Membership Application Workbook

Download this workbook for complete instructions, templates and examples.

Part 1: Instructions and Criteria for Excellence

Part 2: User Templates:


Educator Portfolio Worksheets:

You may use these worksheets to draft your Educator Portfolio; they're easier to edit than the templates are.
Please be sure to transfer your content into the User Templates above for submission for both the administrative review and final application.


Part 3: Examples of Completed Templates (select names below to view/download PDF files)


Guide to completed examples including activity details

Use this guide to determine which examples to review first.
Please note: Educator Portfolio examples are unique to each individual; think of them as guides, rather than templates.

Executive Summary

Tracy Fulton, PhD

Erick Hung, MD

Conan MacDougall, Pharm D, MAS, BCPS

David M. Naeger, MD

Role 1: Teaching

Angel Chen, RN, MSN, PNP

Jacque Duncan, MD

Conan MacDougall, Pharm D, MAS, BCPS

Stacy Sawtelle Vohra, MD

Role 2: Mentoring and Advising

Denise Davis, MD

Mitchell Feldman, MD, MPhil

Greg Hendey, MD

Steven Pletcher, MD

Role 3: Curriculum Development, Instructional Design and Technology Madhavi Dandu, MD, MPH

Sumant Ranji, MD

George Saba, PhD

Naomi Wortis, MD

Role 4: Educational Leadership:

Jennifer Babik, MD, PhD

Vanja Douglas, MD

Descartes Li, MD

Andrea Marmor, MD, MSEd

Role 5: Learner Assessment

Meg Autry, MD

Tracy Fulton, PhD

Karen Hauer, MD

Sandrijn van Schaik, MD

 

FAQs

If you need assistance downloading documents, please contact Kathleen Land at kathleen.land@ucsf.edu.