Apply to become a FUSIC® Heart Supervisor

You can sign up to become a FUSIC® Heart Supervisor at any time using the form below.

Become a FUSIC® Heart Supervisor

Your details

Name ^* (required)

Job title/grade ^* (required)

Hospital/Trust address ^* (required)

Email ^* (required)

FUSIC Supervisors must demonstrate suitable echocardiography experience. Please tick the following qualifications that apply to you. ^* (required)

BSE Level 2 TTE accreditation

EDEC

FUSIC HD Trainer

Cardiologist with regular sessional commitments to TTE

How many years of ultrasound practice do you have? ^* (required)

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. ^* (required)

Yes

Please confirm whether you are happy for us to promote and publish the fact that you are a FUSIC® supervisor ^* (required)

Yes

Please provide supporting documentation (ie Accreditation Certificate) ^* (required)

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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. ^* (required)

Yes