Please note: Information in bold is required for curricula vitae to be submitted with recommendations for appointments and promotions requiring review by the School of Medicine's Faculty Appointments and Promotions Committee, but is not necessarily recommended for inclusion in the standard curriculum vitae.
Date Updated
Name:
Office Address:
Office Phone Number:
PERSONAL DATA: (Optional - Please note: It is not recommended to include personal information in your public CV.)
Date and Place of Birth:
Home Address
Home Phone Number
Marital Status, Spouse's Name
Children, names, dates of birth
Military Service
Education:
- College: school (city, state), degree, date (major, optional)
- Professional or graduate: School(s) (city, state), degree(s), date(s)
- (Thesis or dissertation title, if applicable)
- Postgraduate Training: residency, fellowship, etc.
- Institutions(s), mentor (for research fellowships), dates
Licensure and Certification: (If applicable)
- State(s) in which licensed: date, name, license number)
- Specialty board(s): Board, specialty, date
Academic Appointments:
- List in chronological order, beginning with earliest and ending with current.
- Rank, Department, Institution, Dates
Hospital Appointments (If applicable)
- List in chronological order, as in Academic Appointments
Employment: (other than academic and hospital appointments)
- List in chronological order, as in Academic Appointments
Professional Organizations:
- Name, offices held, if any
Professional Activities:
- Intramural: School or university committees, inclusive dates
- Extramural: Study groups, site visits, governmental agencies or private organizations, including offices held, inclusive dates. Editorial appointments, ad hoc reviewing, indicate journal
- Other professional activities: (optional)
- Special awards or recognition for professional activities
Teaching Activities:
- Indicate if you developed or substantially revised any of the teaching activities listed below.
- Medical School Courses: title, number of lectures, conferences, etc., dates offered
- Graduate School Courses: title, number of lectures, conferences, etc., dates offered
- Continuing Medical Education: program title, date offered, indicated whether organizer or lecturer
Clinical Teaching: nature and frequency
Research Supervision (residents or fellows, postdoctoral trainees, graduate students, medical students): name(s), date(s), current position of trainee
Other Significant Activities: (optional)
- e.g., civic, political activities
Research Program:
Cumulative listing of all grants: title, source, dollar amount, inclusive dates, percent effort.
Publications and Presentations:
Separate by category and list earliest to latest. Underline or BOLD name.
- Articles in refereed journals: List in chronological order, including name of all authors as listed sequentially on each publication, title, journal, volume, inclusive pages, year. Underline your name in each listing.
- Books, book chapters, invited review articles: List as in #1.
- Letters to editor, book reviews, editorials, etc. (optional)
- Abstracts (optional)
- Presentations at Scientific Meetings: List chronologically, include title, date, location of presentation. Specify if presentation was invited and/or peer reviewed.