
First Name, Last Name, Suffix  
 
Address 
City, State, Zip 
Phone Number 
Email  
 
 
 
 
EDUCATION 
 
  Academic Facility, Residency. City, State (Dates Attended), Specialty.  
  Academic Facility, City, State. (Dates Attended) International Post-Graduate Mini-Residency program, Internal 
Medicine and Gastroenterology. 
  Medical School, City, State (Dates Attended) Doctor of Medicine. 
 
WORK EXPERIENCE 
 
  Primary Care Physician, Private Practice Group. Practice Name, City, State (Dates worked in reverse 
chronological order)  
  Medical House Staff Physician. Fire Dept. City, State. (Dates Worked). 
 
 
CERTIFICATION 
 
  ABIM- Board Eligible 08/2015 
 
LICENSURE 
 
  NY State Medical license 
 
HONORS AND AWARDS 
 
  Facility, School of Medicine: Honors in: Anesthesiology, Pulmonology, Cardiology, Nephrology 
  Community Service, Facility. Recognition for Contribution to the Creation of a Culture of Health in the 
Community. Location. Date.  
 
RESEARCH EXPERIENCE 
 
  Research Scholars Program, Facility 
  Awareness of STI Testing among Emergency Room Patients. 
  Poster presentation of above research at Conference, City, State. Date.   
 
ACCREDITATIONS 
 
  BLS/ACLS 
  ECFMG certified USMLE STEP 1, 2CK AND 2CS, USMLE STEP 3 
 
ADDITIONAL LANGUAGES 
 
  Spanish (fluent written and spoken) 
 
HOBBIES AND INTERESTS