99264033