Last Updated 2/6/2016
Individual Development Plan
Name:
Semester/Year Matriculated:
Advisor:
Skills Assessment Summary: (Please go to http://grad.wisc.edu/pd/idp to read the instructions prior to
completing this section.)
Strengths:
Development Needs:
Goals and Objectives, Actions and Strategies, Timeline, Outcomes
A. Goals
B. Objectives:
What skills need to be
learned/developed
(write objectives as
“S.M.A.R.T. Goals”*)
C. Actions and Strategies:
How will you do this?
(training, other opportunities
and strategies)
D. Timeline:
When will you do
this? (anticipated
start and
completion times)
E. Outcomes:
(How will you
know you have
reached your
goal?)
Graduate Education in Medical Physics
Goal 1: Medical Physics
Graduate Education
Specific Objectives:
1.
2.
Goal 2: Medical Physics
Board Certification
Specific Objectives:
1.
2.
Goal 3: Medical Physics
Ethics & Responsible
Conduct of Research
Specific Objectives:
1.
2.
Goal 4: Minor
Requirements
Specific Objectives:
1.
2.
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Research Activities
Goal 5: Research Plan
Specific Objectives:
1.
2.
Goal 6: Collaborations
Specific Objectives:
1.
2.
Goal 7: Scientific Writing
and Publication of
Research
Specific Objectives:
1.
2.
Goal 8: Communication
of Research at
Conferences
Specific Objectives:
1.
2.
Clinical Experience in Medical Physics
Goal 9: Plan for
Development of Clinical
Skills
Specific Objectives:
1.
2.
Teaching Goals
Goal 10: Plan for
Teaching
Specific Objectives:
1.
2.
Personal Goals
Goal 11: Leadership
Specific Objectives:
1.
2.
Goal 12: Other
Specific Objectives:
1.
2.
*S.M.A.R.T. = Specific, Measureable, Achievable, Relevant, Time-Bound.
(See IDP Instructions for Self-Assessment document.)
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Last Updated 2/6/2016
Additional Medical Physics Program-Specific Items
Name: ___________________________________
Advisor: ______________________________________________________
Track: ________________________
For Incoming Fall 2014 Students: (Continuing Students follow rules in effect when you started.)
Will you be taking the Core Curriculum? ____ Yes (needed for certification) or ____ No (opt out)
(If No, Approved by Advisor (___/___/___) and Approved by Graduate Chair (___/___/___)
Core Curriculum Coursework:
Fall Semester:
__ MP 463 (Term:
__ MP 501 (Term:
__ MP 567 (Term:
__ MP 573 (Term:
___________)
___________)
___________)
___________)
(Indicate which term course was taken or will be taken)
Spring Semester:
__ 566 (Term: ___________)
__ 578 (New Course: 568 & 575 combined) (Term: _________)
__ 569 (Term: ___________)
__ 701 (Term: ___________)
__ Anatomy 328 (Term: __________)
__ Physiology 335 (Term: __________)
__ Physiology 335 (Term: ___________)
__ Qualifier Exam (after first year in program) (Date: ___/___/___)
___ MS Level Pass
___ PhD Level Pass
__ Minor Courses Completed (Date: ___/___/___)
Prelim Committee Members (List Five: One Outside of Department, at least Three are Medical Physics):
__ Prelim Exam (after Masters degree) (Date: ___/___/___)
__ Prospectus (Follow NIH Format) (Date: ___/___/___)
__ Prelim Exam (Date: ___/___/___)
__ Seminar Presentation (prior to PhD degree completion) (Date: ___/___/___)
PhD Committee Members (List Five: One Outside of Department, at least Three are Medical Physics):
Professional Development:
__ SMPH HR Curriculum Vitae Template (use to keep your information together)
(http://intranet.med.wisc.edu/files/smphintranet/docs/hr/curriculum-vitae-template.doc)
Every Fall Term:
__ List All Publications (Descending Chronological Order). Include FULL citation and all authors (NO et al.) & PMCID #
__ List All Presentations (Descending Chronological Order). Include FULL citation and all authors (NO et al.)
__ ABR Board Certification Process (Part 1, etc.) (Which Stage and Date: _____________________ ___/___/___)
Comments:
__ Not pursuing ABR Certification
Please Put the Date You Finished Updating Your IDP:
Year1 IDP: _____ Year 2 IDP: _____ Year 3 IDP: _____ Year 4 IDP: _____ Year5 IDP: _____
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