Membership Confirmation Form

1. Member number*

 

2. First name*

 

3. Last name*

 

4. Mobile number*

 

5. Personal email address (your policy will be updated to this email address)*

 

6. Intern Ahpra number (if known)

 

7. Which specialty are you interested in pursuing?* General Practice Anaesthesia Ophthalmology Radiology Surgery Psychiatry Paediatrics Obstetrics and Gynaecology Pathology I do not know Other

 

8. In which state or territory and Health Service/District will you commence your internship?* NSW WA TAS NT SA QLD VIC ACT

 

9. What kind of Member benefits are you interested in receiving now and in the future?* Interview preparation CV building and career planning Subscription to journals and publications Health and wellbeing support Mentorship programs Networking events Discounted products and services Research grants and opportunities Other

 

10. What kind of educational resources are you interested in?* Interview preparation and career guidance Specialty specific updates and medical trends CPD accredited courses Medico legal blogs and case studies Clinical skills Patient communication Medical ethics and legal guidelines Mental health and wellbeing Healthcare technology and innovation Interdisciplinary collaboration Employment issues Privacy and confidentiality Other

 

11. Which channel would you prefer to access educational resources?* Live webinars On-demand videos Podcasts or audio resources Written articles and case studies Learning platforms Mobile app Face to face workshops Social media posts and reels Other

 

12. Which social media platforms would you like to see us on?* Facebook Instagram X formerly Twitter LinkedIn TikTok Pinterest Threads

 

13. How would you prefer to receive communications and updates from us?* Email Mobile app Social media Phone call SMS Other

 

14. What kind of Member benefits would have helped you during medical school?* Oxford concise medical dictionary Subscription to medical journals Discounted study materials Uber Eats voucher Medical equipment discount Prezzee voucher Medshop voucher Other

 

I have read and accept the competition Terms & Conditions and acknowledge I may be contacted by an MDA National representative using the details provided, in accordance with MDA National's Privacy Policy

Read Terms and Conditions and Privacy Policy

 

For any questions, contact our Member Services team on 1800 022 255 or peaceofmind@mdanational.com.au.