Application Request to Hold an Add-On ICS Educational Course. yes NO

Transcription

1 Application Request to Hold an Add-On ICS Educational Course Name of ICS Member requesting application: Country in which course is to be held: Proposed City Proposed Dates Proposed Venue Accommodation details for speaker(s) Number of expected delegates: Include degree of training and discipline What event does the ICS course add on to? i.e. a national annual meeting Would you like the course to be accredited by the EU-ACME? There is a charge for accreditation so we must ensure that accreditation would be applicable to your delegates. To what local associations are you applying for CPD recognition? Will there be an exhibition? Other known Urological/Gynaecological meetings in the geographical area occurring 2 months before and 2 months after proposed date Local information: e.g. weather, national holidays in four week period leading up to and including the course date Mário João Gomes Portugal Porto th August Santo Antonio Hospital and Forensis Institut North Delegation Artes Hotel 6-8 Residents and Young Specialistes No Yes,by ICS NO yes NO Need for course: Why is important that the ICS runs a course for this audience? What do you feel the benefit to you will be? What can ICS provide that local providers will be unable to deliver? This course has been held in previous years with excellent feedback. It provides our more junior members an opportunity to develop hands on experience. I propose that ICS cover the European acreditation and one of the travel: Diaa or Sheriff Declaration: I confirm that the information above is true to the best of my knowledge and that I have read and understood the Education Course Guidelines. The proposed programme for the course with detailed speakers/topics and timings is attached to the application.

2 I acknowledge: ICS speakers will speak in English. If simultaneous translation or another form of translation required is required then the ICS will not cover the costs for this. The ICS may wish to attend the meeting and have an exhibition booth and would expect a free booth to promote the benefits of ICS membership. The host organisation will organise and cover hotel costs for the ICS speaker(s) The host organisation will organise and cover return transfer costs from the airport to accommodation. If the accommodation is in a different location to the course venue then local ground transport will also be provided The ICS will cover the costs of flight and related personal expenses for the speaker(s) Signed: Mário João Gomes Dated: 2014/1/24

3 Application Request to Hold an ICS Guest Lecture Name of ICS Member requesting application: Country in which course/meeting is to be held: Proposed City Proposed Date Specific date of guest lecture Proposed Venue Accommodation details for speaker(s) Number of expected delegates: Include degree of training and discipline Name of proposed guest lecture Suggested lecture title To what local associations are you applying for CPD recognition? Will there be an exhibition? Other known Urological/Gynaecological meetings in the geographical area occurring 2 months before and 2 months after proposed date Local information: e.g. weather, national holidays in four week period leading up to and including the course date Need for guest lecture: Why is important that an ICS speaker(s) attends this guest lecture for this audience? What do you feel the benefit to you will be? What can the ICS provide that local providers will be unable to deliver? Declaration: I confirm that the information above is true to the best of my knowledge and that I have read and understood the Education Course Guidelines. The proposed programme is attached to the application. I acknowledge:

4 ICS speakers will speak in English. If simultaneous translation or another form of translation required is required then the ICS will not cover the costs for this. The ICS may wish to attend the meeting and have an exhibition booth and would expect a free booth to promote the benefits of ICS membership. The host organisation will organise and cover hotel costs for the ICS speaker(s) The host organisation will organise and cover return transfer costs from the airport to accommodation. If the accommodation is in a different location to the course venue then local ground transport will also be provided The ICS will cover the costs of flight and related personal expenses for the speaker(s) Signed: Dated:

5 ICS CADAVER WORKSHOP IN FEMALE PELVIC MEDICINE AND RECONSTRUCTIVE SURGERY Day Welcome and registration Opening Session Diaa Rizk, Agostinho Santos, Avelino Fraga, Mário João Gomes, Rui Versos Female pelvic anatomy and surgical landmarks Alexandre Lourenço Surgery for Stress Urinary Incontinence Sheriff Mourad Video Session: Mid-urethral Sling Procedures Rui Versos Coffee break Anterior Vaginal Wall Defects Repair - Video Session: Rui Versos Posterior Vaginal Wall and Apical Vaginal Defects- Video Session: Alexandre Lourenço Day 2 Clinical and Evidence-based Discussion about the use of meshes for pelvic floor repair: The FDA public notification. Lunch Practical Cadaver Dissections Diaa Rizk Mario Joao Gomes, Rui Versos, Alexandre Lourenço, Diaa Rizk, Sheriff Mourad, Luís Osório Clinical Examination for Pelvic Organ Prolapse Diaa Rizk The POP-Q classification Alexandre Lourenço Complications of Mid-Urethral Sling Procedures Sherif Mourad Coffee break Conference by ICS Faculty: Future research in pelvic Diaa Rizk, Sheriff Mourad reconstructive surgery Clinical Case Presentations (4) Teresa Mascarenhas Lunch Practical Cadaver Dissections End of the course Closing Session and Award of Certificates Mario Joao Gomes, Rui Versos, Alexandre Lourenço, Diaa Rizk, Sheriff Mourad, Luís Osório Diaa Rizk, Agostinho Santos, Mário João Gomes, Rui Versos