Sample Role Statement

Academic Year: Current

Faculty Name: Dr. Jane Doe, M.D., Ph.D.

Date:

  1. Teaching (% of time: 15%)
    1. Formal teaching activities
      Sample table of formal teaching activities
      CourseTermCreditContact Hours
      Clinical reasoning (CRIM) 2 Sessions/rotation 24
      Medical student elective 1 month rotation 30
      Noon lectures 3 one hr. sessions/year 3
      Teaching Rounds 15 one hr. sessions/year 15
      Grand rounds/special lecture forum 6 one hr. sessions/year 6
    2. Teaching related activities (list e.g. field work, independent study, dissertation supervision, student advisement, course development)
      Teaching related activities by activity and time
      ActivityTime
      Research elective month 4 residents; 15 one hour sessions/year
      Course development 8 one hour meetings
      Student advisement 10 one hour meetings/year
  2. Research, creative activity, papers and publications (% of time: 48%)
    • Apply for one new research grant
    • Complete current funded research on …
    • Complete and submit one manuscript for publication
    • Complete one chapter on… in collaboration with…
    • Make a presentation of A, B, C findings at the … national meeting
  3. Service (% of time: 34%)
    • Clinical services
      • On call coverage; hospital
      • Inpatient consult service
      • Outpatient consult service
    • Administrative function as president of … organization
    • Member, … national organization
    • Member, … national organization
    • Chairperson, … Nevada … board
  4. Other activities (% of time: 3%)
    • Annual meetings
    • Faculty development activities at the School of Medicine (list)