Membership

	AMPA
	New Zealand Accident and Medical Practitioners Association

Membership

Joining AMPA

There are two classes of membership. Full membership is available to all doctors who spend the majority of their professional time in an approved Accident and Medical facility.

Associate membership is available to all other doctors with an interest in Accident and Medical practice. Associate members will be kept informed of AMPA's activities, but do not have voting rights. Associate members do not have to pay a joining fee on becoming full members.

The membership fee covers AMPA's costs in maintaining vocational registration, and is the same for trainees, advanced trainees and registrants. It does not cover the cost of any materials or servicse provided by others.

Joining the Training or Recertification Programmes

Doctors who do not want to join AMPA but wish to train or participate in reaccreditation may do so by filling in the relevant section of the application form below. A vocational registration fee is required, which is identical to the membership fee.

AMPA's vocational registration services are needed in order to attain or maintain vocational registration in accident and medical practice, and are not available to doctors who have not paid the membership or vocational registration fee. AMPA notifies the MCNZ of doctors who have ceased to participate in training or reaccreditation.

How to join

Please email the application form below, or print and send to AMPA at 202 Ponsonby Rd, Ponsonby, Auckland, or fax to (09) 3765783.

Cheques for the subscription fee should be posted to the above address.

Applicant
Name:
Date of Birth:	Gender:
Address - street:
Address - suburb:
Address - city:
Home phone:	Work phone:
Home fax:	Work fax:
Mobile:
Email:
Facility
Name of facility:
Is facility open until 8pm seven days a week?
Does facility have x-ray on-site?
Address of facility - street:
Address of facility - suburb:
Address of facility - city:
Position held:
Class of membership sought (associate [free] / full / none):

Joining the Training Programme
Do you wish to join the A&M training programme?
Have you had two years of supervised postgraduate general medical training, including one pre-registration intern year and one year including posts in general medicine and/or surgery in full time supervised positions?

General practice experience:	Where:
	When:
	Approx. hours:

Overseas A&M experience:	Where:
	When:
	Approx. hours:

Overseas ED experience:	Where:
	When:
	Approx. hours:
Other experience / other information

Postgraduate qualifications:
CTA Funding I meet CTA criteria 2-6 and apply for a CTA funded training position
MCNZ number
MCNZ scope of practice
Ethnicity
European nfd, New Zealand European/Pakeha, Other European, New Zealand Maori, Pacific Island nfd, Samoan, Cook Island Maori, Tongan, Niuean, Tokelauan, Fijian, Other Pacific Island Groups, Asian nfd, Southeast Asian, Chinese, Indian, Other Asian, Middle Eastern, Latin American/Hispanic, African or cultural group of African origin, Other Ethnicity, nfd - 'not further defined'
I intend to work in the following facilities in the next twelve months:

Membership

Joining AMPA

Joining the Training or Recertification Programmes

Subscription fees, year ending March 31st

How to join