CEP Application Form 2023

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Please note that there is currently an ongoing issue with response submission in Jisc Online Surveys.

In some cases, respondents are receiving an error message upon submission, resulting in their response not being recorded.

If you receive this error message, please contact us at cep@ed.ac.uk

To be eligible for registration, you must teach Edinburgh Medical School students, or teach trainees in South East Scotland Deanery or one of the NHS Boards that take Edinburgh Medical Students (Ayrshire & Arran, Dumfries & Galloway, Forth Valley, Highland, Lanarkshire, NSS/BTS, State Hospital, Western Isles).

1.1. Last Name Required

2.2. First Name Required

3.3. Email Address Required

Please enter a valid email address.

4.4. Contact telephone number Required

5.5. Grade or Job Title Required

6.6. Main Employer

Please contact us at cep@ed.ac.uk if you do not see your main employer on this list.

7.7. Tell us why you would like to register for the Clinical Educator Programme Required

Career progression

CCT preparation

Develop as an educator

RoT as a Clinical Supervisor

RoT as an Education Supervisor

I understand that the information above will be used for GMC return purposes and my e-mail address could be used to contact me in relation to the Clinical Educator Programme. (Please read the privacy statement at http://www.clinicaleducator.org/page/privacy-statement.)

Please accept completion of this form as my consent.