Code |
Item |
Instructions |
Number |
B |
Grand Rounds Attendance |
Insert the total number of Department of Medicine Grand Rounds attended. |
|
D |
Morning Report Attendance |
Insert the total number of times you attended Morning Report. |
|
F |
Conference Attendance |
Insert the number of Department of Medicine conferences attended (Cardiology, GI, etc. ). Does not include conferences that you presented. |
|
H |
Resident Lectures |
The number of 1- hour sit-down presentations on a specific topic given to the residents. |
|
J |
Conference Presentations |
The number of Department of Medicine conferences presentations (Cardiology, GI, etc. ) |
|
L |
Grand Rounds Presentations |
Enter the number of Department of Medicine Grand Rounds presentations given. |
|
N |
Teaching Rounds |
Enter the number of formal 1.5-hour Teaching Rounds given. This does not include informal or patient care bedside teaching. |
|
P |
Resident Clinic Attending |
Enter the number of one-half day sessions that you served as attending in the residents' clinic. |
|
R |
Consultation Attending |
This applies to attending physicians who are not on the resident inpatient service. Enter the number of weeks served in this capacity. |
|
T |
Student Preceptor |
Enter the number of weeks that you served as a medical student preceptor (do not include time when resident is present). |
|
V |
Inpatient Attending |
Enter the number of weeks that you served as attending on the residents' inpatient service. |
|
AQ |
Academic Committees |
Enter the number of Committee meetings that you attended. List names on the back. |
|
AS |
Resident Interviews |
Enter the number of resident applicants that you interviewed. |
|
AU |
Quarterly Department of Medicine Meetings |
Enter the number of meetings that you attended. |
|
AW |
Chair of Academic or Hospital Committee |
Enter the number of chairmanships held. List on the back. |
|
AY |
Hospital Committee Meetings Attended |
Enter the number of committee meetings that you attended. |
|
BA |
Awards |
List awards on the back. |
|
BF |
Grants Written |
Enter the number of hours used in writing grants. |
|
BH |
Active Grants |
Enter the amount of grants in dollars divided by the number of years of the grant. * |
|
BJ |
Chapters/Reviews |
Enter the number of chapters and reviews on which you were the first author. |
|
BL |
Manuscripts, first or senior author (give the name of journal on back of sheet). |
Enter the number of manuscripts on which you were the first author. |
|
BN |
Manuscripts, other |
Enter the number of manuscripts on which you were other than the first or senior author |
|
BP |
Poster, abstract, or brief oral presentation, national, presenter |
Enter the number on which you were the presenter at a national level. |
|
BR |
Poster or abstract, other |
Enter the number of posters or abstracts, other than large national meetings, on which you were the presenter. |
|
BT |
Membership in national study section |
Enter the number of grants that you reviewed. |
|
BV |
Other activity (list on back if necessary) |
|
|
BX |
Clinical Trials |
Enter the number of patients that you entered into clinical trials this year. |
|
BZ |
Editor in chief |
Enter the number of editorships that you hold. |
|
CB |
Associate editor, assistant editor, or member of an editorial board |
Enter the number of articles reviewed this year. |
|
CD |
Ad hoc or grant reviews |
Enter the number of ad hoc reviews that you have done. |
|
