Emergency MD skills self-assessment
Name:
Date:
Did you pass a post-graduate training program in Emergency Medicine? If yes, what was
the duration of that training? When and where did you qualify?
Please describe your working experience as emergency doctor: In what kind of setting
did you work, what where the main cases you would see, for how many years did you
practice?
What is your experience in ICU?
Do you have an ALS certificate?
Do you have an ATLS certificate?
Are you PALS or APLS certified?
Do you have teaching experience in any of these specific trainings? Please specify.
Are you qualified in disaster medicine or mass casualty management? Please specify.
Do you have any other Emergency Medicine qualification or working experience you
would like to mention?
Specific technical skills:
Not trained
Bag-valve-mask ventilation
Non-invasive ventilation
Intubation
Ventilator settings
Procedural sedation
Anaesthesia
Chest drain insertion
FAST ultrasound scan
PICC access
Intra-osseous access
Central venous access
ECG interpretation
Thrombolysis for ACS
Conservative fracture
management
Burn management
Wound care
Psychiatry
Pre-hospital care
End of life care
Normal deliveries
Caesarean section
Fasciotomy
Many thanks for completing this form.
Only under
supervision
Autonomous
practice
Expert