Wayne State University School of Medicine CV Format Date of Preparation: Signature NAME, Degree Current Track Instructions for each category on the CV (Updated 07/22/15): CV’s should be formatted using at least a 1-inch margin and page numbers provided either at the top or bottom of the page starting on page 2. Remove all instructional information and comments when using the template to create your CV. Because the template is in table form, use “Ctrl + Tab” to space within sections, and “Tab” to advance to the next column. Within each section, list entries in reverse chronological order. Move category headings to the next page if located at the bottom of a page with no information following the header. Do not split entries between 2 pages. Number lists of publications and presentations. Office Address: Office Telephone: Office Fax Number: (Optional) E-mail Address: EDUCATION DATES Copy and paste the initial row in each section to add an item when using the table template. Throughout the CV, indicate dates in entries when applicable, Use “Ctrl + Tab” to move within a cell; use “Tab” to move to the next column. utilizing the column on Use category headings provided in the template. In general, titles should not be changed; the right side of the however, you may eliminate any heading for which there is no entry and add headings as entry. appropriate to your work. List name of institution, location (city/state), and date of degree for each. Graduate: Baccalaureate: Other: Use consistent date format (e.g., 3/1/14- POSTGRADUATE TRAINING List fellowships, residencies, internships, etc. Date column should be wide enough to allow full date on one line. FACULTY APPOINTMENTS If you have more than one current faculty appointment, indicate which is primary, secondary, or joint. Keep date column consistent throughout the CV. 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). 4/1/15, March 2014-April 2015). 2 BOARD CERTIFICATION Include certification number and date of expiration. HONORS/AWARDS Indicate name of award and the institution/organization from which it was received; provide annotation (if helpful to the reviewer) and indicate number of awards made annually. Examples: Faculty Research Excellence Award Wayne State University School of Medicine This award recognizes research excellence and achievement by the faculty of the School of Medicine. Six awards annually. Infant Mortality Reduction Leadership Award March of Dimes, Michigan Chapter Lansing, Michigan This award highlights initiatives to reduce risks for premature birth, birth defects, and infant mortality in at-risk populations. One award annually. 2013 2012 SERVICE Indicate the activity and your role. List service in the order specified below, i.e., WSU service should be listed first. Note: If the Affiliate name is included in the service, likely this is NOT WSU Service. Wayne State University Departmental/Divisional School of Medicine University Other For all entries below, DO NOT list if you are an organizational member, but have provided no additional service. UPG or other physician practice plan Affiliate medical organizations Examples: Children’s Hospital, DMC, KCI, VA, HFH, St. John Health System, Oakwood, Crittenton. Professional Indicate medical or scientific organizations and societies if you have/had additional responsibilities that extend beyond a general membership. Include items such as abstract reviewer or moderator for a scientific session. Community Examples: Presentations for lay audiences, educational outreach, media presentations/interviews Consulting List role, sponsoring institution/organization, location (city/state). 3 Scholarly Service List role, sponsoring institution/organization, location (city/state). Grant Review Committees Indicate whether full member, ad hoc, or telephone reviewer. Include if you were invited but had to decline because of conflict. National/International Regional/Local Service for Peer-Reviewed Journals Editorship Editorial Board Membership Review of Manuscripts Other Scholarly Service Examples: Institutional Review Board, Clinical Evaluation Committee, Data and Safety Monitoring Board, moderator for scientific session OTHER SERVICE TEACHING In each category, list course number/title or type of teaching, role, when taught. Teaching at Wayne State University Undergraduate students Graduate students Medical students Residents/Fellows Faculty (e.g., CME) Teaching at other institutions Undergraduate students Graduate students Medical students Residents/Fellows Faculty (e.g., CME) Mentorship List names of mentees and level (e.g., student, resident, fellow, or faculty), brief description of project and/or published work, if applicable. Essays/Theses/Dissertations directed List students by name, level, and title of project. Indicate dates. If former student’s current position is known, you may wish to include that. 4 Course or curriculum development Include electronic instruction (e.g., online instruction, course development, and webinars). 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, grant number, title, brief description (1 sentence), source, total period of support, total direct costs. If not the PI for a grant or contract, please list PI name. Note: List dates in the body of each entry, not in a date column. Active National/International Grants and Contracts Examples: Role: Principal Investigator, Percent Effort: 20% R01 DA016373 Title: “Evaluating effects of prenatal exposure & teen cocaine use on adult drug use & other risky behaviors.” The major goal of this study is to evaluate the relative contributions of prenatal and/or teen drug use on adult drug use and other risky behaviors. Source: NIH/NIDA 6/2008-4/2014 Total Direct Costs: $2,315,905 Role: Co-Investigator, Percent Effort: 5% Group (IMPAACT). Network (NO1-HD-3-3345) Site PI: Rongkavilit Title: International Maternal Pediatric Adolescent AIDS Clinical Trials, The primary objective is evaluate potential therapies for HIV infection and its related symptoms in infants, children, adolescents, and pregnant women, including clinical trials of HIV/AIDS interventions for and prevention of mother-to-child transmission Source: NIH/NICHD 6/20106/2012 Total Direct Costs: $492,311 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. 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. 5 PATENTS Status, date, number, title, and role (e.g., indicate if primary inventor or coinventor.) PUBLICATIONS Number lists from this point forward. Use all applicable category headings provided for publications as applicable; pay special attention to all peer-reviewed publications, especially reports of original work. List, in reverse chronological order, publications that are published or accepted and in press, but not those merely submitted or in preparation. For P & T submissions, submit an acceptance memo for ‘In Press’ publications. Annotations are not required for first, senior, or corresponding authorship. Where you are not first, last, or corresponding author, describe your role in each publication. Possible roles include: study conception, design, implementation (including patient recruitment), data analysis, manuscript writing. Italicize all annotations. Indicate with an asterisk any co-author who is a student or trainee (if applicable), and provide a legend on that page or at the beginning of the list. Do not split entries between 2 pages. Peer-Reviewed Publications Include all formats, including articles in electronic-only journals. When CV will be used for P&T, provide impact factors and number of citations. Where impact factors are not available, provide data on journal rankings and/or selectivity, and other indicators of excellence or national/international recognition. For instructions on documenting journal citations, copy and paste the following address into your browser: http://facaffairs.med.wayne.edu/pdfs/impact_factors_article_citations.pdf Reports of Original Work Example: 1. 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 For Clinician Educators: Continue numbering sequence from the original observation section. For all other tracks: Start case report section with a new numbering sequence Examples: 1. Mastrobattista JM, Parisi VM. Vertical transmission of a Citrobacter infection. American Journal of Perinatol. 1997 Sep; 14(8):465-7. 2. 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. 6 Review Articles Examples: 1. 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. 2. 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: 1. 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: 1. 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, typically in a journal, that can be looked up) Non-peer-reviewed publications Other (please specify) PRESENTATIONS List in order as indicated below. You need not be the presenter to list, but you must be an author, not just a mentor to the author. Podium Presentations (refereed) Poster Presentations (refereed) Other Invited Lectures/Presentations International/national Local/regional Invited Seminars and Grand Rounds