ANZBP Supervisor Application Form

Please fill in the following form with all required details.

ANZBP Clinical Supervision Guidelines can be found by clicking here.

Note the following definitions: 

Lead Supervisor

The supervisor(s) responsible for the overarching training, education and supervision.  Must be 5 years post ANZBP certification or be an OTP (ANZ) with at least 5 years of experience in perfusion post overseas qualification in perfusion.  Must hold a current CCP (ANZ) or OTP (ANZ).

Clinical Supervisor

Any supervisor responsible for the trainee in the clinical setting.  This person may differ on a case-by-case basis, depending on the clinical situation and capabilities of both the trainee and the clinical supervisor.  Must be minimum 2 years post ANZBP certification or be an OTP (ANZ) with at least 2 years of experience in perfusion post overseas qualification in perfusion.  Must hold a current CCP (ANZ) or OTP (ANZ) Assumes full responsibility for the case and be able to take over from the trainee as deemed necessary.

ANZBP Supervisor Application Form

Application Type(Required)