CASIEF.ca and Anesthesia.ca

Home Education Volunteer Checklist Form

Volunteer Checklist Form

Your Name (required)

Your Email (required)

Note that all checkboxes below must be filled before the form can be submitted.

I am an FRCPC anesthesiologist currently holding an unrestricted license in Canada

I understand the global burden of surgical disease and the role of anesthesia

I am confident with providing a variety of anesthetic care and know my limitations

I am prepared to work in a Low Resource Setting (LRS)

I am confident about working in an area of multiple languages and dialects

I am aware of cultural differences and be supportive of such

I am aware and accepting of practice differences

I have Global Health Competencies

I understand the process of change pertinent to local health care infrastructure

I will support and work with local stakeholders

I will coordinate teaching with local curriculum and teaching plans and avoid deviation

I am proficient in communicating locally relevant clinical solutions

I will not re-iterate Canadian clinical solutions

I am able to develop and maintain relationships developed by CASIEF

I have the following Medical Supplies

I have the following Personal Health

Appropriate malaria prophylaxis: Start taking as directed before the trip and continue as prescribed after the trip.
Mosquito repellent
Tylenol, ibuprofen, sunscreen
Chronic medications that you may be on
Water filter

I have the following Documents

I have accounted for the following Other Recommendations

Note that all checkboxes above must be filled before the form can be submitted.