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Curriculum Vitae

FirstName LastName, M.D., Ph.D., etc.

Personal Information

Professional Address

Phone

Fax

Email

Current Position, Institution and start dateYear-present

Include faculty appointment with rank as well as academic administrative roles

Education

Postgraduate training:

Postdoctoral Research start/end dates (mm/yy format)

Fellowship (for clinical appointment)–Universitystart/end dates (mm/yy)

Residency - Universitystart/end dates (mm/yy)

Internship -Universitystart/end dates (mm/yy)

Graduate degree and major, Universitystart/end dates (mm/yy)

Dissertation Title and Mentor

Undergraduate degree and major, Universitystart/end dates (mm/yy)

Previous Professional experience(Note: in reverse chronological order, include any sabbaticals)

Appointment, position held, Institutionstart/end dates(mm/yy)

Hospital and Clinical Staff appointments(Note: in reverse chronological order)

Institution, positionstart/end dates (mm/yy)

Board Certification and Licensurestart/end dates (mm/yy)

Professional Society memberships

National

Regional

Honorary Societies, Honors and Awards

Named Lectureships as well as other honors

Teaching Awards

Professional Services(Note: in reverse chronological order)

Committee membership and administrative role (include in the following order):

Internationalstart/end dates (mm/yy)

National (e.g. professional societies, study sections, session moderator, etc.)

University

Health Center

Medical School

Department

Hospital

Community

Editorial and Journal review boards (Editorial reviewer, ad hoc reviewer)

Current and Past Teaching Responsibilities(Note: in reverse chronological order)

(Note: reference Clinical Educator Portfolio, if appropriate)

Administration (clerkship, residency, or fellowship program director, etc)(mm/yy)

Courses and lectures or topics(mm/yy)

Clinical Teaching Responsibilities(mm/yy)

Thesis/dissertation(mm/yy)

Preliminary qualification committees(mm/yy)

Protégé

Departmental

Dissertation/Thesis, post-doctoral supervision

Fellows, residents, medical students

Research Support(Note: in reverse chronological order)

Current funding: start/end dates (mm/yy)

Funding mechanism and agency, grant number and title, award total

Contracted studies (formatted as above)start/end dates (mm/yy)

All past funding (formatted as above)start/end dates (mm/yy)

Bibliography(Note: numbered & in chronological order here only, underline your name in the reference)

Peer reviewed articles:(mm/yy)

Papers published, in press, or accepted for publication in peer-reviewed journals;

all authors, fulltitle, journal, per PubMed format

Invited review articles(mm/yy)

Book chapters, monographs, case reports, electronic media, non-peer (mm/yy)

reviewed articles

Books publishedor in press, role (single author, joint authorship, editor), (mm/yy)

all authors, fulltitle, publisher, and year should be referenced

Abstracts – include dates(mm/yy)

Clarify accepted as Posters/Oral Presentations

National/International Meetings

Local/Regional Meetings

Supplemental Material(Note: in reverse chronological order)

Invited Talks/Grand Rounds(mm/yy)

Seminars and workshops at national meetings(mm/yy)

Patents and Technology Transfer(mm/yy)

Community Service/Civic Activities

Consulting

CVFormat: Revised 11/08/2011, 3/7/12

(Modified based on input from Credentials Committee, Dean’s Staff, Chairs Committee and Faculty Affairs Committee)