XV. Curriculum Vitae and Bibliography Format for all Faculty

Part II: Research, Teaching, and Clinical Contributions

A. Narrative report (500 words or less) of Research, Teaching, and Clinical Contributions. Please focus primarily on the areas in which most of your time and effort is spent.

B. Funding Information (note if for research, education, or clinical applications)

Years covered Funding source PI/Co-PI Grant title

C. Report of Current Research Activities other than those mentioned above (bench research, clinical trials, outcome studies, efficacy studies as applicable)

Project Role

D. Report of Teaching (use only those categories that are applicable)

1. Local contributions

a. For each Medical School/School of Dental Medicine/Division of Medical Sciences course for medical/dental/Ph.D. student, describe the following:

Year(s) taught
Name of course or laboratory (e.g., HMS II Renal Pathophysiology, HSDM Restorative Dentistry)
Description of teaching role (attending, lecturer, tutor, or other)
Type of students and average number each year (e.g., 6 medical students, 25 residents)
Amount of preparation and contact time involved (e.g., months, weeks, hours, as appropriate)

b. For each graduate medical course, describe the following:

Year(s) taught
Name of course/presentation
Description of teaching role (attending, lecturer, tutor, or other)
Type of students (residents, postdoctoral fellows, etc.) and average number each year
Amount of preparation and contact time involved

c. For local invited teaching presentations, e.g., seminars, grand rounds, describe the following:

Year(s) taught
Name of course/presentation
Description of teaching role (attending, lecturer, tutor, or other)
Type of students (residents, postdoctoral fellows, etc.) and average number each year
Amount of preparation and contact time involved

d. For each continuing medical education course, describe the following:

Year(s) taught
Name of course
Description of teaching role
Amount of preparation and contact time involved

e. For advisory and supervisory responsibilities in clinical or laboratory setting (for medical or graduate students, residents or fellows), describe the following:

Year(s) performed
Description of responsibilities (e.g., attending in health-care organization, supervising in ambulatory clinic, precepting in a lab)
Estimate of hours per year

f. For each teaching leadership role in department/affiliated Institution/Medical School/School of Dental Medicine (organization of course, director of training programs, etc.), describe the following:

Year(s) performed
Title (e.g., Director of Residency Program in Pediatrics at CH, Course Director for Pharmacology, HMS I)
Primary responsibilities
Special accomplishments (described in a one-paragraph narrative)

g. Names of advisees or trainees: years in position under your supervision, and current position. List only those trainees on whose careers you have made a significant impact

Duration of Training Name Current Position

2. Regional [Northeastern U.S.], national, or international contributions [Group by location and then by date.]

a. For each invited presentation (e.g., visiting professorship, invited lecture, plenary presentation, seminar), describe the following:

Year(s) given
Type of presentation
Name(s) of organization(s) extending invitation

b. For each professional and educational leadership role related to teaching (e.g., program chair for professional society annual meeting or member of steering committee), describe the following:

Year(s) performed
Name of organization
Description of teaching effort
Special accomplishments (described in a one-paragraph narrative)

3. Description of teaching award(s) received

4. Description of major curriculum offerings, teaching cases or innovative educational programs developed (as appropriate)

E. Report of Clinical Activities

1. Description of clinical practice (field, areas of major focus, site(s) of practice [private office, HMO, teaching hospital etc.])

2. Patient load (indicate complexity of cases, as appropriate)

3. Clinical contributions (e.g., introduction of new methods of clinical diagnosis, prevention, treatment, care delivery)

4. Other relevant information about clinical role (receipt of clinical awards, locally or nationally, invitation to participate in clinical activities at other sites, special recognition by peers or professional organizations as a leader in a clinical field)