Note - Do not add your office information if you do not wish to be contacted there.

Name (Place your name in larger bold font to make it stand out)
Email - (List a professional email address here.)
 

Home address	Office Address
Home Telephone/Beeper	Office Telephone/Beeper

Education (List your degrees in order of completion)

Medical Education (List your internship, residency, and fellowships here in order of completion)

Professional Experience (List all work experiences that you have taken since your completion of medical school. If you are undertaking a teaching or a research position, list that here as well. If you are completing your medical training, list any moonlighting positions as well as college employment.)

Certification and Licensure (List if you are Board Certified or Board Eligible, ACLS, PALS, etc. Include all of your current and inactive licenses, specifying which one is active or inactive.)

Professional Organizations (List all local, regional, and national organizations that you are involved in. Examples: American Medical Association, American Osteopathic Association, and Texas Medical Association)Awards and Honors (List any scholarships received as well as any distinguished recognition awards. List medals from the military, honor societies, dean’s list, etc.)

Personal Information (List if your place of birth, date of birth, citizenship, languages spoken, marital status, the number of children, etc.)

Bibliography (List all publications and presentations that you have completed or that you are in the process of completing.)

Professional References (List at least 3 references that would represent you and your accomplishments. List several professional references, such as your chief of staff, that you have known for several years.)

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