ModifiableTemplate MS Word

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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 date
Year-present
Include faculty appointment with rank as well as academic administrative roles
Education
Postgraduate training:
Postdoctoral Research
Fellowship (for clinical appointment) – University
Residency - University
Internship - University
Graduate degree and major, University
Dissertation Title and Mentor
Undergraduate degree and major, University
Previous Professional experience
start/end dates (mm/yy format)
start/end dates (mm/yy)
start/end dates (mm/yy)
start/end dates (mm/yy)
start/end dates (mm/yy)
start/end dates (mm/yy)
(Note: in reverse chronological order, include any sabbaticals)
Appointment, position held, Institution
Hospital and Clinical Staff appointments
start/end dates (mm/yy)
(Note: in reverse chronological order)
Institution, position
Board Certification and Licensure
start/end dates (mm/yy)
start/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):
International
start/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)
Last name 2
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)
Courses and lectures or topics
Clinical Teaching Responsibilities
Thesis/dissertation
Preliminary qualification committees
(mm/yy)
(mm/yy)
(mm/yy)
(mm/yy)
(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, full title, journal, per PubMed format
Invited review articles
(mm/yy)
Book chapters, monographs, case reports, electronic media, non-peer
(mm/yy)
reviewed articles
Books published or in press, role (single author, joint authorship, editor),
(mm/yy)
all authors, full title, 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
Seminars and workshops at national meetings
Patents and Technology Transfer
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)
(mm/yy)
(mm/yy)
(mm/yy)
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