(i) arterial blood gas sampling (ii) cannula insertion, including large bore (iii) electrocardiogram (iv) peak flow measurement (v) urethral catheterisation Verifying consultants signature confirming details above Declaration by the person signing this certificate: We wish to remind signatories of their professional responsibilities under the General Medical Council’s Reminder: guidance Medical Practice” (paragraph 65) which states that must do your best to make sure that any “Good “you documents you write or you sign are not false or misleading. This means that you must take reasonable steps to verify the information in the documents”. Failure to do so renders you, the signatory, at risk of being referred to your regulatory authority (the GMC or equivalent). Patient safety must remain your primary concern. Candidate’s full name: A) I confirm that I have viewed the JRCPTB website () and that I am aware of the curriculum for UK Core Medical Training and the competence required. B) I confirm that the doctor named above has worked for me for a minimum of three continuous months (whole time equivalent) in a medical specialty post or emergency medicine or intensive care medicine within the three years prior to the advertised post start date for which they are applying. C) I can confirm that I have observed the doctor named above demonstrate all of the above competences that I have signed, or where I have not personally observed them, I have received alternative evidence that I know to be reliable. NB This form is invalid unless all three boxes above are checked. Verifying consultants signature Verifying consultant name Date Hospital stamp If not available, please attach a signed compliment slip, giving hospital name and website address List of people whose evidence I have used in signing this certificate:
(i) arterial blood gas sampling (ii) cannula insertion, including large bore (iii) electrocardiogram (iv) peak flow measurement (v) urethral catheterisation Verifying consultants signature confirming details above Declaration by the person signing this certificate: Reminder: We wish to remind signatories of their professional responsibilities under the General Medical Council’s guidance “Good Medical Practice” (paragraph 65) which states that “you must do your best to make sure that any documents you write or you sign are not false or misleading. This means that you must take reasonable steps to verify the information in the documents”. Failure to do so renders you, the signatory, at risk of being referred to your regulatory authority (the GMC or equivalent). Patient safety must remain your primary concern. Candidate’s full name: A) I confirm that I have viewed the JRCPTB website () and that I am aware of the curriculum for UK Core Medical Training and the competence required. B) I confirm that the doctor named above has worked for me for a minimum of three continuous months (whole time equivalent) in a medical specialty post or emergency medicine or intensive care medicine within the three years prior to the advertised post start date for which they are applying. C) I can confirm that I have observed the doctor named above demonstrate all of the above competences that I have signed, or where I have not personally observed them, I have received alternative evidence that I know to be reliable. NB This form is invalid unless all three boxes above are checked. Verifying consultants signature Verifying consultant name Date Hospital stamp If not available, please attach a signed compliment slip, giving hospital name and website address List of people whose evidence I have used in signing this certificate:
alternative_certificate_-_palliative_medicine_applicants_only.docx