Transcription of Definitive Surgical and Anaesthetic Trauma Care …
1 Definitive Surgical and Anaesthetic Trauma Care DSTCTM/ DATCTM Courses . 2018 6 18 19 20 .. MEDDEC 7-1-16 . Director Prof. Ken Boffard (South Africa). Dr. Jonathan Oliver White (Denmark). Mizobata (Osaka City Univ). IATSIC (International Association for Trauma Surgery and Intensive Care) DSTCTM/DATCTM . DSTCTM DATCTM .. DSTCTM 12 DATCTM 6 . ATLSTM JATECTM . 22 . 2018 4 30 . 2 . DSTC-Japan . Course Candidate Application Form Definitive Surgical Trauma CareTM Course Definitive Anaesthetic Trauma CareTM Course (Please check either one).
2 (Please type or print using black ink and send to Application Date Application sent by: email Fax Post Surname Title First name Calling name for name badge Business Address Postal Address Residential Address Telephone: Home Telephone: Business Fax Number: Home Fax Number: Business Cell Phone: Email: Medical Registration No. Nursing Registration No. or Passport No. Nationality Special Diet Request Qualifications University degree and Date Highest Surgical Examination (Board Date passed Certification of Surgery). ATLS (or convertible course such as Date JATEC) successfully completed Summary of experience over last three years Residency performed at Current appointment Reasons for DSTCTM / DATCTM Application Office Use only Date Received Date acknowledged Payment received Course allocat)
