the centre for
Anaesthesia
UCL
Director: Prof Monty Mythen
An introduction to Anaesthesia
A one day-basics of Anaesthesia course for new starters
Name
Address
Email
Mobile phone

How many months Anaesthesia experience have you had?
None
0-1months
>1 month (please contact us)

What year did you qualify from medical school?

What is your base speciality?
Undecided / Anaesthesia / Surgery / Medicine / A+E / other……

Do you have any postgraduate qualifications?
None / MRCP / MRCS / MCEM / other…

How did you find the course?: someone / Doctors.net / poster / other……

Meal requirements: Meat / Vegetarian / Vegan / other
Thanks for filling in this form. This helps us to focus the course.
July 2014 Course: £110 UCLH
Please email form to cfacourses@gmail.com
Please pay via www.ucl.ac.uk/anaesthesia/education/AnaesthesiaIntroduction/
Alison Lambert
Anaesthestic Dept
3rd Floor Podium UCH
235 Euston Road
London NW1 2BU
Phone: 0203 447 3343
Email: cfacourses[at]gmail.com
Venue: UCLH Education Centre
250 Euston Road