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European Society of Anesthesiology

TEPC Trainee Application Form


Applicant must be an ESA Active/Trainee Member.
Applicant must be no less than 3rd year Trainee till no more than 3rd year Specialist actively working
in Europe.
Applicant must send the application form no later than 1 September of the preceding year (the year before
the fellowship).
All questions must be answered and requested attachments sent together with the application
form. Incomplete applications will not be reviewed by the selection committee and will be
rejected.
Applicants will be advised of the outcome of their application no later than 1 November.
Selected applicants will be required to write an article for the ESA eNewsletter describing their experience
upon completion of the training period, within 1 month after finishing the training.

1. Personal Details:
2017/228129
ESA Active/Trainee Membership Number
Zahirovi (born Aganovi)
Family Name
Amela
First Name
Aleja Lipa 58
Address
Sarajevo/ 71000
City / ZIP Code
Bosnia and Herzegovina
Country
Bosnian
Nationality
05.01.1988
Date of Birth
Bosnia and Herzegovina
Country of Birth
Bosnia and Herzegovina
Country of Practice
zahirovicamela88@gmail.com
Email
0038761620208
Mobile
Bosnian, English - 4
*Language Spoken
*On a scale of 1-5 indicate level of fluency next to each language. 5 - being perfect.
Example: English 4.
Please attach relevant certificate(s) of best foreign language (if applicable.)

2A. Trainee Exchange Programme Preferences:


1 month 2 month 3 month
Preferred Duration
From 1st January 2018. To 1st April 2018.
Preferred Three Month
University Hospital Carl Gustav Carus, Dresden
Host Center *Choice 1
University Hospital Ospedali Riuniti of Foggia
*Choice 2
Uludag University, Medical Faculty hospital, Bursa
*Choice 3
*City/Hospital of choice must be selected from the list of Participating centers available on the ESA website.

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European Society of Anesthesiology
http://www.esahq.org/education/trainee-exchange/host-centre-list

Are you interested in:


a general enhancement of your training.
in learning a particular skill/technique.

If the chosen centres are not available, would you accept other host center recommended by TEPC?
Yes NO

2B. How are you going to contribute the (selected) host centre?
I strongly believe that my readiness to work hard as well as my 5 year experience in a broad
aspect of anesthesiology will make me an integrative part of an anesthesiology team.

Important note:
Due to significant GMC and Royal College of Anesthetists Medical Training Initiative complex restrictions, TEPC
strongly invites EU Applicants to give primary consideration to non-UK host centres.

GMC Registration Approbation

3A. Education:
N/A
Awards at University
2012
Year of Graduating University
2014- 3rd year of residency
Year of Residency
N/A
Year of Graduating Residency
N/A
Year of Specialization
N/A
Scholarships
N/A Click here to enter text.
*EDAIC Part I
N/A
*EDAIC Part II
If any of the above questions are not applicable, write N/A next to the question.
*Please fill in the date and the center of the EDAIC Part I/ Part II Exam .

Have you received Training or worked (clinically or in research) outside of your country?
Please give short details.
No

Current Position:
Anesthesiology resident at Clinical center University of Sarajevo

For a resident in training: your position and training scheme:


For a doctor with specialist hospital appointment: hospital, department, field of work:
Currently I am a resident in training at Department of Intensive care unit.
My trainee scheme as a resident lasts for 48 months:
General Anesthesia: 11 months;
Special Anesthesiology: 11 months (including Anesthesia in Neurosurgery, Anesthesia in Thoracic

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surgery , Anesthesia in Cardiac surgery, Anesthesia in Gineacology and Obstetric, Anesthesia in Pediatric
Surgery);
Reanimatology and intensive care: 11 months;
Pediatrics: 1 month;
Emergency medicine: 2 months;
Phisiology and Biochemistry: 4 months;
Theoretical lectures: 1 month;
Transfusiology: 1 month.

Do you have a teaching position?


How many years? How many hours per week/month? What is the subject? Is it formal/ informal?
From 2013- Teaching assistant in the subject of Emergency Medicine (4 hours weekly) at Farmaceutic-
Health Faculty, Travnik, Bosnia and Herzegovina.

3B. *A Summary of relevant postgraduate training to date.


Give place, hospital and specialty. Indicate the parts of this experience that you consider relevant to the
current application. List chronologically with the most recent last. Please give months in each situation.
August 2012-July 2015: General Anesthesia at Public Hospital, Travnik
July 2016- October 2016: Anesthesia in vascular surgery, Clinical center University of Sarajevo
October 2016 December 2016: Anesthesia in orthopedic surgery, Clinical center University of Sarajevo
December 2016 February 2017: Anesthesia in Gynecology and Obstetrics, Clinical center University of
Sarajevo
February 2017 March 2017: Anesthesia in ORL surgery, Clinical center University of Sarajevo
March 2017 April 2017: Anesthesia in Maxillofacial Surgery, Clinical center University of Sarajevo
April 2017 until now: Intensive care and Resuscitation, Clinical center University of Sarajevo
April 2017: Ultrasound guided peripheral nerve blockade Pre-Congress Course, 8th Annual spring
Scientific Symposium in Anesthesiology and Intensive Care, Nis, Serbia
April 2017: Ultrasound guided peripheral nerve blockade course, University Clinical Center of Tuzla,
Bosnia and Herzegovina
May 2017: Active Participant at ,,4th Balkan States anesthesia Days Abdominal Anesthesia and Intensive
Care, Sarajevo, Bosnia and Herzegovina
My list of publication includes following:
Fazlic A, Zahirovic A, Zahirovic E. Rohhad syndrome anesthetic aspects of retroperitoneal biopsy: Case
Report. Pharm Health, Vox Scientiae, 2016;4 (1):48;
Zivanovic S, Zahirovic A, Dedic M. The use of laryngeal mask airway in laparoscopic cholecystectomy.
Proceedings and Abstracts of the 3rd Anesthetist Congress in Bosnia and Herzegovina. 2015 May 15-17,
Travnik, Bosnia and Herzegovina. Society of Anesthetists in Bosnia and Herzegovina. 38 p.
Hadziabdic M, Aganovic A, Haseljic N, Dedic M, Lastro Z. The most common causes of intrahospital
infections in Intensive Care unit Public Hospital Travnik. Proceedings and Abstracts of the 3rd Anesthetist
Congress in Bosnia and Herzegovina. 2015 May 15-17, Travnik, Bosnia and Herzegovina. Society of
Anesthetists in Bosnia and Herzegovina. 93 p.
Aslani I, Zahirovic A, Durakovic A. Acute Abdomen as a consequence of a ruptured abdominal aortic
aneurysm. Proceedings and Abstracts of the 4th Balkan States Anesthesia days.2017 May 17-20, Sarajevo,
Bosnia and Herzegovina. Anesthesiology and Reanimation Specialists Society (ARUD). 272 p.

4. Personal Profile:
Write a max 300 words profile of yourself. Please refer to the following points.
List and quantify any past activities that you consider demonstrate how you have materially

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contributed to your department.
For example activity in:
o teaching (hours, numbers of persons)
o organization
o audit
o research, publication, postgraduate diplomas (EDAIC Part I/II, ATLS; ESIC; etc..)
Describe how this Trainee Exchange Programe would help you to meet your aspirations and
assist personal developments.
Include a brief description of your career aims over the next 5 years.
During my work at anesthesiology departments in Bosnia and Herzegovina I had a chance to be involved
in a broad aspect of anesthesiology procedures. Since the first days I was encouraged to independent work
by the more experienced co-workers. Therefore I believe that although I am still young anesthesiologist I
do possess enough experience in general anesthesia and intensive care unit which will allow me to rapidly
become a member of a new team.
Beside my residency I am working as a Teaching assistant (Emergency Medicine) at Pharmaceutical-
Health Faculty in Travnik. I truly enjoy teaching and I am hoping that in the future I will have more
opportunities to share my knowledge and experience with the students and young residents.
In May, 2015 I was one of the organizers of the ,,3rd Anesthetist Congress in Bosnia and Herzegovina.
During the Ultrasound guided peripheral nerve blockade courses in Nis (Serbia) and
Tuzla (Bosnia and Herzegovina) I had a chance to learn a lot about regional anesthesia. It is my aim in the
following years to expand the use of this type of anesthesia in a daily routine at my institution.
Unfortunately at my institution this type of safer and cheaper procedure is not commonly used because of
insufficient experience and knowledge about it.
I am absolutely convinced that education in one of the host Centers will provide me enough knowledge
and practice that will allow me to adequately perform regional anesthesia at my institution.

5. Personal References:
These are highly popular and valuable positions:
Only candidates with the highest possible potential will be considered.
Two independent citations are required, each of not more than 200 words.
Ideally both should be written by clinicians who have been direct teachers of the applicant.
The authors are required to indicate their full name, title, place of current employment and contact details.
(phone, email)

The citations should include the following:


It is best interest of the applicant to make his/her refer aware of the importance of the structure of the reference respecting
the points below.
The type and extent of teaching contact you have had personally with the applicant.
How you judge this applicant to be most suited to receive the Trainee Exchange Programme.
For example, how do you judge this person has demonstrated more aptitude, ability and
dedication than others?
Why you are recommending this candidate in comparison to other young members of your
department?
What career developments do you expect of the candidate? Please be as exact as possible?
What benefits do you anticipate to your department if this Trainee Exchange Programme is
awarded?

6. Application Summary:
Personal Details (Application form, foreign language certificate as attachment if applicable)
Trainee Exchange Programme Preferences (Application form)

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Education (Application form)
Personal Profile (Application form)
References ( 2 attached documents)

Important note:
All applicants applying for the TEP Fellowship should read carefully the registration and employment laws and
regulations of the host country. The TEP Committee will actively support every fellowship. However, in special
circumstances, the trainee may have to choose between having an observer status and/or selecting an alternative
host country.

Your Signature:
Zahirovic Amela

The duly completed application form and attachments must be emailed as one PDF document to:
ESA Trainee Exchange Programme Coordinator
tep@esahq.org

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