ࡱ> }~s $bjbj|]|] <7ij7ij%  8D+$OO _*_*_*_*+49|NNNNNNNQaTN<++<<N_*_*4OOkKkKkK<F_*_*NkK<NkKkKM4N_*0EG<LN|NeO0ON,U<rU4NU4NH<<kK<<<<<NNDf<<<O<<<<U<<<<<<<<< a: Royal Australian College of Surgeons (RACS) Specialist Assessment Pathway Pro Forma Curriculum Vitae Personal DetailS: Family Name (Surname) FORMTEXT       Given Names FORMTEXT      Date of Birth FORMTEXT      GenderMale FORMCHECKBOX  / Female FORMCHECKBOX Current Work Address FORMTEXT       Phone(H)  FORMTEXT      (M)  FORMTEXT      (W)  FORMTEXT      (Fax)  FORMTEXT      Current Home Address FORMTEXT       Phone(I)  FORMTEXT      (M)  FORMTEXT      (W)  FORMTEXT      (Fax)  FORMTEXT      Contact email address FORMTEXT      Work email address (if different) FORMTEXT       Qualifications: Primary Medical Qualification (MBBS or equivalent): Qualification title: FORMTEXT      Year Qualified: FORMTEXT      Year Awarded (If different to year qualified for degree): FORMTEXT      Country of Training: FORMTEXT      Medical School: FORMTEXT      Controlling University: FORMTEXT      Was a period of internship included in qualification? YES FORMCHECKBOX  / NO FORMCHECKBOX  If yes, what dates? (include month/year) From FORMTEXT      To FORMTEXT        Specialist Qualification (Principal/Highest): Qualification title: FORMTEXT      Year Qualified: FORMTEXT      Year Awarded (If different to year qualified for degree): FORMTEXT      Country of Training: FORMTEXT      Institution Awarding qualification: FORMTEXT      Duration of training  Years: (please select)  2 FORMCHECKBOX  3  FORMCHECKBOX  4 FORMCHECKBOX  5  FORMCHECKBOX  >5 (specify)  FORMTEXT       Additional Qualifications: Qualification title: FORMTEXT      Year Qualified: FORMTEXT      Year Awarded: FORMTEXT      Country of Training: FORMTEXT      Institution Awarding qualification: FORMTEXT       Current & All Previous Medical Licensing Authorities: Type of registration (indicate if licensed to practice as specialist or not) Date (from/to)Registering authority Any restrictions/conditions or undertakings?  FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       Memberships of Professional Organisations: Please include memberships of all relevant organisationsDate From/ToOrganisation FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       TRAINING: Certificates & Courses: Please list all relevant courses attended and certificates gained DateCourse/Certificate FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       Specialist Examinations: Please include details of examinations taken (MCQ, Viva Voce, Clinical)DatesInstitution  Specialty/ Sub-SpecialtyComponents of Examination FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       Clinical/Procedural Skills: CompetentObserved FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       EXPERIENCE IN TEACHING, RESEARCH and PROFESSIONAL ACTIVITES: Teaching Experience: Please list all experience you have gained in delivering medical education (including the dates and institutions). Include formal appointments of academic institutions.DatesInstitution  FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       Audit Participation Reports and Research Experience: summarise FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       Published Research Papers: List papers and publications FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       Detailed Employment History: Please list all employment in chronological order starting with your current/most recent position, include those positions held during your medical training (including your internship) and any other employment prior to specialist training. 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Clearly identify your intern year (postgraduate year 1) and other years between obtaining medical degree and commencing specialist training. Employment history should be completed in two sections to indicate employment during specialist training and employment in specialist practice (after award of principal specialist qualification) Copy table as required EMPLOYMENT IN SPECIALIST PRACTICE (after award of principal specialist qualification) Start/end dates FORMTEXT      Institution/Hospital FORMTEXT      Position title FORMTEXT      Location (include Country) FORMTEXT      Registering Authority FORMTEXT      Duties  FORMTEXT        Start/end dates FORMTEXT      Institution/Hospital FORMTEXT      Position title  FORMTEXT      Location FORMTEXT      Registering Authority FORMTEXT      Duties  FORMTEXT        Start/end dates FORMTEXT      Institution/Hospital FORMTEXT      Position title FORMTEXT      Location FORMTEXT      Registering Authority FORMTEXT      Duties  FORMTEXT        EMPLOYMENT DURING SPECIALIST TRAINING (List total number of months spent in formal training in the relevant specialty. This total should not include rotations other than the specialty you are seeking assessment in). Start/end dates FORMTEXT      Institution/Hospital FORMTEXT      Position title FORMTEXT      Location FORMTEXT      Registering Authority FORMTEXT      Duties  FORMTEXT        Start/end dates FORMTEXT      Institution/Hospital FORMTEXT      Position title FORMTEXT      Location FORMTEXT      Registering Authority FORMTEXT      Duties  FORMTEXT        Start/end dates FORMTEXT      Institution/Hospital FORMTEXT      Position title FORMTEXT      Location FORMTEXT      Registering Authority FORMTEXT      Duties  FORMTEXT        EMPLOYMENT BEFORE SPECIALIST TRAINING Start/end dates FORMTEXT      Institution/Hospital FORMTEXT      Position title FORMTEXT      Location FORMTEXT      Registering Authority FORMTEXT      Duties  FORMTEXT        Start/end dates FORMTEXT      Institution/Hospital FORMTEXT      Position title FORMTEXT      Location FORMTEXT      Registering Authority FORMTEXT      Duties  FORMTEXT        Referees: Please list the name, title, contact details and medical registration number of three refereesReferee 1Referee 2Referee 3Name: FORMTEXT       FORMTEXT       FORMTEXT      Position: FORMTEXT       FORMTEXT       FORMTEXT      Address: FORMTEXT       FORMTEXT       FORMTEXT      Phone Number: FORMTEXT       FORMTEXT       FORMTEXT      Email Address: FORMTEXT       FORMTEXT       FORMTEXT      Medical Registration number: FORMTEXT       FORMTEXT       FORMTEXT      Specify year of most recent contact with Referee:  FORMTEXT       FORMTEXT       FORMTEXT       Other Activities: Please include details of any other important activities: (you should include details of other relevant professional activities or achievements (eg officer bearer in a professional organisation, course instructor or examiner appointment) FORMTEXT        Continuing Professional Development activities: Please include details of any continuing professional development activities you have undertaken in the previous three years:  FORMTEXT        Verification Statement I 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