The New Zealand College of Musculoskeletal Medicine
  • Donate
  • Join Us
  • Home
  • NZCMM
    • Join Us
    • About Musculoskeletal Medicine
    • About NZCMM
    • News
    • History
      • History of Musculoskeletal Medicine
      • In Memoriam: Dr. Barrie Tait
      • In Memoriam: Dr Jim Borowczyk
      • AFMM Historical Information
    • Policies
  • Training
    • Training Information
    • Apply for Training
    • Fellowship
    • Curriculum
    • Training Manual
    • NZCMM SharePoint
    • Documents Sharepoint
    • WikiMSK
    • Ramify eLearning Hub
    • Australasian Musculoskeletal Medicine Journal
    • TMMF Scholarship
    • Rose Hellaby Scholarship
    • Events
  • Members
    • Fee Details
    • Pacinian (CPD)
    • NZCMM Sharepoint
    • Expenses Reimbursement Form
    • Constitution and Rules
    • Incident Reporting
    • International Medical Graduates
    • Online Membership Application
  • Patient Information
  • Events
  • Contact
Admin Login
NZCMM
  • Patient Information
  • Events
  • News
  • Donate

Training Form

NZCMMTraining Form
  • PERSONAL DETAILS

  • DD slash MM slash YYYY
  • QUALIFICATIONS

  • DegreeUniversity/College/ CountryDate Completed 
  • MEDICAL REGISTRATION

  • DD slash MM slash YYYY
  • DD slash MM slash YYYY
  • POST GRADUATE EXPERIENCE

    Please detail all post graduate experience and in particular all details pertaining to relevant experience in Musculoskeletal Medicine
  • YearsPositionOversight/SupervisorFacility 
  • RECOGNITION OF PRIOR LEARNING (RPL)

  • RESEARCH

    Please list any peer reviewed journal articles/chapters in medical texts/popular press articles of a medical nature which you have had published
  • TEACHING EXPERIENCE

    Please list your involvement in teaching doctors, students or the public
  • MEMBERSHIP OF RELEVANT SOCIETIES

    Please note your membership of relevant medical societies or associations
  • MUSCULOSKELETAL MEDICINE

    Please write a brief paragraph on why you would like to be a Musculoskeletal Medicine Fellow and what abilities you have that would make you a good practitioner of this discipline, and how you could contribute furthering Musculoskeletal Medicine
  • REFEREES

  • NameOrganisation & PositionEmailPhone 
  • DISCLOSURE

  • The College requires all applicants for acceptance into the Training Programme to declare any health issues that may impact on their ability to practice competently and safely.

    In addition, the NZCMM asks to be informed about any unresolved complaints, disciplinary procedures or previous criminal convictions.

    This applies from the time of this application, during Training and on an ongoing basis assuming the applicant is successful in achieving Certificate of Attainment in Musculoskeletal Medicine(CAMM)

    Please document any such relevant information on a separate document. All declarations received are kept confidential to senior programme staff.

  • SUPPORTING DOCUMENTATION AND DECLARATION

    Please enclose the following documents
  • Drop files here or
    Accepted file types: jpg, png, pdf, jpeg, doc, Max. file size: 2 MB.
      Make sure all documents are named correctly with your name as a prefix
    • DECLARATION

      I, hereby confirm that the above information is correct and true to the best of my knowledge. I consent to the Faculty of Musculoskeletal Medicine contacting any relevant persons to verify the above information.
    • Privacy Statement

    NZCMM

    Members

    • Become a Member
    • Events & Conferences
    • Pacinian
    • NZCMM Sharepoint

    Recent Posts

    • Dr Amanjeet Toor Appointed Instructor for International Spine Intervention Society (IPSIS)
    • Fees 2025/2026
    • Longstanding NZCMM member/ Exec member marks 50 years
    • Legal findings related to Cultural Safety and Equity
    • Upcoming Launch of new CPD app
    General Enquiries
    info@nzcmm.org.nz
    Address
    PO Box 26611, Auckland 1344
    © 2022 NZCMM & AFMM. All Rights Reserved.