Please complete the form below, providing full details of your current menopause practice to assist the BMS medical advisory council in its review.

Fields marked with an asterisk (*) are compulsory.

Please note: You will be asked to submit a copy of your CV with this application (max size 2MB; acceptable file formats – pdf, doc, docx).

    1. Your details

    Your name:*

    Job title:*

    Place of work:*

    Email:*

    BMS membership number:*

    2. Please confirm the recognised menopause educational qualification that you have completed:

    (a) BMS Advanced Certificate in the Principles and Practice of Menopause Care*
    yesno

    (b) RCOG/BMS Advanced Training Skills Module (ATSM) in menopause care*
    yesno

    (c) FSRH Advanced Certificate in Menopause Care*
    yesno

    (d) FSRH Community Sexual & Reproductive Healthcare (CSRH) curriculum, obtaining the Certificate of Completion of Training (CCT), or reaching the equivalent standard as assessed by the GMC and awarded a CESR in CSRH*
    yesno

    (e) an equivalent qualification (e.g. menopause and POI module of the subspeciality training programme in reproductive medicine)*
    (if yes, please specify)
    yesno

    Please upload a copy of your certificate of completion:
    (max size 2MB; acceptable formats - pdf, doc, docx)

    3. Please specify the national or international menopause society scientific conference(s) that you have attended in the last three years (e.g. BMS, EMAS, IMS)?*

    4. How many menopause consultations you provide per year?*

    5. How many new menopause patients do you see per year?*

    6. Please confirm that the specialism is documented in your job plan and is discussed and recorded at your annual appraisal in the UK or Ireland:*
    yesno

    7. Please upload a copy of your CV detailing your current menopause practice:*
    (max size 2MB; acceptable formats - pdf, doc, docx)

    8. Please provide any additional information that you feel may support your application and assist the BMS Medical Advisory Council in its review:

    By using this form you agree with the handling of your data by the British Menopause Society in line with the website's terms of use and privacy policy.

    The British Menopause Society Medical Advisory Council will review applications on a case-by-case basis and decisions will be made at their discretion.