Sample ERAS Application

14-07-29 10:50 PMApplication

of 16http://www.mydocstat.com/USERS/Sample/Index.html

John Doe [email protected] 1-111-222-3333, 1-222-333-4444, 1-999-888-7777 Print

John DoeCredentials: Contact Information:

ECFMG Certified, Fluent in 4 languagesUSMLE Step1: December 2006, 87

USMLE Step2 CK: June 2007, 77USMLE Step2 CS: July 2007, Passed

ECFMG Certification: August 2007

E-mail: [email protected]

Phone: 1-111-222-3333, 1-222-333-4444, 1-999-888-7777

Address: 1211 East Narrow Lane, Chicago, IL60111

Personal StatementPersonal Statement

During my clinical training, I was able to acquire comprehensiveeducational experiences and skills in the diagnosis and management ofpediatric cases especially the critically-ill ones. Through hard work,perseverance and willingness to serve the nation's underprivilegedmajority, I became one of the Assistant Chief Residents during mythird year of residency. My duties and responsibilities were focused on two main areas: Patients'Services and Research/Publications.

In order to improve the quality of patient care, I was able to utilize and maximize the availablemedical resources and equipment in the treatment of acute and chronic pediatric conditions.Moreover, I was able to do my research on the antibacterial properties of some medicinal plants asa potential cure for most common bacterial wound isolates among pediatric patients. It earnedseveral awards in both local and national Pediatric research presentations. Consequently, I hadgained invaluable insights and confidence as a true pediatrician. It was a period of personal growthand maturation.

After I finished my Pediatric residency training, I worked as a consultant in General Pediatricsat Medical Center in South Pole City, Antarctic. I had the opportunity to apply my clinical abilitiesto diagnose and treat both the hospitalized and ambulatory pediatric patients. However, I amaware that there are still so many things to learn in Pediatrics. The quest for knowledge is unendingand the challenges are quite demanding and tremendous. These led me realize to seek furtherclinical fellowship training in Neonatology and Perinatal Medicine at the Hospital of Wisconsin.

I am currently on my third year of Neonatology fellowship training. This provides me a broadexposure to various neonatal conditions such as low birth weight infants, micropremies, newbornswith congenital malformations needing surgical care and all medical problems arising duringneonatal period. Furthermore, I am highly skilled in procedures such as endotracheal intubation,peripheral IV and central PICC line insertions, chest tube placement, umbilical venous and arterialcatheterization, arterial cannulation, lumbar puncture, exchange transfusion, neonatal

resuscitation and ventilator management. Later on, I am planning to work in a pediatric tertiary

mailto:[email protected]




resuscitation and ventilator management. Later on, I am planning to work in a pediatric tertiarymedical center where I can impart my expertise in Neonatology and continue my researchendeavor. Most importantly, it is my goal to serve humanity in my own humble way.

General information

Name: Doe, John

School: South Exemplary Medical College

Birth date: 08/20/1971 Birth place: South Pole, Antarctica

Gender: Male Race: White

Ethnicity: No Answer Citizenship: Foreign National

Visa type: B-1, B-2 - Temporary visitor Expected visa: H-1B or J-1

Address: 1211 East Narrow Lane, Chicago, IL60111

Phones: 1-111-222-3333, 1-999-888-7777, 1-222-333-4444 (cell)

E-mail: [email protected] Fax: 1-999-888-7777

ID#: 123467890 NRMP: Yes

AAMC ID: 12345678 Couples match: No

USMLE ID: 1-234-567-8

Examinations and ECFMG certificationExamination Status DateUSMLE Step 2 CS (Clinical Skills) Passed 07 / 2007

USMLE Step 2 CK (Clinical Knowledge) Passed 06 / 2007

USMLE Step 1 Passed 12 / 2006

Are you certified by the ECFMG ?Yes Certification Date:08 / 2007

Obligations and Limitations

Military Service Obligation?No Years: Military Branch:

Other Service Obligation?No Description:

Felony Conviction?No Reason:

Limitations?No Description:

State medical licenses

None

Medical Licensure

ACLS:Yes Exp.Date:08 / 2009

PALS:No Exp.Date:

DEA REG #:No Exp.Date:

Board Certification?No Reason:

Medical Licensure Problem?No Reason:



Ever named in a Malpractice suit?No Reason:

Past History?No Reason:

Medical educationInstitution and location Dates attended Degree Date of degreeSouth Exemplary Medical College, Arctic Zone 08 / 1999 - 12 / 2004 Yes, MBBS 05 / 2005

Medical education extended or interrupted ? No

Medical School Honors/Awards

None

Membership in Honorary/Professional Societies

None

Education

None

Residencies/Fellowships

None

ExperienceExperience Organization Position Dates SupervisorWork New Medicine Association,

South PoleHouse Officer 04 / 2007 - 08 / 2007 Dr. Micky

Mouse

Description: Reason for leaving:

Acute Unselected Medical ontake of 30pts/day Managed acutely sickpatients of Medicine and Gastroenterology Consented patients forendoscopic procedures Member of the cardiac arrest team Participated atJournal club and Grand rounds Presentation - Case of Hepatitis E ingrand rounds

Work First Maternity And SurgicalHospital, Antarctica

Volunteer 05 / 2006 - 12 / 2006 Dr. MiniMouse


I have attended OPDs, assisted in conducting delieveries, inserting intracontraceptive devices, various surgeries, attended prenatal and postnatalclinics.

Work North Medical Centre,Antarctica

Volunteer 02 / 2006 - 03 / 2006 Dr.ScroogeMcDuck


I have worked with the doctor in the hospital and took rounds with him.Also i use to take histories and examine patients. I use to assist in variousward procedures and also in handling various emergencies.

Work Sun Nursing Home, Antarctica Junior House Officer, Gastroenterologyand Geriatric medicine

08 / 2005 - 02 / 2006 Dr.Unknown




Worked in Medicine for the Elderly, Gastroenterology and Acute Medicine- Frontline of management of acutely ill medical patients, -Responsible forinpatient care of 30 patients -Working closely with MD,making dischargeplan liaising with community services -Understanding Intermediary careteam,Care home and Rehabilitation services -Managing weeklyOutpatient clinics -Leading cardiac arrest team on wards and in Casualty-Training House officers in clerking and procedures -Clinical proceduresperformed independently Central Venous Catheterisation Endotrachealintubation Thoracocentesis Paracentesis Lumbar Puncture CommencingBIPAP Intercostal Drain Insertion

Volunteer The Hospital, Los Angeles Volunteer 07 / 2007 - Dr. Abc


I help in collecting blood, help the patients with their doubts.

Publications

None

Language Fluency (Other than English)

Besides English, i can speak French, German and Dutch

Hobbies & Interests

Traveling, cooking, jogging .

Other Awards/Accomplishments

Awarded as Honor student.

Doe, John (12345678) Dean's Letter - 001 - (Page 1)



Doe, John (12345678) Transcript - 001 - (Page 1)



Doe, John (12345678) Transcript - 001 - (Page 2)



Doe, John (12345678) LoR - 001 - (Page 1)



Doe, John (12345678) LoR - 002 - (Page 1)



Doe, John (12345678) LoR - 003 - (Page 1)



Doe, John (12345678) LoR - 004 - (Page 1)



Doe, John (12345678) USMLE Step 1 - (Page 1)



Doe, John (12345678) USMLE Step 2 CK - (Page 1)



Doe, John (12345678) USMLE Step 2 CS - (Page 1)



Doe, John (12345678) ECFMG Certificate - (Page 1)



John Doe [email protected] 1-111-222-3333, 1-222-333-4444, 1-999-888-7777 Print

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Sample ERAS Application

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