Surname
First name
Specialty /
Nationality
Gender
Date of birth
Marital Status
Address
Telephone
Email
Medical Degree / MedicalSchool / Year
Medical Doctor
I ...
II ...
III ...
MedicalCouncil / Year


From / To / Employer / Location / Position
From / Employer / Location / Position
Trainingcourses / Date
Clinical procedures / Confident / Competent / Not done
Administration of IV infusions & injections
Bladder catheterisation
Blood tests
Blood Transfusions
Chemotherapy administration
Chemotherapy preparation
Conducting ECG’s and monitoring stress ECG’s.
CPR management
Defibrillation
Insertion of nasogastric tubes
Interpretation of ECG’s
Intubations
Laryngeal mask insertion
Lumbar puncture
Management of epidural analgesia
Obtaining/interpretation of arterial blood gas
Paediatric & neonatal resus (intubation & defibrillation)
Patient controlled analgesia pumps
Peripheral IV Cannulation
Phlebotomy
Preparation of IV infusions & injections
Prescribing analgesics & antibiotics and common drugs
Programming/Management of drug infusion pumps
Clinical skills and techniques / Approximate number in total
GENERAL
Arterial blood sampling
CVP lines Inserted
ECGs
Endotracheal Intubations
Insertion of Naso-gastric tubes
IV Cannulations
Lumbar Punctures
Resuscitations
Supra-pubic Catheterization
Suturing
Urethral Catheterization
Venepuncture
Clinical skills and techniques / Approximate number in total
OBSTETRICS
Antepartum Haemorrhage
Caesarean Sections
Deliveries
Draining Bartholin’s Abscesses
Eclampsia
Episiotomies
Evacuations
Postpartum Haemorrhage
Pre-eclampsia
Retained placenta
Sterilizations
Uterine Rupture
Clinical skills and techniques / Approximate number in total
GYNAECOLOGY
Chemotherapy patients
Dilatation & Curettage
Ectopic pregnancies
Gynaecological Malignancies
Hysterectomies
Hysteroscopy
Infertility
Routine Gynaecological Care
Clinical skills and techniques / Approximate number in total
ACCIDENT & EMERGENCY
Acute bowel obstruction
Allergic reactions
Arrhythmia’s
Blood transfusions
Burn wounds
Comatose patients
Drug overdose
Femoral lines
Injured patients
Intercostal drain insertion
Myocardial infarctions
Paediatric resuscitation
Pneumothorax
Renal stones
Resuscitation of multiply
Subdural haemorrhage
Clinical skills and techniques / Approximate number in total
SURGERY
Amputations
Appendectomies
Colostomies
Draining of Abscesses
Haemorrhoidectomies
Laparotomies
Orthopaedic procedures
Skin grafts
Sutures
Thyroidectomies
Clinical skills and techniques / Approximate number in total
PSYCHIATRY
Acute Overdose
Alcohol withdrawal
Anxiety Disorders
Cognitive Therapy
Drug dependency
Eating Disorders
Electro-convulsive Therapy
Initialise and Manage Medication
Major Depression
Psychosis
Schizophrenia
Clinical skills and techniques / Approximate number in total
PAEDIATRICS
Exchange transfusions
Gastro-enteritis
Jaundice
Lumbar Punctures
Meningitis
Pneumonia
Resuscitation of Newborns
Resuscitation of shocked, dehydrated children
Clinical skills and techniques / Approximate number in total
INTERNAL MEDICINE
Acute and chronic renal failure
Cor Pulmonale
Coronary artery disease
Cushing's Syndrome
Diabetic Keto-acidosis
Heart failure
Hepatitis
Hyper/hypo thyroidism
Hypertension
Infective endocarditis
Liver failure
Malaria
Pneumonia
Respiratory failure
Rheumatology
Strokes
Tuberculosis
Ventilated patients in ICU
Research and publications / Date
Language / Level

1

I hereby give consent for my personal data included in my application to be processed for the purposes of the current and future recruitment processes run by GMS Recruitment Katarzyna Wyrzykowska-Kucharska, under the Personal Data Protection Act asof29August 1997, consolidated text: Journal of Laws 2016, item 922 as amended (GDPR).