O R G A N I S E D BY

COLLEGE OF SURGEONS,
ACADEMY OF MEDICINE OF MALAYSIA

COLLEGE OF SURGEONS / ATLS 2010

G-1 Medical Academies of Malaysia

50400 Kuala Lumpur

210 Jalan Tun Razak
S E C R E TA R I AT

VENUE
ATLS CENTRE
SUNGAI BULOH HOSPITAL

COURSE 1/2010 22 nd – 24 th June 2010

COURSE 2/2010 29 th June – 1 st July 2010
COURSE 3/2010 21 st – 23 rd September 2010
COURSE 4/2010 27 th – 29 th September 2010
C O U R S E I N F O R M AT I O N ADVANCED TRAUMA LIFE SUPPORT
The ATLS Course is an intensive 2 1/2 day course designed by the American College of Surgeons to
equip the participant with the knowledge, technical skills and decision making skills to improve the (ATLS) COURSE
care of patients with multiple injuries. In order to maintain high standards and adequate PROVIDER COURSE FOR DOCTORS
supervision, only 16 participants are taken for each course.
VENUE : ATLS CENTRE, SUNGAI BULOH HOSPITAL
W H O S H O U L D AT T E N D R E G I S T R AT I O N F O R M
Surgical trainees, Accident & Emergency physicians, Search and rescue doctors military doctors, Please return the completed form with the appropriate fees to:
doctors working in rural areas and war zones.
SECRETARIAT
College of Surgeons / ATLS 2010
R E G I S T R AT I O N F E E S G-1 Medical Academies of Malaysia, 210 Jalan Tun Razak, 50400 Kuala Lumpur
ATLS COURSES KKM SPONSORED 1 OTHERS 2 KKM SPONSORED 1 OTHERS 2 TEL : 603-4025 3700, 4025 4700, 4023 4700 FAX : 603-4023 8100
Course 1/2010 TH
On and Before 11 MAY 2010 TH
After 11 MAY 2010 EMAIL : acadmed@po.jaring.my WEBSITE : www.acadmed.org.my
(22nd – 24th June 2010) RM 2,300 RM 2,500 RM 2,500 RM 2,700
PERSONAL DETAILS
Course 2/2010 TH
On and Before 18 MAY 2010 TH
After 18 MAY 2010
Title Prof Dr Mr Ms
(29th June – 1st July 2010) RM 2,300 RM 2,500 RM 2,500 RM 2,700
Specialty
Course 3/2010 On and Before 10TH AUG 2010 After 10TH AUG 2010 Full name
(21st – 23rd Sept 2010) RM 2,300 RM 2,500 RM 2,500 RM 2,700 Name on badge
Course 4/2010 TH
On and Before 16 AUG 2010 TH
After 16 AUG 2010 Institution
(27th – 29th Sept 2010) RM 2,300 RM 2,500 RM 2,500 RM 2,700 Correspondence address
1
KKM Sponsored : Apply through State Pengarah and enter State waiting list.
2
Others : Apply directly to College of Surgeons, Academy of Medicine of Malaysia (CSAMM). Post code
Hand phone Fax
ENTITLEMENTS Email
1. Course manual with DVD R E G I S T R AT I O N F E E S
2. Lunch, morning and afternoon tea breaks ATLS COURSES KKM SPONSORED 1 OTHERS 2 KKM SPONSORED 1 OTHERS 2
3. Animal sessions * Course 1/2010 On and Before 11TH MAY 2010 After 11TH MAY 2010
4. Skill stations (22nd – 24th June 2010) RM 2,300 RM 2,500 RM 2,500 RM 2,700
5. Interactive lectures * Course 2/2010 On and Before 18TH MAY 2010 After 18TH MAY 2010
6. Small group sessions (29th June – 1st July 2010) RM 2,300 RM 2,500 RM 2,500 RM 2,700
* Course 3/2010 On and Before 10TH AUG 2010 After 10TH AUG 2010
(21st – 23rd Sept 2010) RM 2,300 RM 2,500 RM 2,500 RM 2,700
C A N C E L L AT I O N O F R E G I S T R AT I O N * Course 4/2010 On and Before 16TH AUG 2010 After 16TH AUG 2010
Provided notification of cancellation is received 5 weeks before the course date, 50% of the fees (27th – 29th Sept 2010) RM 2,300 RM 2,500 RM 2,500 RM 2,700
1KKM Sponsored : Apply through State Pengarah and enter State waiting list.
will be refunded. No refund will be made for cancellations made within 4 weeks before the 2Others : Apply directly to College of Surgeons, Academy of Medicine of Malaysia (CSAMM). T O TA L
course date. * Since participants in each course are limited to 16, the candidate may not be able to get the
course date he/she desires. Please indicate in the box your preference of dates (use numbers
1, 2, 3 or 4) so that if the candidate cannot get his/her first choice, he/she can be considered
for his/her second, third or fourth choice.

DISCLAIMER
PAY M E N T
Payment should be in RM and made payable to “College of Surgeons of Malaysia”.A Local Order
Whilst every attempt will be made to ensure that all aspects of the Course published in this announcement from a government employee is an acceptable form of payment.
will take place as scheduled, the CSAMM is at liberty to change the teaching faculty in the event the need
arises for whatsoever reason.
Date Signature
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