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NAME

Office Address:

Office Telephone:

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Instructions for each category on the CV:

§  List items in reverse chronological order.

§  Number all lists (ex: publications, presentations).

§  Copy and paste the initial row in each section to add an item.

§  Indicate dates in entries when applicable, utilizing the column on the right side of the entry.

§  Eliminate any heading for which there is no entry. Add headings as appropriate to your work.

§  Remove instructional headings and comments when using the template to create your CV.

EDUCATION
List name of institution, location, and date of degree for each.
Graduate:
Baccalaureate:
Other: / DATES
POSTGRADUATE TRAINING
List fellowships, residencies, internships, etc.
FACULTY APPOINTMENTS
HOSPITAL OR OTHER PROFESSIONAL APPOINTMENTS
MAJOR PROFESSIONAL SOCIETIES
MEDICAL LICENSURE
All states. Note if active or inactive.
List Michigan license number and inclusive dates (if applicable).
BOARD CERTIFICATION
Include certification number and date of expiration.
HONORS/AWARDS
SERVICE
Indicate the activity and your role.
Wayne State University
Departmental/Divisional
School of Medicine
University
Other / DATES
*For all entries below, DO NOT list if you are a member, but have provided no additional service.
UPG or other physician practice plan
Affiliate medical organizations (e.g., DMC, KCI, VA, HFH, Oakwood, Crittenton, etc.)
Professional (e.g., medical or scientific organizations and societies)
Community (e.g., presentations for lay audiences, educational outreach, media presentations/interviews)
Consulting
Scholarly Service
Grant Review Committees
Indicate whether full member, ad hoc, or telephone reviewer.
National/International
Regional/Local
Service for Peer-Reviewed Journals
Editorship
Editorial Board Membership
Review of Manuscripts
Other Scholarly Service (e.g., Institutional Review Board, Clinical Evaluation Committee, Data and Safety Monitoring Board, moderator for scientific session)
OTHER SERVICE / DATES
TEACHING
Wayne State University
Teaching at Wayne State University
Under the categories below, list course number/title or type of teaching activity and your role. Indicate year(s) when taught.
Undergraduate students
Graduate students
Medical students
Residents/Fellows
Faculty (CME)
Years at other colleges/universities (please list institutions)
Teaching at other institutions
Under the categories below, list course title or type of teaching activity and your role. Indicate year(s) when taught.
Undergraduate students
Graduate students
Medical students
Residents/Fellows
Faculty
Mentorship
Define and list names of mentees, e.g., student, resident, fellow, faculty.
Essays/Theses/Dissertations directed
List students by name, level, and title of project. Indicate dates/years.
Course or curriculum development
§  Include electronic instruction (e.g. online instruction, course development, and webinars).
§  Be sure to include Visiting Professor or Lecturer Positions (e.g., invited short courses or lectures plus interactions with students/trainees).
GRANTS, CONTRACTS, AND OTHER FUNDING
Indicate role (PI, Co-PI, Co-I, etc.), percent effort, title, source, total period of support, total direct costs.
Active National/International Grants and Contracts
Example:
Role: Co-Investigator., Percent Effort: 10%
Title: “Infrastructure Development Program”
“The major goal of this grant project is to improve access to and the quality of healthcare for Michigan residents through community-academic partnerships focusing on…” Source: HRSA/AHEC Total Direct Costs: $2,680,172
Active Other Grants and Contracts
Pending National/International Grants and Contracts
Pending Other Grants and Contracts
Previously funded Grants and Contracts
Previously submitted, not funded Grants and Contracts
Include scores where applicable. / DATES
CLINICAL TRIALS ACTIVITIES
Include trials in which you have a major role; define your contribution, e.g., PI or co-PI, site PI for multi-center trial, protocol committee member.
PATENTS
Status, date, number, title, and role (e.g., indicate if primary inventor or co-inventor.)
PUBLICATIONS
§  List, in reverse chronological order, publications that are published or accepted and in press, but not those merely submitted or in preparation.
§  Annotations are not required for first, senior, or corresponding authorship.
o  For all others, describe your role in each publication.
o  Possible roles include: study conception, design, implementation (including patient recruitment), data analysis, manuscript writing.
§  Indicate with an asterisk any co-author who is a student or trainee (if applicable), and provide a legend.
Peer-Reviewed Publications
Include all formats, including articles in electronic-only journals. Provide Impact factors when the CV will be used for P & T, and, in addition, or where impact factors are not available, provide data on journal rankings and/or selectivity, and other indicators of excellence and national/international recognition.
Reports of Original Work
Example:
Boggess KA, Bailit JL, Singer ME, Parisi VM, Mercer BM. Projected benefits of universal or scheduled antepartum corticosteroids to prevent neonatal morbidity: a decision analysis. Am J Obstet Gynecol. 2005 Oct; 193(4):1415-23. Jul; 195(1):338. PMID:16202735
Case Reports
Examples:
Mastrobattista JM, Parisi VM. Vertical transmission of a Citrobacter infection.
American Journal of Perinatol. 1997 Sep; 14(8):465-7.
Monga M, Benson GS, Parisi VM. Renal cell carcinoma presenting as hemolytic anemia in pregnancy. American Journal of Perinatol. 1995 Mar; 12(2):84-6.
Review Articles
Examples:
Thorp JA, Dildy GA, Yeomans ER, Meyer BA, Parisi VM. Umbilical cord blood gas analysis at delivery. American Journal of Obstetrics and Gynecology. 1996 Sep; 175 (3 Pt 1):517-22. Review.
Nielsen PE, Abouleish E, Meyer BA, Parisi VM. Effect of epidural analgesia on fundal dominance during spontaneous active-phase nulliparous labor.
Anesthesiology. 1996 Mar; 84(3):540-4; discussion 29A.
Editorials/Commentaries
Example:
Parisi VM, Meyer BA. To stay or not to stay? That is the question. N Engl J Med. 1995 Dec 14;333(24):1635-7. No abstract available. PMID:7477203
Letters to the Editor
Book Authorships, Editorships, and Chapters
Example:
Lam, G and Parisi, VM: Chapter 27: Preeclampsia and Eclampsia in Pregnancy. In Runge, MS and Greganti, MA: Netter's Internal Medicine, Icon Learning Systems, 2003.
Published Abstracts (must have a reference that can be looked up)
Non-peer-reviewed publications
Other (please specify)
PRESENTATIONS
Podium Presentations (refereed)
Poster Presentations (refereed)
Other (example: videos)
Invited Lectures/Presentations
International/national
Local/regional
Invited Seminars and Grand Rounds

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