MSF CV Template Emergency Doctor - 2018 - Final

EM DOCTOR
MSF CV TEMPLATE : ICU DOCTOR

Any incomplete CV will not be taken into consideration
LAST NAME(S)
FIRST NAME(S)
Attach
 Email Address Picture
 Private Mobile
 Home Phone Number
- Home Address
PERSONAL DETAILS EDUCATION

Fill in the spaces applicable to your studies
Date of birth
Diploma in MEDICINE
Place of birth
All current nationality(ies) : Place (University/City/Country)
Registration No. :
Duration of studies - No of years :
Gender : Male  Female 
From To
Date obtained diploma
Marital Status :
Single  Married  Diploma in EMERGENCY MEDICINE
Specify speciality :
Separated/Divorced  Widow(er) 
Place (University/City/Country)
 No. of children if any :

Registration No. :
Duration of studies - No of years :
 Language(s),you can speak & understand From To
(written & spoken) in a working environment :
Date obtained diploma
LEVEL A1 A2 B1 B2 C1 C2
Diploma in Other SPECIALTY or SubSPECIALTY
English      
Specify speciality :
French      
Place (University/City/Country)
Spanish      
Arabic      
Registration No. :
      Duration of studies - No of years :
Others :
      From To
      Date obtained diploma
MSF CV Template : EM DOCTOR - JUN 2018

MSF CV TEMPLATE : EM DOCTOR
Board of Emergency Medicine (if any) Fellow of College of EM Physicians (if any)
Name of examining Board Year passed Name of College Registration No Year
PROFESSIONAL EXPERIENCE Number of years of AUTONOMOUS practice
Employment History Summary including CURRENT employment
Date Position Type of EM activity Hospital/

(start-end) Trauma OB/GYN Pediatrics Crit. care Surgery 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 City/Country
MSF CV Template : EM DOCTOR - Jun 2018

MSFCV
MSF CVTEMPLATE EMDOCTOR
TEMPLATE: :EM DOCTOR
SELF ASSESSMENT SKILLS

 I certify that the given information is complete, correct and true
SIGNATURE : DATE :
CATEGORY PROCEDURE NOT SUPERVISED Autonomous Expert Estimated

trained Can perform Can PERFORM Can TEACH earlier
under Independently experience
supervision in years
(X if yes) (X if yes) (X if yes) (X if yes)
Emergency ECG interpretation
medicine Management of acute
coronary syndrome
Thrombolysis for STEMI
Procedural sedation
Interpretation of x-rays
Interpretation of CT Head
scans
Conservative fracture
management (closed
reduction, splinting/casting,
application of traction devices)
Burn management
Escharotomy
Wound care
Peripheral IV cannula
access
Intra-osseous access
Lumbar puncture
Psychiatric emergencies
Pelvic examination
Medical management of
obstetrical emergencies
Normal deliveries
Triage
Mass casualty incident
management
Pre-hospital care and inter-
hospital transport
ER patient ﬂow
management
Ability to lead in-patient
ward rounds
Bag-valve-mask ventilation
Intubation

MSF CV TEMPLATE : EM DOCTOR
CATEGORY PROCEDURE NOT SUPERVISED Autonomous Expert Estimated
trained Can perform Can PERFORM Can TEACH earlier
under Independently experience
supervision in years
(X if yes) (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 volume
status)
Pain management
Management of severe trauma
patients
Management of patients with
brain injury
Management of haemorrhagic
shock
Pediatric emergencies
Management of septic shock
Management of undiﬀerentiat-
ed shock
Central venous line insertion
PICC line insertion

Arterial line insertion
Damage control resuscitation
Hospital Coaching/mentoring/
management teaching
team leading
Formal management
experience
experience
Other
(specify)
Please state THREE REFERENCES

NAME TITLES ADDRESS CONTACT DETAILS
1.
2.
3.

MSF CV Template Emergency Doctor - 2018 - Final

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EM DOCTOR

MSF CV TEMPLATE : ICU DOCTOR

PERSONAL DETAILS EDUCATION

 No. of children if any :

MSF CV Template : EM DOCTOR - JUN 2018

PROFESSIONAL EXPERIENCE Number of years of AUTONOMOUS practice

Employment History Summary including CURRENT employment

Date Position Type of EM activity Hospital/

OTHER PROFESSIONAL EXPERIENCE

Date (start-end) Position Type of activity City/Country

OTHER MEDICAL TRAINING

Name of training Date (start-end) Duration City/Country

MSF CV Template : EM DOCTOR - Jun 2018

SELF ASSESSMENT SKILLS

CATEGORY PROCEDURE NOT SUPERVISED Autonomous Expert Estimated

MSF CV Template : EM DOCTOR - Jun 2018

PICC line insertion

Please state THREE REFERENCES

MSF CV Template : EM DOCTOR - Jun 2018

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