Clinical background review

Template

Research and evaluate physicians based on their background, resumes and academic prestige. Analyse and rate all information and, then contact their referrals before making a positive or negative decision.

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Template structure

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Start form

  • 1. Physician name

  • 2. Specialty

    • Orthopedics
    • Oncology
    • General practice
    • Psychiatry
  • 3. License number

  • 4. Personal statement

  • 5. Attach your résumé.

  • 6. Email address

  • 7. Phone number

  • 8. 1. Name

  • 9. 1. Phone

  • 10. 2. Name

  • 11. 2. Phone

  • 12. 3. Name

  • 13. 3. Phone

Evaluator

  • 1. Evaluator

Background check

  • 1. Graduation

    • 1
    • 2
    • 3
    • 4
  • 2. Scientific knowledge

    • 1
    • 2
    • 3
    • 4
  • 3. Knowledge within the field of expertise

    • 1
    • 2
    • 3
    • 4
  • 4. General medical practice

    • 1
    • 2
    • 3
    • 4
  • 5. Years of experience within the field

    • 1
    • 2
    • 3
    • 4
  • 6. Reputation

    • 1
    • 2
    • 3
    • 4
  • 7. Scientific community acceptance

    • 1
    • 2
    • 3
    • 4
  • 8. Papers and other publications

    • 1
    • 2
    • 3
    • 4
  • 9. Interpretation of clinical studies

    • 1
    • 2
    • 3
    • 4
  • 10. Additional comments

  • 11. Highlights

    • Deep scientific knowledge
    • Relevance within the field of expertise
    • Bibliographical references
  • 12. Background check approval

    • Approved
    • Not approved
  • 13. Reason for non-approval

Reference check

  • 1. Contacted references from the start form

    • Reference #1
    • Reference #2
    • Reference #3
  • 2. Final review and comments

Final approval

  • 1. Rating

    • 1
    • 2
    • 3
    • 4
    • 5
  • 2. The background check was:

    • Positive
    • Negative

Phisician approved

  • 1. Documentos Post Evento

Physician not approved

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