Name, MD
Header with name for all pages; and number all pages bottom center.
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Personal Information
- Home address and telephone:
Professional address and telephone: - (If applicable, an individual who is authorized to work in the US, but due to nationality thinks someone might question this, could include: Authorized to work in this country)
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Present Academic Rank and Position
Do not use prefix of academic rank if you do not have one.
Examples:
Professor of Medicine, Anytown Medical School
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Consultant, Department of Internal Medicine
Division of Gastroenterology
Anytown Medical School -
Education
- Include degrees and dates.
- College/University:
Medical School:
Residency:
Fellowship:
Other: -
Board Certification
- List month, year and board certificate number, if known. Include national boards and their parts if you have them.
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Medical Licensure
- Indicate state and license number only; date is not necessary.
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Honors and Awards
- Include Teacher of the Year, honors from undergraduate school, Phi Beta Kappa membership, AOA, etc.
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Military Services
- Complete if applicable; include branch of service, rank, place, and dates.
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Previous Professional Positions and Appointments
- Academic Research, Clinical--list chronologically, beginning with earliest appointment.
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Education-Teaching
- In your role as teacher, list dates and names of courses taught, chairships held, time spent as leader of rounds, seminars presented, student advisor roles filled, etc.
- Medical School:
Graduate School:
Continuing Education:
Other Institutions (prior to current position): -
Education-Journals
- List membership on editorial boards, position as scientific reviewer for medical journals, etc.
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Graduate Students/Postdoctoral Fellows Working for You
- List individuals' names, number of years working for you, name of program, etc.
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Institutional, Departmental, and Divisional Administrative Responsibilities, Committee Memberships, and Other Activities
- List all, including years active. If still active, list date as follows: 1986- .
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Professional and Society Memberships
- List dates, offices held, and committee responsibilities.
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Invited Visiting Professorships
- List dates, place, and professorship title.
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Presentations at National Meetings
List dates, meeting names, places, and topics.
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Presentations at International Meetings
- List dates, meeting names, places, and topics.
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Intramural Presentations
- Presentations at the physician's hospital or institutions, for example, presentations, Mortality and Morbidity Conferences, or Journal Club meeting at Grand Rounds, or formal presentations to medical students.
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Clinical Practice, Interests, and Accomplishments
- List these here.
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Research Interests
- List these here.
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Research Grants Awarded
- Include grant number and title, time period, and Category 1 time.
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Civic Activities
- Include both medically and non-medically related activities.
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Bibliography
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Publications-Journals (List in order shown).
- Published articles list in chronological order with oldest first; "In Press" for those articles accepted but not printed; "Submitted" for those submitted but not yet accepted or rejected; "In Preparation" for those written but not submitted; List those you are working on but have not yet written under "Research Interests" above, including coauthors.
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Publications-Abstracts, Editorials, Book Chapters
- Following the title, identify in parentheses what each one is: abstract, editorial, or book chapter. Put all abstracts in a separate grouping.