CURRICULUM VITAE FULL NAME (Any incomplete CV will not be taken into consideration) Personal Details: Name: Date of Birth: Nationality: Gender: Home Address: Email: Mobile: Standard of English: Standard of French: Qualifications Primary Qualification: Specialist Qualification: Medical Registration number/License number in your country: Employment history summary: Date (start and finish) Job title Location (Please complete with most recent post first and give only a brief description of your role.) Current employment (Please give details of your current or most recent post) POST: HOSPITAL: DATES: SUMMARY: (include information on: a) Duties and responsibilities and b) Clinical skills you use (Example for ortho surgery: Internal, External Fixation, Spine surgery, Plastic surgery, Joint surgery, Infected post trauma surgery, burns ……), for general surgery, see examples below. Obstetric: C- section. Please always give informations on this point. C sections: Yes Number of surgeries or tasks / year Years of experience No Clinical skills, techniques and experience (1) Clinical skill, technique or type of experience surgery,…) Exact type of procedure Number of surgeries or tasks / year Years of experience Overseas appointments held/fellowship training Preferred work and availability: Referees : Name, address, phone number, email of 3 colleagues susceptible to give us information on your personal and professional skills. 1. Examples of clinical skills Thyroid and parathyroid surgery – lobectomy- total and Subtotal lobectomy Near total lobectomy Excision of parathyroid gland Breast Surgery – Biopsy and Excision of fibro adenomas, fibrocysts and other masses Mastectomy Subcutaneous Mastectomy Modified Radical Mastectomy (MRM) Extended Radical Mastectomy Radical Mastectomy Gallbladder, liver and pancreas – Tube Cholecystostomy Cholecystectomy, Cholecystectomy with intra-operative cholangiogram (IOC), Cholecystectomy with intraoperative Cholangiogram and bile duct exploration excision of choledochal cyst Roux-en-Y, hepaticojejunostomy liver biopsy, liver resection partial pancreatectomy Whipple’s procedure; Repair of the Liver; Packing of the Liver Esophagus and stomach, small bowel, spleen – esophageal resection gastric resection gastric bypass total gastrectomy splenectomy, partial splenectomy small bowel resection and anastomosis, appendectomy and diverticulectomy etc Colon, Rectum and Anus – partial and total colectomy, right and left hemicolectomy anterior resection Miles procedure Hartmann’s procedure Sphincterotomy Hemorrhoidectomy fistulectomy, fistulotomy Colostomy Closure of Colostomy Urology – suprapubic cystostomy closed; suprapubic cystostomy, open repair of the urinary bladder repair of the kidney (nephrorrhaphy) removal of the kidney (nephrectomy) Trauma – tube thoracostomy thoracotomy laparotomy neck exploration repair of major blood vessel injury of the neck, chest and abdomen repair of the pharynx, trachea and esophagus application of cervical collar and immobilization of a patient with spinal cord injury Others – thoracostomy, tracheostomy, cutdown, proctosigmoidoscopy, thoracentesis; hernia repairs of elective, incarcerated and strangulated hernias, adhesiolysis in partial and complete obstruction of the bowel Subspecialties Pediatric Surgery hydrocoele repair; repair of indirect inguinal hernia elective, incarcerated or strangulated; colostomy for Hirschsprungs; appendectomy; Burns Resuscitation of a patient with burns Debridement of second degree and third degree burns Skin grafting of burns Obstetrics and GynecologyCesarean Section – low transverse section and classic incision Cystorrhaphy and Cystectomy, Ovarian Cysts Hysterectomy, Repair of Ruptured Uterus, Post partum Hysterectomy Salphingectomy for Ruptured Ectopic Pregnancy Repair of Vaginal and Perineal Tears Repair of Vesico-vaginal fistulas Othopedics – Finger and Toe Amputation Syme’s Amputation Below the knee amputation (BKA) Above the knee amputation (AKA) Other Skills Cardio-Pulmonary Resuscitation (CPR) Interpretation of X-rays: Chest X-rays Antero-posterior and lateral views of all extremities Intubation and extubation skills Resuscitation of trauma victims/patients Ultrasound