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Medical school / Doctor of Osteopathic Medicine / Family medicine / Medicine / IWK Health Centre / Canadian Medical Protective Association


QUEEN ELISABETH II HEALTH SCIENCES CENTRE
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Document Date: 2014-04-16 06:50:46


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Country

Canada / /

Facility

Hospital From To Year / HOSPITAL COMMITTEES Committee Office Held Appointment Date From / Fellowship Other SPECIALTY QUALIFICATIONS Royal College of Surgeons / University Appointment Held / University Vacancy / College of Family Physicians / University Appointment / College of Family Physicians Membership / Royal College of Physicians / Current College of Physicians / College of Physicians / /

MedicalCondition

alcohol abuse / blood-borne communicable disease / /

Organization

Credentials Committee / Board of Directors Date Date / College of Family Physicians of Canada Date / DISTRICT DEPARTMENT / PREVIOUS UNIVERSITY APPOINTMENTS Institution Academic Rank Department / Medical Advisory Committee Date Board of Directors Deferred Rejected Reason Approved Date / Department Chief Date Division / EDUCATION AND POSTGRADUATE TRAINING Medical School / DHA / Dental Association / Royal College of Surgeons / College of Physicians & Surgeons of Nova Scotia / Nova Scotia/Provincial Dental Board / Current College of Physicians and Surgeons / Date RECOMMENDATIONS office of the Vice / Royal College of Physicians of Canada Date / IWK Health Centre / Canadian Medical Protective Association / College of Family Physicians Membership / /

Person

TEMPORARY PRIVILEGES / /

Position

AUTHOR / Physician Services / Granted Secretary / Date Site Chief / CEO / Chief of Staff / Active Associate Courtesy Honorary Clinical Associate Fellow Affiliated Scientist / Vice President / Medicine Rejection Date / Administrator / South West Health Cumberland Health Cape Breton Health Annapolis Valley Health Pictou County Health Capital Health Physician / Physician / treating physician / Deferral Vice President / Major / Chair / Chief of the Department / MEDICAL OR SPECIALIST / General / Chief / relevant Department Head and the VP Medicine / /

ProvinceOrState

Nova Scotia / /

RadioStation

Nova / /

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