ACCESS CT3/4 Expression of Interest Form

Expression of interest for ACCESS Transfer Course

ANAES0029 Anaesthetic Course List
Please fill out this form if you are interested in joining us at ACCESS for a 3 day focussed clinical placement where you will undertake transfers with our live teams. At this point we are accepting expressions of interest from CT3/CT4 level anaesthetic trainees
Name:

First NameLast Name
E-mail Address:
example@example.com
Training Level in Anaesthetics (CT3 or CT4)
Training location

NCLNENWSESW
Are you Currently working within Barts health?

YesNo
Have you had your Resus & Transfer Module signed off?

YesNo
What is your experience in inter-hospital transfer so far?
Should be Empty:

Expression of interest for ACCESS Transfer Course