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Sample record form

Veterinary Surgeons Board of Queensland

1 January 20 ___ to 31 December 20 ___
CPD Record

Name of Veterinary Surgeon: ___________________________
Queensland Veterinary Registration No: __________________

Compliance

Over a three year period the requirement is sixty units of CPD for all registered veterinarians, of which at least fifteen units will be structured activities.

All registered veterinarians must document all CPD undertaken. Documentation should be maintained for a minimum of three years.

Record keeping may be held in this or any other retrievable format and suitable supporting documentation of each type of activity should be kept.

   
Units for activity

Date

Activity                         

Hours

Structured

Unstructured

Total Units

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

           
           

 

Sub-Total

 

 

 

 

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Also see:

Continuing Professional Development (CPD)
Introduction: Recording of Continuing Professional Development (CPD)
Obligations for Recording of Continuing Professional Development (CPD)
Sample CPD Record
CPD Unit Summary