Focused Transoesophageal Echo (fTOE) Supervisor Form

fTOE Accreditation

Thank you for considering becoming a supervisor for this accreditation. The accreditation in Focused Transoesophageal Echocardiography (fTOE) is a joint project between the Intensive Care Society and Association of Anaesthetists.

The aim of the accreditation is to improve clinicians’ ability to perform fTOE. Candidates will follow an accreditation pathway that includes working through online modules, performing supervised and unsupervised scans, and successfully completing an accreditation exam.

We are looking for fTOE supervisors to be responsible for all the hands-on training, the reviewing of scans, overseeing the logbook and guaranteeing the validity and probity of the entire training process up to the final assessment.

For more information about becoming a supervisor, please see the ICS website.

If you wish to apply to become a recognised fTOE Supervisor, please complete the following survey with your details.

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* 1. Title

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* 2. First name

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* 3. Surname

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* 4. Hospital address

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* 5. Hospital postcode

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* 6. Email address

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* 7. An fTOE Supervisor should demonstrate suitable Echocardiography experience, as defined by an appropriate Level II TOE accreditation. Please tick the following qualifications that apply to you.

BSE Level II

ASE

EACVI

Other (please specify)

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* 8. An fTOE Supervisor should demonstrate the following experience. Please tick the following qualification that apply to you.

Regular practice in TOE

Active engagement with local echo governance

Other (please specify)

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* 9. Please provide a brief summary of your training and level of expertise in ultrasound in the critically ill.

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* 10. By completing this application, you are giving your consent for the Intensive Care Society to share the details you have provided in this form with suitable fTOE candidates. Furthermore, your details will be added to the fTOE Supervisor database to enable potential candidates to contact you directly to start their fTOE accreditation process.

The following information will be shared:

First name and Surname
Job
Hospital address
Email address

Yes

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* 11. Please confirm whether you are happy for us to promote and publish the fact that you are an fTOE supervisor.

Yes, I am happy

No, thank you

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* 12. Please tick the box below to understand that by completing this form, you consent for the Intensive Care Society to share your details with the Association of Anaesthetists. Your data will also be shared with third party suppliers, such as our membership database company, for the purpose of the accreditation process.

Yes

Thank you for completing the fTOE Supervisor form. We will now review your application and we will be in touch within 5 working days.