MSF CV TEMPLATE : ANAESTHETISTAny incomplete CV will not be taken into consideration

LAST NAME(S)FIRST NAME(S)AttachPicture Email Address Private MobileHome Phone Number- Home Address-PERSONAL DETAILSEDUCATION

Fill in the spaces applicable to your studies

Date of birth

Diploma in ANAESTHESIA

Place of birth Doctor Anaesthetist

All current passports : Certiﬁed Registered Nurse Anaesthetist
Place (University/City/Country)
Gender :Male Female Registration No. :Marital Status :Duration of studies - No of years :Single FromMarried 

Separated/Divorced  Widow(er) To

Date obtained diploma
Specify subspeciality (if any): No. of children if any :Diploma in MEDICAL STUDIES Diploma in Medicine

LEVEL

A1

 Diploma in Nursing

English     French     Spanish     Arabic     Registration No. :     

Duration of studies - No of years :     From     Date obtained diploma

Others : Language(s),you can speak & understand(written & spoken) in a working environment :A2

B1

B2 C1

C2 Other, specify
Place (University/City/Country)

MSF CV Template : ANAESTHETIST- JUN 2018

To

MSF CV TEMPLATE : ANAESTHETISTBoard of Anaesthesia (if any)
Name of examining Board

Fellow of College of Anaesthetists (if any)
Name of College

Year passed

PROFESSIONAL EXPERIENCE

Registration NoYear

Number of years of AUTONOMOUS practice

Employment History Summary including CURRENT employment

Date(start-end)

Position

Type of activity
TraumaOB/GYN

Pediatrics

Crit. care

OthersHospital/City/CountryOTHER PROFESSIONAL EXPERIENCE
Other professional experiences (medical and non medical) including humanitarian work and other NGOs

Date (start-end)

Position

Type of activity

City/Country

OTHER MEDICAL TRAINING(including nursing education, public health, tropical disease, ATLS, regional anaesthesia, ultrasound, pain
medicine, trauma, etc.)

Name of training

Date (start-end)

Duration

MSF CV Template : ANAESTHETIST - Jun 2018

City/Country

MSF CV TEMPLATE : ANAESTHETISTSELF ASSESSMENT SKILLS I certify that the given information is complete, correct and trueSIGNATURE :CATEGORYGeneral

DATE :PROCEDURE

NOTtrained(X if yes)SUPERVISED Autonomous
Can perform Can PERFORM
under
Independentlysupervision(X if yes)

(X if yes)

Ketamine anaesthesia
Inhalational anaesthesia
using drawover equipment
Damage control
resuscitation & anaesthesia

Management of
Obstetric
anaesthesia Caesarean section

Management of
post-partum hemorrhage
Management ofpreeclampsia/eclampsia

Regional
Spinal anesthesia
anaesthesia Upper limb blocks byneurostimulation
Lower limb blocks byneurostimulation
Upper limb blocks byultrasoundLower limb blocks byultrasoundAbdominal wall blocks

Pediatric
Caudal anaesthesia
anaesthesia Spinal anaesthesia

Neonatal anesthesia
Resuscitation at birth

Airway/ventilation

Basic airway management(bag-valve-mask, oro/nasopharyngeal airway)

Advanced airway
management (intubation,supraglottic airway)

Emergency surgical airway(tracheostomy, cricoidotomy)

Mechanical ventilation

Pain
Acute pain management
management

Chronic pain management

MSF CV Template : ANAESTHETIST - Jun 2018

ExpertEstimated
Can TEACH earlier
experiencein years(X if yes)

MSF CV TEMPLATE : ANAESTHETISTCATEGORY

Critical careNOT
trainedPROCEDURE(X if yes)SUPERVISED Autonomous
Can perform Can PERFORM
under
Independentlysupervision(X if yes)

(X if yes)

ExpertEstimated
Can TEACH earlier
experiencein years(X if yes)

Maternal critical care
Pediatric critical care
Management of sepsis
Management of tropicalinfectious diseases
Management of burns
PICC line insertion
Insertion of central lines
Management of major
traumaManagement of brain
injuryEmergency
medicine

Mass casualty triage
eventsInsertion of chest tubes
Insertion of intraosseousline
Cardiopulmonary
resuscitation
FAST ultrasoundCoaching/mentoring/
Hospitalmanagement teaching/teaching/teamleadingexperience
Formal management
experience

Other(specify)

Please state THREE REFERENCES
NAME

TITLESADDRESS

1.
2.
3.
MSF CV Template : ANAESTHETIST - Jun 2018CONTACT DETAILS