FAMUS Supervisors and Mentors

FAMUS New Supervisor Application Form

Relevant ultrasound qualification(s) and experience

Please specify if you have a postgraduate qualification, C.A.S.E Approved Course, FAMUS Accreditation Date or any other qualifications or ultrasound experience of relevance

Number of months scanning independently

Areas of current ultrasound competence
Thoracic (pleural)Thoracic (resp failure)Abdominal/ RenalVascular - diagnostic (DVT)Peripheral vascular access

Please mark any areas you are are independent in scanning and teaching, as per the FAMUS curriculum

Would you be prepared to attend a "Train the Trainers" course, if recommended (at no cost to yourself)

Confirmation of correct data

I confirm that the above is an accurate reflection of my ultrasound experience/qualification(s), that I am competent in the whole FAMUS curriculum and wish to become a Supervisor, accepting the responsibilities that the role holds.

yes

Data Protection

Your registration details will be stored on a database at the Royal College of Physicians of Edinburgh (RCPE) in compliance with the General Data Protection Regulation (GDPR) and accessed only by administrative staff working on behalf of the Society for Acute Medicine (SAM) for the purposes of administering your registration as a supervisor. SAM may, from time to time, send you communications relating to your accreditation to FAMUS. As a supervisor, your name, position, e-mail address, trust/hospital and date of accreditation and will be made available in the FAMUS directory of supervisors on SAM’s website (If you consent to having your details displayed in the directory). I consent to having my details displayed in the FAMUS Supervisor directory on SAM’s website.

yes

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