PCPA Pharmacy Technician CVD Academy - Application Form

Daiichi Sankyo Ltd has provided funding for this educational activity, however PCPA has retained full editorial control including formulation of the agenda, contents and selection of speakers.

Please fill in your application form. The deadline is the 27th January 2025. You will be informed by the 10th February 2025, if your application has been successful.

Please ensure that you are able to attend the event dates for this course before applying, your induction evening will be on the evening of the 19th February 2025.

Please Click Here for course information and dates.

Priority will be given to PCPA members.

Your application will be judged on your supporting statement.

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* 1. When filling in this application form please remember to answer each question fully

Name

Employer

Job title

City/Town

Email Address

Mobile Number

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* 2. Please state the number of years you have worked in General Practice Pharmacy

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* 3. Please state the number of years you have been a registered Pharmacy Technician

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* 4. Please enter your GPhC code

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* 5. When considering the management of cardiovascular disease, how would you rate your understanding and level of competency?

Unfamiliar: Minimal or no knowledge of cardiovascular disease management

Basic Understanding: A general awareness of how the condition is managed and the basics

Clinically Proficient: Confidently engage in clinical discussions

Independent Decision Maker: Able to make autonomous clinical decisions

Expert: Able to educate others and contribute to policy development at local or national levels

Other (please specify)

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* 6. Please confirm that you have permission from your line manager to undertake this course. Please note that the live sessions are in the evenings, however you will need to develop a baseline audit and quality improvement project as assignments.

I have permission

I am in the process of gaining permission

No permission needed to undertake the course and assignments

PCPA Pharmacy Technician CVD Academy - Application Form

Question Title

* 1. When filling in this application form please remember to answer each question fully

Question Title

* 2. Please state the number of years you have worked in General Practice Pharmacy

Question Title

* 3. Please state the number of years you have been a registered Pharmacy Technician

Question Title

* 4. Please enter your GPhC code

Question Title

* 5. When considering the management of cardiovascular disease, how would you rate your understanding and level of competency?

Question Title

* 6. Please confirm that you have permission from your line manager to undertake this course. Please note that the live sessions are in the evenings, however you will need to develop a baseline audit and quality improvement project as assignments.

Question Title

* 7. Please use this comment box to support your application with the reasons why we should offer you a place on this course