EM DOCTORMSF CV TEMPLATE : ICU
DOCTOR
Any 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 MEDICINE

Place of birth

Place (University/City/Country)

All current nationality(ies) :Registration No. :Gender :Male 

Duration of studies - No of years :Female FromTo

Date obtained diploma
Marital Status :Single 

Diploma in EMERGENCY MEDICINEMarried 

Separated/Divorced  Widow(er)  No. of children if any :Specify speciality :Place (University/City/Country)
Registration No. :Duration of studies - No of years : Language(s),you can speak & understand(written & spoken) in a working environment :FromToDate obtained diploma

A1English     French     Specify speciality :Spanish     Place (University/City/Country)

Arabic     Registration No. :     

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

Others :LEVEL

A2B1

B2 C1

C2

Diploma in Other SPECIALTY or SubSPECIALTYMSF CV Template : EM DOCTOR - JUN 2018

To

MSF CV TEMPLATE : EM DOCTOR
Board of Emergency Medicine (if any)
Name of examining Board

Fellow of College of EM Physicians (if any)
Name of College

Year passed

PROFESSIONAL EXPERIENCE

Registration NoYear

Number of years of AUTONOMOUS practice

Employment History Summary including CURRENT employmentDate(start-end)

Position

Type of EM activity
TraumaOB/GYNPediatrics

Crit. care

Surgery

Hospital/City/Country

OTHER PROFESSIONAL EXPERIENCE
Other professional experiences (medical and non medical) including humanitarian work and other NGOs e

Date (start-end)

Position

Type of activity

City/Country

OTHER MEDICAL TRAINING(including nursing education, public health, tropical disease, ALS, ATLS, PALS, ultrasound, intensive care
medicine, trauma, etc.)

Name of training

Date (start-end)

Duration

MSF CV Template : EM DOCTOR - Jun 2018

City/Country

MSFCVCVTEMPLATETEMPLATE: :EM
EMDOCTOR
DOCTORMSF
SELF ASSESSMENT SKILLS I certify that the given information is complete, correct and true
SIGNATURE :CATEGORYDATE :

NOT
trainedPROCEDURE(X if yes)

Emergency
medicineSUPERVISED AutonomousCan perform Can PERFORM
underIndependentlysupervision(X if yes)

ECG interpretation
Management of acutecoronary syndrome
Thrombolysis for STEMI
Procedural sedation
Interpretation of x-rays
Interpretation of CT Headscans
Conservative fracture
management (closedreduction, splinting/casting,application of traction devices)

Burn management
Escharotomy
Wound care
Peripheral IV cannula
accessIntra-osseous accessLumbar puncture
Psychiatric emergencies
Pelvic examination
Medical management ofobstetrical emergencies
Normal deliveries
TriageMass casualty incident
management
Pre-hospital care and interhospital transport
ER patient ﬂow
management
Ability to lead in-patientward rounds
Bag-valve-mask ventilation
Intubation

MSF CV Template : EM DOCTOR - Jun 2018

(X if yes)

ExpertEstimated
Can TEACH earlier
experiencein years(X if yes)

MSF CV TEMPLATE : EM DOCTORCATEGORY

NOT
trainedPROCEDURE(X if yes)SUPERVISED Autonomous Expert
Estimated
Can perform Can PERFORM Can TEACH earlier
under
Independently
experiencesupervisionin years(X if yes)

(X if yes)

(X if yes)

Critical care Initial ventilator settings
Non-invasive ventilation
Emergency surgical airway
Chest tube insertion
FAST ultrasound scan
Bedside ultrasound (for overall
contractility and volumestatus)
Pain management
Management of severe trauma
patients
Management of patients withbrain injury
Management of haemorrhagic
shock
Pediatric emergencies
Management of septic shock
Management of undiﬀerentiated shock
Central venous line insertion
PICC line insertion
Arterial line insertion
Damage control resuscitation

Hospital
Coaching/mentoring/management teachingteam leading
Formal management
experience
experience

Other(specify)

Please state THREE REFERENCES
NAME

TITLESADDRESS

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