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FUSIC Accreditation

Thank you for considering becoming a FUSIC supervisor. 

As a supervisor, you will be responsible for all the hands-on training, reviewing of scans, overseeing the logbook and guaranteeing the validity and probity of the entire training process up to the final assessment. Each unit delivering a FUSIC accreditation should have at least one nominated supervisor. 

Key responsibilities:

-To oversee the accreditation process in your unit(s)
-To recommend mentors and countersign their applications
-To advise and support on mentors and those on their FUSIC journey
-To provide expert advice and review of scans when needed to by mentee or mentor
-To conduct the triggered assessment
-To countersign the summary training record to confirm that a mentee has satisfactorily completed all the training components

Please ensure that you have read the ICS website before proceeding. https://www.ics.ac.uk/Society/Learning/FUSIC/Become_a_Supervisor.aspx

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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. BSE Number

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* 8. Which pathway topic are you applying to be a supervisor for? 

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* 9. FUSIC Supervisors must demonstrate suitable echocardiography experience. Please tick the following qualifications that apply to you.

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* 10. FUSIC Supervisors must also demonstrate suitable ultrasound experience. Please tick the following qualifications that apply to you.

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* 11. How many years of ultrasound practice do you have?

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* 12. How many ultrasound procedures have you performed?

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

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* 14. By completing this application, I understand that I am giving my consent for the Intensive Care Society to share the details I have provided in this form with suitable FUSIC candidates and the FUSIC Committee. Furthermore, I undertsand that my details will be added to the FUSIC Supervisor database to enable potential candidates to contact me directly to start their FUSIC accreditation process.
 
The following information will be shared:

First name and Surname
Job
Hospital address
Email address

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

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* 16. Declaration: I confirm the information I have given is accurate and in line with the requirements of being a FUSIC Supervisor as outlined in the training pack.

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