CERTIFICATION COURSE FOR "200 HOURS TRAINING ON HAEMODIALYSIS FOR PHYSICIANS " Malaysian Society of Nephrology is pleased to announce a certification course to train physicians for haemodialysis. PROGRAM MODULES 1. Theory 1.1. Course materials 1.2. Exit assessment 2. Clinical attachment at accredited haemodialysis centres (Appendix 1) ELIGIBILITY REQUIREMENTS Physician or paediatrician with postgraduate qualification in paediatrics or internal medicine recognised by the Malaysian Internal Medicine or Paediatric Specialty Board RULES & REGULATIONS 1. Eligibility criteria should be met Registration should be made through Malaysian Society of Nephrology 2. Candidate should complete all the modules of the training program: 2.1. Theory (15 hours) Candidates must read the course materials Candidates must pass an Exit Assessment 2.2. Clinical Attachment (185 hours) Clinical attachments are only permitted at accredited centres (Appendix 1) Candidate should complete the logbook on their dialysis attachment. Only the local preceptors and Consultant Nephrologist-in-charge of the dedicated haemodialysis unit are allowed to verify the logbook entry. The medical practitioner needs to submit the book within 2 weeks after completion of the program to our secretariat. Certificate will not be issued if the log-book is not return. Candidates should also submit the attendance record for 185 hours. A punching time card (certified by the supervising nephrologist) is preferred. 3. The course should be completed within 6 months of starting the program 4. The MSN committee reserves the right to deny any certification of completion if the candidate did not comply to the rules and regulation stated above. Page 1 of 3
APPLICATION & SUBMISSION 1. Submission 1.1. Application form can be downloaded from the MSN website (http://www.msn.org.my) 1.2. Completed the registration form should be submitted to: Ms Rashidah Hamzah Secretariat Unit 19-01, Level 19, Q Sentral 2A, Jalan Stesen Sentral 2, Kuala Lumpur Sentral 50470k Kuala Lumpur Tel: 603 2276 3686 / 03 2276 3687 Email: msn@msn.org.my 2. Registration fee 2.1. The registration fees for this program will be RM 2,500.00. PAYMENT MADE IS NOT REFUNDABLE. 2.2. Cheques or postal order should be made payable to the Malaysian Society of Nephrology. ENQUIRIES For enquiries, please contact: Ms Rashidah Hamzah at the Malaysian Society of Nephrology (refer to contact details above) or Private Medical Practice Control Section (CKAPS) at 03-8883 1363 or 03-8881 0900 Page 2 of 3
Appendix 1 LIST OF ACCREDITED TRAINING CENTRES Klang Valley: Hospital Kuala Lumpur Hospital Selayang Hospital Serdang Hospital Tuanku Ampuan Rahimah, Klang Hospital Universiti Malaya (UMMC) Hospital Universiti Kebangsaan Malaysia (HUKM) Northern region: Hospital Sultanah Bahiyah, Alor Setar, Kedah Hospital Sultan Halim, Sungai Petani, Kedah Hospital Pulau Pinang Hospital Taiping Hospital Raja Permaisuri Bainun, Ipoh, Perak Hospital Seberang Jaya, Pulau Pinang Southern region: Hospital Tuanku Jaafar, Seremban Hospital Melaka Hospital Sultanah Fatimah, Muar, Johor Hospital Sultanah Aminah, Johor Bharu East-coast region: Hospital Raja Perempuan Zainab II, Kota Bharu Hospital Sultanah Nur Zahirah, Kuala Trengganu Hospital Tuanku Ampuan Afzam, Kuantan Hospital Sultan Ahmad Shah, Temerloh East Malaysia: Hospital Queen Elizabeth, Kota Kinabalu, Sabah Hospital Umum Sarawak, Kuching Hospital Miri Updated 19/10/2018 Page 3 of 3
REGISTRATION FORM FOR TWO HUNDRED (200) HOUR TRAINING ON HAEMODIALYSIS FOR PHYSICIANS Name in Full (IN BLOCK LETTERS) IC Number Qualification/Year National Specialist Register (NSR) Number Contact number Fax number Email address Home Address Working (Office) Address Haemodialysis Centre Address* 1. 2. 3. * Please add attachment if space is limited. Page 1 of 2
REQUEST FOR CENTRE OF CLINICAL ATTACHMENT Please tick ( Klang Valley: Hospital Kuala Lumpur Hospital Selayang Hospital Serdang Hospital Tuanku Ampuan Rahimah, Klang Hospital Universiti Malaya (UMMC) Hospital Universiti Kebangsaan Malaysia (HUKM) Northern Region: Hospital Sultanah Bahiyah, Alor Setar, Kedah Hospital Sultan Halim, Sungai Petani, Kedah Hospital Pulau Pinang Hospital Taiping Hospital Raja Permaisuri Bainun, Ipoh, Perak Hospital Seberang Jaya, Pulau Pinang Southern Region: Hospital Tuanku Jaafar, Seremban Hospital Melaka Hospital Sultanah Fatimah, Muar, Johor Hospital Sultanah Aminah, Johor Bharu East-coast Region: Hospital Raja Perempuan Zainab II, Kota Bharu Hospital Sultanah Nur Zahirah, Kuala Trengganu Hospital Tuanku Ampuan Afzam, Kuantan Hospital Sultan Ahmad Shah, Temerloh East Malaysia: Hospital Queen Elizabeth, Kota Kinabalu, Sabah Hospital Umum Sarawak, Kuching Hospital Miri Page 2 of 2