Specialty Practice – Verified Member Application CommentsThis field is for validation purposes and should be left unchanged.Verified Members of a Specialty Practice Group (SPG) are recognised by Advanced Pharmacy Australia (AdPha) for their expertise and commitment to specialty pharmacy practice. Verified Members are accomplished and invested in the specialty and want to work with AdPha and – where it exists – the SPG Leadership Committees on projects and to promote and develop pharmacy practice in the specialty – and maybe join the SPG Leadership Committee, if one exists in the SPG.Why join?Being a Verified Member gives you the opportunity towork with AdPha and, where applicable, the SPG Leadership Committee on publications, CPD, policy submissions and moresupport the development of your expertise and guide early-career pharmacists and technicians and assistantsnominate for election to Leadership Committees, if the SPG has one.*Reminder* You don’t need to be a Verified Member to get involved in Specialty Practice! Download the AdPha Communities mobile app, or access the AdPha Communities platform via your browser and click Explore Communities (in the Left-Hand menu) and click on the button Join Community to receive all posts from this Community in your home feed, post questions/comments to the members and be notified according to your notification settings. Complete this form to apply to become a Verified Member.For your application to be assessed you need to demonstrate your expertise in the specialty by uploading your CV and providing details about your expertise and experience. For examplehow long you have worked in the specialty or a closely related area, now or in the pastparticipation in a Registrar Training Programadditional professional development you have done in this fieldand any related research, teaching, publications or presentations.By reviewing applicants’ supporting information, the SPG Leadership Committee becomes aware of the Verified Members in their SPG and the range of practice areas and perspectives within the specialty they cover. This grows the community, at the same time recognising colleagues and resources.Before completing the form below, please note the following criteria and expectations.You must be a current Full Pharmacist, Technician or Former/Retired AdPha member.You are committing to be involved in SPG activities and regularly engage in the SPG discussions. Because of this, we suggest being a Verified Member of no more than FIVE SPGs.Please read these additional tips if you are applying to apply to be a Verified Member of the Aboriginal and Torres Strait Islander Health Specialty Practice Group.First Name:(Required)Last Name:(Required)Email address:(Required)Please use the email linked to your AdPha member profile. Refer to your membership Dashboard.AdPha member number(Required)e.g., 001234Verified Member ApplicationIf you wish to apply to be a Verified Member for more than one Specialty Practice Group, a separate application is required for each one. We suggest being a Verified Member of no more than FIVE SPGs.Verified Member Application(Required)Select from this list the Specialty Practice Group you would like to apply to be a Verified Member of. Please submit a separate application for each Specialty Practice Group, together with supporting information relevant to that specialty.SELECT A GROUP FROM THIS LIST…Aboriginal and Torres Strait Islander HealthAid and VolunteeringAnticoagulation StewardshipCardiologyClimate and HealthClinical TrialsCompounding ServicesCredentialed PharmacistsCritical CareDispensing and DistributionEducation and Educational VisitingEmergency MedicineGastroenterologyGeneral MedicineGeriatric MedicineInfectious DiseasesLeadership and ManagementMedication SafetyMedicines InformationMental HealthNephrologyNeurologyOncology and HaematologyPaediatrics and NeonatologyPain ManagementPalliative CarePharmacy Informatics and TechnologyPrecision MedicineResearchRespiratoryRural and RemoteSurgery and Perioperative MedicineTechnicians and AssistantsTransitions of Care and Primary CareVoluntary Assisted DyingWomen’s and Newborn HealthCV:(Required)Please upload a brief CV to support each application to be a Verified Member of a Specialty Practice Group. Your CV and other supporting information provided will be sent to the corresponding Leadership Committee for assessment.Max. file size: 5 MB. What is your expectation of being a Verified Member of this Specialty Practice Group:(Required)Verified Members are AdPha’s pool of member expertise. As such, Verified Members may have the opportunity to contribute to projects being led by AdPha and the SPG Leadership Committee, such as AdPha Standards of Practice, policy submissions, publications, and others; to represent AdPha as a clinical expert; or to contribute to AdPha education events. In this section, please describe what your expectations of being a Verified Member of this Specialty Practice Group are and what sort of projects you would like to get involved in.Additional information to support your applicationThe information in this application is central to the assessment of your application, and is an opportunity to expand on the information contained in your CV to highlight your skills in the selected field.Mandatory question for application to be a Verified Member of the Aboriginal and Torres Strait Islander Health Specialty Practice Group:Cultural responsiveness or awareness training is a mandatory requirement for acceptance as a Verified Member of the Aboriginal and Torres Strait Islander Health SPG. Please confirm that you have undertaken this training. Yes, I have completed some cultural responsiveness or awareness training. Not applicable – this is not an Aboriginal and Torres Strait Islander Health SPG Verified Member application. Registrar Training Program position:Please provide details if you currently working in an AdPha-approved Registrar Training Program position in this specialty and confirm when your Registrar Training Program commenced.Experience in this field within last 2 years:(Required)This application form plays a key role in guiding the Leadership Committee in their approval process. Your response to this question, by providing specific examples about your recent experience in this field of practice (or a closely related field), in addition to the information contained in your CV, will help the Committee understand what expertise you will contribute as a Verified Member of this Specialty Practice Group.Additional qualifications:(Required)Do you have any additional qualifications or credentials in this specialty (including ANZCAP recognition)?Teaching experience:Do you have teaching experience in this specialty?Previous AdPha/SHPA engagement:Please describe any previous engagement with this specialty at AdPha/SHPA (e.g. recognised expert, invited speaker, education provider, research, authorship)Experience in this field >2 yrs ago:Did you work in this specialty (or a closely related field) more than 2 years ago? If so, please provide details, duration and information about your role and experience.Continuing education:Have you undertaken continuing education in the specialty? (please provide details).Research:Have you conducted any research (published or presented poster or paper) in this specialty? (please provide details).Other information:Please provide any other information that may support your applicationWe will send you a confirmation email to notify you after your request has been processed and advise if your application has been successful.
