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["第十五届珠三角地区医院药学沙龙药师门诊技能大赛报名表"]
["1.已开展药师门诊资料收集"]
["医院名称","医院级别","药师门诊名称","门诊类型","是否     联合门诊","每周开诊时间","出诊人员","出诊人员职称","出诊人员是否经临床药师规范化培训","诊查费","是否有开具验单权限","如已开展药师门诊，请出示佐证材料（具体请另附复印件）"]
[]
[]
["2.报名表"]
["队伍领队","参赛队员2名","参赛队员职称","队伍联系人","联系电话","邮箱"]
[null,"1.        2.       ","1.        2.       "]
[]
["3.参赛审核材料\n1）已开展药师门诊的医院参赛队伍：\n（1）填写“项目1”，并提供佐证材料，例如患者挂号单。\n（2）临床药学门诊工作指南。\n2）未开展药师门诊，拟开展药师门诊的医院参赛队伍，请提供对开展药师门诊的计划方案和工作设想。\n"]

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