SAMPLE JOHN DOE CV & GRANTS

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1 SAMPLE JOHN DOE CV & GRANTS UNIVERSITY OF PENNSYLVANIA - SCHOOL OF MEDICINE Curriculum Vitae John Doe, M.D., Ph.D. Date: Month, year Office Address: 1234 Maloney Building Hospital of the University of Pennsylvania Philadelphia, PA If you are not a U.S. citizen please indicate the type of visa you have: (If applicable) Visa type or Permanent Resident status Education: 1988 B.S. Yale University (English) 1992 M.D. University of Pennsylvania 1994 Ph.D. University of Pennsylvania (Physiology) Postgraduate Training and Fellowship Appointments: Intern in Medicine, Temple Hospital, Philadelphia Resident in Medicine, Graduate Hospital, Philadelphia Fellowship, Pulmonary Diseases, Hospital of the University of Pennsylvania, Philadelphia Military Service: U.S. Public Health Service, Tuberculosis Control Section, Philadelphia Faculty Appointments: Assistant Professor of Medicine, Department of Medicine present Associate Professor of Medicine, Department of Medicine Hospital and Administrative Appointments: 1999-present Assistant Chief, Pulmonary Division, Department of Medicine, Chief, Pulmonary Function Laboratory, Department of Medicine, 2005-present Director, Inhalation Therapy, Other Appointments: 1999-present 1999-present Senior Fellow, Leonard Davis Institute, University of Pennsylvania School of Medicine Faculty Member, Cell and Molecular Biology Graduate Group, University of Pennsylvania School of Medicine Revised 1/2009

2 Page 2 Specialty Certification: 1999 American Board of Internal Medicine Licensure: New York and Pennsylvania Awards, Honors and Membership in Honorary Societies: 1993 Alpha Omega Alpha 2008 Nobel Prize in Medicine and Physiology Memberships in Professional & Scientific Societies and Other Professional Activities: (Include offices held.) International: 2003-present International Society for Heart and Lung Transplantation National: 1999 present American Federation for Clinical Research (President, ) National Institutes of Health Pulmonary Study Section (Chair, ) National Institutes of Health, Asthma Treatment Trial, Data and Safety Monitoring Committee 2005-present American Heart Association (Committee on Cardiopulmonary Disease, ) Local: 1999-present Philadelphia County Medical Society Editorial Positions: Editorial Advisory Board, American Journal of Medicine (Guest Editor-- Symposium, Treatment of Tuberculosis, 2001) 2004-present Associate Editor, American Review of Respiratory Diseases present Reviewer Annals of Internal Medicine Academic and Institutional Committees: 1999-present Member, Admissions Committee, 2000-present Member, Curriculum Committee, Major Academic and Clinical Teaching Responsibilities: 2005-present Pulmonary Pathophysiology Course: Medicine 842, throughout the year present Course Director, Pulmonary Diagnosis Doctoring Course for medical students (one 2-hour session every two weeks) Jan 2008 Understanding Asthma, Department of Medicine Grand Rounds, University of Pennsylvania School of Medicine Lectures by Invitation: (List only the past 5 years.) June, 2006 Bronchial Obstruction - American Chest Conference, Phoenix, Arizona October, 2007 Dyspnea - National Respiratory Association, San Diego, California Organizing Roles in Scientific Meetings: April 19, 2007 Current Advances in Lung Cancer Diagnosis (Co-Organizer), American Society of Physicians, Pittsburgh, PA

3 Page 3 Bibliography: (Include only relevant publication categories. While the precise format can be individualized, each entry should contain all authors and inclusive page numbers.) Research Publications, peer reviewed (print or other media): 1. Smith, R.K., Doe, J., Brown, L.K. Pulmonary function during grand rounds. Thorax 64: , Doe, J., Smith, R.K., Brown, L.K. Intrapulmonary sequestration. American Journal of Medicine 42: , in press Research Publications, peer reviewed reviews 1. Doe, J., Smith, R.K. Advances in the treatment of lung disease. Chest. 100: 88-89, Contributions to peer-reviewed clinical research publications, participation cited but not by authorship: 1. Williams, S., Able, P. and the Emphysema Treatment Trial (Doe, J., Principal Investigator, University of Pennsylvania Clinical Center). The value of indoor humidifiers. Journal of Lung Disease 25:68-80, White, L., Jones, S., and the Tuberculosis Treatment Trial (Doe, J., Participating Physician, University of Pennsylvania Clinical Center). Dietary supplements in the treatment of tuberculosis. Journal of Lung Disease 27: , Research Publications, non-peer reviewed: 1. Smith, R.K., Doe, J. Catching that second wind. Lung Times 3, 6-7, Abstracts: (List only the past 3 years.) 1. Smith, J., Jones, J., Doe, J. Observations on lung compliance during yoga exercise. Amer. Rev. Resp. Dis. 90:146, (Presented at the American Thoracic Society Meetings, San Francisco, 2007). 2. Doe, J., Smith, J., Brown., W.K. CO 2 response to therapy with positive pressure ventilation. Clinical Research 16:490, Editorials, Reviews, Chapters, including participation in committee reports (print or other media): 1. Doe, J. The task of breathing. Chest 43:29-30, Jones, J., Doe, J. Chronic Pulmonary Insufficiency (Chapter 3) in Smith J. (Ed.) Diseases of the Chest, W.B. Saunders, Philadelphia, 2006, pp Institute of Medicine Task Force on Asthma in Adolescents (Doe, J., Member). Smoking in adolescents. U.S. Government Publication 10001, 2008, pp Books: 1. Doe, J. What I Know About Chest Disease, University of Pennsylvania Press, Philadelphia, Alternative Media: (List any other non-peer reviewed contributions to alternative communication formats, such as instructional audio or video tapes, articles in the lay press, educational material via Internet, etc.) 1. Doe, J. Bronchoscopy made simple: an instructional video for fellows. American Medical Videos, Professional Division, Doe, J., Smith R.K. The truth about respiratory infections and airline travel. Daily Health, May, 2007, pp Patents: 1. Doe, J. A device for pulmonary assistance. U.S. Patent Number 111,111, 2005.

4 Page 4 PAST GRANT SUPPORT NAME DEPARTMENT DATE Grant Name & Period of Grant Role in Grant** % Effort Funding Source Annual Additional Sponsor Number Award Category* Direct Cost Comments*** 1. NONE _ 6. _ *For Grant Category, use code in bold from the following menu: R01 NIH R01 CT Clinical Trials PP NIH Program Project, Center or Core Grants TG Training Grants FG Federal Grants - Other (including other individual NIH grants IG Industrial Grants (including pharmaceutical) and grants from VA, NSF, Dept. of Energy, etc.) PG Private Foundation Grants (including internal Penn grants) FM Fellowship (management) O Other ** For program projects, specify whether PI, co-leader or project leader. For center, core and training grants, similarly specify your role. *** Include any additional, brief information. For clinical trials, for example, specify if multicenter or single center and indicate role of Penn site. Explain any grants in Other category. If space is needed for more entries, use an additional sheet.

5 Page 5 CURRENT GRANT SUPPORT NAME DEPARTMENT DATE Grant Name & Period of Grant Role in Grant** % Effort Funding Source Annual Additional Sponsor Number Award Category* Direct Cost Comments*** 1. NONE *For Grant Category, use code in bold from the following menu R01 NIH R01 CT Clinical Trials PP NIH Program Project, Center or Core Grants TG Training Grants FG Federal Grants - Other (including other individual NIH grants IG Industrial Grants (including pharmaceutical) and grants from VA, NSF, Dept. of Energy, etc.) PG Private Foundation Grants (including internal Penn grants) FM Fellowship (management) O Other ** For program projects, specify whether PI, co-leader or project leader. For center, core and training grants, similarly specify your role. *** Include any additional, brief information. For clinical trials, for example, specify if multicenter or single center and indicate role of Penn site. Explain any grants in Other category. If space is needed for more entries, use an additional sheet.

6 Page 6 PENDING GRANT SUPPORT NAME DEPARTMENT DATE Grant Name & Period of Grant Role in Grant** % Effort Funding Source Annual Additional Sponsor Number Award Category* Direct Cost Comments*** 1. NONE *For Grant Category, use code in bold from the following menu: R01 NIH R01 CT Clinical Trials PP NIH Program Project, Center or Core Grants TG Training Grants FG Federal Grants - Other (including other individual NIH grants IG Industrial Grants (including pharmaceutical) and grants from VA, NSF, Dept. of Energy, etc.) PG Private Foundation Grants (including internal Penn grants) FM Fellowship (management) O Other ** For program projects, specify whether PI, co-leader or project leader. For center, core and training grants, similarly specify your role. *** Include any additional, brief information. For clinical trials, for example, specify if multicenter or single center and indicate role of Penn site. Explain any grants in Other category. If grant has already been reviewed, you may provide percentile score. If space is needed for more entries, use an additional sheet.

CV Checklist. F a c u l t y D o s s i e r. John Doe CV and Grants Page For submission of faculty dossier to PSOM COAP and PSC. General Information

CV Checklist. F a c u l t y D o s s i e r. John Doe CV and Grants Page For submission of faculty dossier to PSOM COAP and PSC. General Information John Doe CV and Grants Page For submission of faculty dossier to PSOM COAP and PSC General Information Faculty with PennKeys have access to the Faculty Expertise Database (FEDS), via the FAPD Gateway (my.dot.med),