myeras application

, () MyERAS Application

Vanderbilt University Medical Center Program, Plastic Surgery-Integrated

A.Timbs 04/01/2020

Confidential - Do not disclose or distribute applicant information to persons outside the residency/fellowship application process.

General Information

Name: ,

Previous Last Name:

Preferred Name:

Most Recent Medical School: Vanderbilt University School of Medicine

Email: [email protected]

Gender: Female

Birth Date: 05//1995

Authorized to Work in the US: Yes

Current Work Authorization: Citizen, Legal Permanent Resident, Refugee, Asylee

Self Identification:

Black or African American African American

Applicant ID: 2020156174AAMC ID:

USMLE ID: 5-398-039-7

NBOME ID:

NRMP ID: N0663722

Participating in the NRMP Match: Yes Participating as a Couple in NRMP: No

Present Mailing Address:

2209 Garland Ave; PMB 407712Nashville, TN 37240

Permanent Mailing Address:

2400 Charlotte AveApt 217Nashville, TN 37203

Preferred Phone #: 8125893419Alternate Phone #: Mobile #: Pager #: Fax #:

Phone: 8125893419

Military Service Obligation/Deferment? No

Other Service Obligation? No

Misdemeanor Conviction in the United States? No

Felony Conviction in the United States? No

Limitations? No

Medical Licensure

ACLS: PALS: BLS: YesDEA Reg. #: None

BLS Expiration Date: 04/01/2020

Board Certification: No

Medical Licensure Suspended/Revoked/VoluntarilyTerminated? No



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Ever Named in a Malpractice Suit? No

Past History? No

State Medical Licenses

Type Number State Exp. Date

None

Medical Education

Institution & Location Dates Attended Degree Date of Degree

Vanderbilt University School of MedicineUnited States of America

07/2016 - 05/2020 Yes, M.D. 05/2020

Medical Education/Training Extended or Interrupted? No

Medical School Honors/Awards

- Cornelius Vanderbilt Scholar - 4-year, full-tuition merit-based scholarship- Levi Watkins, Jr. MD Student Award - Awarded for commitment to diversity at Vanderbilt University School of Medicine- First place at Southeastern Society of Plastic and Reconstructive Surgeons Medical Student Poster Competition

Membership in Honorary/Professional Societies

Alpha Omega Alpha (Member of AOA)

- Association of Women Surgeons- Student National Medical Association

Education

Education Institution & Location Dates Attended Degree Degree Date Field of Study

Undergraduate Massachusetts Institute ofTechnologyCambridge, MA

09/2012 - 05/2016 Yes, B.S. 06/2016 Chemistry and Biology



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Current/Prior Training

Institution,Location,& Training Type

ProgramDirector

ProgramSupervisor

DatesAttended

Month(s) Discipline

None

Experience

Experience Organization & Location Position Dates Supervisor AverageHours/Week

ResearchExperience

VUMC Department ofPlastic Surgery, Nashville,TN, United States ofAmerica

Student Researcher 04/2019 - 09/2019 Dr. SalamAlKassis

Description:

- Clinical trial investigating the effect of PRP injection as a potential treatment for hypertrophicscars- Assisted in protocol writing and led IRB submission process- Responsible for evaluating scars in clinic and logging clinical evaluations into secure REDCAPdatabase- Currently in clinical trial phase

Reason for Leaving:

ResearchExperience


Student Researcher 03/2019 - 09/2019 Dr. Kevin Kelly

Description:

- Evaluated the fracture patterns of patients with electric scooter-related injuries- Reviewed the charts of patients meeting our inclusion criteria- Participated in manuscript writing, currently in progress

Reason for Leaving:



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ResearchExperience


Student Researcher 12/2018 - 09/2019 Dr. Brian Drolet

Description:

- Project #1 - Investigated the attributes of a successful plastic surgery independent applicant byreviewing the applications of over 100 applicants on a standardized scale. Currently in dataanalysis.- Project #2 - Investigated the correlation between rectus muscle herniation on CT and theclinical signs of entrapment by reviewing the charts of over 200 patients. Abstract submitted toAmerican Cleft Palate-Craniofacial Associaiton

Reason for Leaving:

ResearchExperience

Vanderbilt UniversitySchool of Medicine,Nashville, TN, UnitedStates of America

Co-Lead Investigator 03/2018 - 08/2019 Dean A.Fleming, Dr. B.Drolet, Dr. H.Davidson

Description:

This project investigated the experience and impact of racial microaggressions during medicalschool

- Developed a national survey that was administered to underrepresented medical studentsthrough the Student National Medical Association- Data presented at the 2019 Annual Medical Education Conference- Manuscript submitted to the Journal of Academic Medicine

Reason for Leaving:

ResearchExperience


Student Researcher 10/2017 - 09/2019 Dr. WesleyThayer



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Experience


Description:

- Project #1 - Investigated the immunologic factors involved in the aged mouse's response topartial thickness burn injury.- 4 month immersion including mouse experimentation, protein isolation, IHC staining andanalysis- Led results analysis and manuscript production- Oral presentation at the 2019 Tennessee Society of Plastic and Reconstructive Surgeons Meeting- First place poster at the 2019 Southeastern Society of Plastic and Reconstructive SurgeonsMeeting- Manuscript submitted to Burns

- Project #2 - Evaluated emergency hand coverage in TN and compared on-call coverage to aprevious study done 10 years ago- Responsible for data collection, analysis, and manuscript production- Manuscript published in Annals of Plastic Surgery

Reason for Leaving:

ResearchExperience

VUMC Department ofBiomedical Informatics,Nashville, TN, UnitedStates of America

Paid Student Researcher 05/2017 - 06/2018 Joseph Coco 5

Description:

- Hired as a student researcher to perform chart reviews for various projects within theDepartment of Biomedical Informatics- Assessed the responsiveness to anti-TNF alpha drugs for 150 patients with inflammatory boweldisease- Identified and recorded areas of skin affected by graft-versus-host disease for 440 patients- Determined the prevalence of post-operative thrombi in a pediatric surgery population

Reason for Leaving:

ResearchExperience

Graybiel Laboratory,Cambridge, MA, UnitedStates of America

Student Researcher 01/2014 - 01/2015 AlexanderFriedman

10



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Experience


Description:

- Conducted rat experiments investigating the effect of optogenetics on decision making using aT-maze model

Reason for Leaving:

VolunteerExperience

LCME Academic andLearning EnvironmentsCommittee, Nasvhille, TN,United States of America

Committee Member 08/2019 - 03/2020 Dean DonaldBrady

1

Description:

- Selected by the Deans as a student member of a committee focused on analyzing VUSM'sacademic and learning environment in preparation for the 2020 LCME site visit

Reason for Leaving:

VolunteerExperience

VUSM Careers inMedicine, Nashville, TN,United States of America

Plastic Surgery InterestGroup Co-Leader

05/2019 - 05/2020 Dr. Brian Drolet 2

Description:

- Mentored junior students interested in plastic surgery- Organized and held monthly educational meetings- Managed call calendar and student pager system

Reason for Leaving:

VolunteerExperience

VUSM Global SurgeryAlliance, Nashville, TN,United States of America

Event Coordinator 05/2019 - 05/2020 1



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Experience


Description:

- Elected to coordinate events with residents and faculty with global health interest or experienceto facilitate networking and skill-building

Reason for Leaving:

VolunteerExperience

VUSM WellnessCommittee, Nashville, TN,United States of America

Education CommitteeCo-Chair

04/2019 - 05/2020 Dean AmyFleming, Dr.Brian Drolet

3

Description:

The VUSM Wellness Committee is the largest student organization on campus, and is anationally-recognized wellness program.

- Facilitated continuing education on wellness by designing and leading committee journal clubs- Created and managed a school-wide survey assessing our wellness

Reason for Leaving:

VolunteerExperience

Students as Teachers,Nashville, TN, UnitedStates of America

Education ImprovementProject Co-Organizer

04/2019 - 06/2019 3

Description:

Students as Teachers is a year-long elective course with >36 hours of directed teaching and >30hours of didactics

- Designed a 4 hour curriculum aimed at improving preparedness and comfortability in the ORfor first-year students interested in pursuing a surgical specialty

Reason for Leaving:



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Experience


VolunteerExperience

VUSM ExecutiveAdmissions Committee,Nashville, TN, UnitedStates of America

Committee Member 09/2018 - 09/2019 Dr. Joey Barnett,Dr. CatherineFuchs

5

Description:

- Appointed by faculty co-chairs of admissions committee- Reviewed applications of prospective MD students- Participated in monthly committee meetings composed of students and faculty members

Reason for Leaving:

VolunteerExperience

Black Men In MedicineSummitt, Nashville, TN,United States of America

Event Planner/Mentor 09/2018 - 09/2019 Dean AndreChurchwell

1

Description:

- 1-day event focused on providing mentorship to black men interested in pursuing medicine tocombat the historically low number of black men in medical school- Assisted in event planning and organization of student mentors- Served as a student mentor for the 2018 and 2019 events

Reason for Leaving:

VolunteerExperience

VUMC LearningEnvironment Task Force,Nashville, TN, UnitedStates of America

Student CommitteeMember

09/2018 - 04/2019 Dean DonaldBrady

2

Description:

- Dean-appointed student member of committee composed of residents, faculty, and staffdedicated to improving the learning environment for both VU and VUMC- Responsible for attending bi-monthly meetings- Presented previous work with the Learning Environment Assessment and Feedback Committee



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Experience


Reason for Leaving:

VolunteerExperience

VUSM WellnessCommittee, Nasvhille, TN,United States of America

College Cup Captain 07/2018 - 10/2018 Dr. ElizabethYakes, Dr.Walter Clair

3

Description:

- Organized students from all four years of Chapman College to participate in our annual 2-day,olympic-style event.

Reason for Leaving:

VolunteerExperience

Learning EnviornmentAssessment Committee,Nashville, TN, UnitedStates of America

Communications TeamLeader

05/2018 - 05/2020 Dean BonnieMiller

2

Description:

The Learning Environment Assessment and Feedback Committee is a committee composed ofstudents, residents, faculty, and staff, and is focused on assessing the learning environment forlearners of all levels.

- Led a sub-committee of students, residents, and faculty in organizing a plan for communicatingfeedback to the medical school and medical center- Hosted focus groups with learners of all levels, and gave presentations to leadership groupsrepresenting students, residents, and attendings.

Reason for Leaving:

VolunteerExperience

VUSM Wellness Comittee,Nashville, TN, UnitedStates of America

Mind CommitteeCo-Chair

04/2018 - 04/2019 Dean AmyFleming, Dr.Brian Drolet

3



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Experience


Description:

The VUSM Wellness Committee is the largest student organization on campus, and is anationally-recognized wellness program.

- Promoted medical student wellness through monthly campus-wide activities centered aroundmental health- Created a tool that served to connect students with mental health resources

Reason for Leaving:

VolunteerExperience

VUSM Student NationalMedical Association,Nashville, TN, UnitedStates of America

President 04/2018 - 04/2019 Dean AndreChurchwell

3

Description:

The Student National Medical Association is an organization aimed at supportingunderrepresented minority medical students, addressing the needs of underserved communities,and increasing the number of culturally competent physicians.

- Served as a representative for underrepresented students at VUSM- Managed the executive board and led monthly chapter meetings- Represented VUSM at national and regional meetings

Reason for Leaving:

VolunteerExperience

VUSM AdmissionsCommittee, Nashville, TN,United States of America

Second Look WeekendCommittee Member

11/2017 - 04/2018 Jenn Kimble,Director ofAdmissions

5

Description:

- Selected by the Office of Admissions as one of six students tasked with planning the annualVUSM recruitment weekend- Planned 3 days of events for over 150 prospective students- Served as a resource for prospective students during their decision period



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Experience


Reason for Leaving:

VolunteerExperience

Gentleman and NotGangsters (GANG),Nashville, TN, UnitedStates of America

Volunteer 08/2017 - 01/2018 3

Description:

Gentleman and Not Gangsters (G.A.N.G) is a mentorship organization for adolescents who havebeen identified as having at-risk behaviors.

- Served as a mentor for G.A.N.G students through the Student National Medical Association

Reason for Leaving:

VolunteerExperience

Shade Tree Clinic,Nashville, TN, UnitedStates of America

Shade Tree BenefitDinner FundraiserCo-Chair

05/2017 - 02/2020 Dr. RobertMiller

6

Description:

The Shade Tree Clinic is a student-run clinic that provides free medical care to Nashville'sunderserved population. The clinic serves over 400 patients a year, and has an operating budgetof ~$200,000.

- Led benefit dinner planning and organized silent auction event, raising over $110,000 at the2019 dinner (over 50% increase from previous years)- Helped plan the dinner and secure silent auction items 2017-2018, raising over $70,000 for the2018 dinner- Selected to lead benefit dinner planning as a returning Co-Chair for the 2020 dinner

Reason for Leaving:



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Experience


VolunteerExperience


Vice President 04/2017 - 04/2018 Dean AndreChurchwell

3

Description:


- Served as a representative for underrepresented students at VUSM- Assisted with managing the executive board and leading monthly chapter meetings- Led planning for Health Disparities Week - a week of campus-wide lectures and activities aimedat improving awareness of health care disparities

Reason for Leaving:

VolunteerExperience

Minority Association ofPre-medical Students,Nashville, TN, UnitedStates of America

Student Mentor 09/2016 - 09/2020 1

Description:

- Served as a mentor for underrepresented Vanderbilt pre-medical students in the MinorityAssociation of Premedical Students

Reason for Leaving:

VolunteerExperience

Learning EnvironmentAssessment Commiteee,Nashville, TN, UnitedStates of America

Committee Member 09/2016 - 05/2018 Dean BonnieMiller

1

Description:



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Experience


The Learning Environment Assessment and Feedback Committee is a committee composed ofstudents, residents, faculty, and staff, and is focused on assessing the learning environment forlearners of all levels.

- Dean-nominated committee member- Developed a data-based report card for campus-wide review and created suggestions forlearning environment improvement

Reason for Leaving:

VolunteerExperience

Shade Tree Clinic,Nashville, TN, UnitedStates of America

Pre-Clinical Volunteer 08/2016 - 07/2017 2

Description:

- Served as a pre-clinical volunteer providing healthcare to Nashville's underserved populationthrough our student-run clinic

Reason for Leaving:

VolunteerExperience


Events Chair 08/2016 - 04/2017 Dean AndreChurchwell

1

Description:


- Hosted monthly SNMA social events- Planned networking events with VUSM faculty and Meharry medical students

Reason for Leaving:



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Experience


VolunteerExperience

Student National MedicalAssociation, Nashville, TN,United States of America

2017 Region 10 MedicalEducation ConferencePlanning Committee

04/2016 - 11/2017 Dean AndreChurchwell

3

Description:

- Planned sessions for pre-medical and medical students attending regional conference hosted inNashville with greater than 150 students representing 7 regional schools

Reason for Leaving:

VolunteerExperience

MIT Emergency MedicalServices, Cambridge, MA,United States of America

Emergency MedicalTechnician

01/2013 - 05/2016 2

Description:

- Volunteer EMT for the MIT campus providing free medical care to the student body- 50 required service hours per semester

Reason for Leaving:

VolunteerExperience

MIT Competitive Cheer,Cambridge, MA, UnitedStates of America

Captain 09/2012 - 05/2016 MarilynFontaine

12

Description:

- Member of the competitive cheer team for all four years of undergrad- Served as a captain for junior and senior years- Led team practices and showcases- Organized over $20,000 in fundraising efforts for NCA Cheer Nationals each year



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Experience


Reason for Leaving:

Work Experience Salon Atash, Nashville,TN, United States ofAmerica

Receptionist 10/2016 - 09/2019 Katie Mirian 4

Description:

- Managed the front desk, organized receptionist schedules, and served as a sales associate for alocal eyebrow bar and hair salon

Reason for Leaving:

Publications

Peer Reviewed Journal Articles/Abstracts

, K.R., Pollins, A., Mueller, M.A., Thayer, S.M., Anthony, J.R., Thayer, W.P. An Evaluation of Emergency Hand Coverage in Tennessee After Implementation of the Affordable Care Act. Annals of Plastic Surgery. 2019, Jul; 83(1): 40-42. Cited in PubMed; PMID: 31192878.Pub Status: Published.

Peer Reviewed Journal Articles/Abstracts(Other than Published)

, K.R.*, Chisholm, L.P.*, Davidson, H.A., Fleming, A.E., Drolet, B.C. *-equally contributing authors. Evaluation of Racial Microaggressions Experienced During Medical School Training and the Effect on Medical Student Education and Burnout: A Validation Study. Journal of Academic Medicine. 2019, Sep; Pub Status: Submitt ed.

, K.R.*, Chisholm, L.P.*, Drolet, B.C., Scarpato, K. *-equally contributing authors. Improving Comfort in the OR Through a 1-Day Surgical Skills Session. Association of Surgical Education Annual Meeting. 2019, Sep; Pu b Status: Submitted.



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, K.R., Drolet, B.C. #MedicineToo - Gender Bias in Medical Training: A National Survey. New England Journal of Medicine. 2019, Sep; Pub Status: Submitted.

, K.R., Pollins, A., Assi, P., Kassis, S.A., Cardwell, N., Thayer, W.P. Eosinophilic Recruitment In Thermally Injured Older Animals Is Associated With Worse Outcomes And Higher Conversion To Full Thickness Burn. Burns. 2019, Aug; Pub Status: Submitted.

Pontell, M., , K.R., Golinko, M., Drolet, B.C.. Influence of radiographic soft tissue findings on clinical entrapment in patients with orbital fractures. American Cleft Palate Craniofacial Association. 2019, Sep; Pub Status: Submitted.

Poster Presentation

Chisholm, L.P., Hanna, E., , K.R., Vinson, K., Churchwell, A. (2018). Day In the Life: A Pipeline Program to Increase Undergraduate Students’ Interest in Medicine. Poster presented at: Annual Medical Education Confernece; San Francisco, CA.

, K.R., Pollins, A. Cardwell, N., Thayer, W.P., Perdikis, G. (2019). Identification of Immunologic Factors Involved in Aged Mouse Response to Burn Injury. Poster presented at: Southeastern Society of Plastic and Reconstructive Surgeons; Naples, FL.

Oral Presentation

, K.R.*, Chisholm, L.P.*, Churchwell, A. *-equally contributing authors. (2019). Microaggressions on the Wards. Oral Presentation presented at: Annual Medical Education Conference; Philadelphia, PA.

, K.R., Pollins, A., Cardwell, N., Thayer, W.P., Perdikis, G. (2019). Identification of Immunologic Factors Involved in Aged Mouse Response to Burn Injury. Oral Presentation presented at: Tennessee Society of Plastic and Reconstructive Surgeons; Nashville, TN.

, K.R., Russell, R. (2019). Medical Student Mistreatment - Data from 2013-2018 VUSM graduate questionnaires and student focus groups. Oral Presentation presented at: VUSM Master Clinical Teachers; Nashville, TN.

, K.R., Russell, R. (2018). Medical Student Mistreatment - Data from 2013-2018 VUSM graduate questionnaires and student focus groups. Oral Presentation presented at: VUMC Graduate Medical Education Committee; Nashville, TN.



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, K.R., Russell, R. (2018). Medical Student Mistreatment - Data from 2013-2018 VUSM graduate questionnaires and student focus groups. Oral Presentation presented at: VUMC House Staff Advisory Council; Nashville, TN.

Language Fluency

Language Language Proficiency Proficiency Description

English Native/functionallynative

I converse easily and accurately in all types of situations. Native speakers,including the highly educated, may think that I am a native speaker, too.

Hobbies & Interests

Singing, Dog-Sitting, Exercise

Hometown(s)

Evansville, IN

Other Awards/Accomplishments

MIT Scholarship - 4-year, full-tuition merit-based scholarship

Certification

I certify that the information contained within the MyERAS application is complete and accurate to the best of my knowledge. I understand that anyfalse or missing information may disqualify me from consideration for a position; may result in an investigation by the AAMC per the attached policy(PDF); may also result in expulsion from ERAS; or if employed, may constitute cause for termination from the program. I also understand and agree tothe and to the and the AAMC Policies Regarding the Collection, Use andAAMC Web Site Terms and Conditions AAMC Privacy StatementDissemination of Resident, Intern, Fellow, and Residency, Internship, and Fellowship Application Data ( , PDF) and to these AAMC'sattached policycollection and other processing of my personal data according to these privacy policies. In addition, I consent to the transfer of my personal data toAAMC in the United States, to those residency programs in the United States and Canada that I select through my application, and to other third partiesas stated in these Privacy Policies.

Certified by: , Date: 09/13/2019

https://www.aamc.org/download/139282/data/investigationpolicy.pdf

https://www.aamc.org/44864/terms.html

https://www.aamc.org/44866/privacy.html

https://www.aamc.org/download/139278/data/datapolicy.pdf

, () Medical School Transcript

Vanderbilt University Medical Center Program, Plastic Surgery-Integrated Page 1

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Page 1 of 1

Name : Student # : 000441552 Birth Date : 05/

U.S. Priority Mail ERAS

Date: 09/12/2019

Prior Degree(s)

Massachusetts Institute of TechnologyBachelor of Science 2016-06-03

Academic Program(s)

Doctor of MedicineMedicine Major

Medical Doctor Academic Record

2016 YearIDIS 5001 Clnl App of Scientfic Evidence P 0.00Grading Basis: -Pass/Fail (P/F)-IDIS 5028 Human Blueprint/Architecture P 0.00Grading Basis: -Pass/Fail (P/F)-IDIS 5032 Microbes and Immunity P 0.00Grading Basis: -Pass/Fail (P/F)-IDIS 5033 Learning Communities FMK P 0.00Grading Basis: -Pass/Fail (P/F)-IDIS 5038 Homeostasis P 0.00Grading Basis: -Pass/Fail (P/F)-IDIS 5048 FHD 1: Continuity Cln Expernce P 0.00Grading Basis: -Pass/Fail (P/F)-IDIS 5055 Fndtns of the Profession P 0.00Grading Basis: -Pass/Fail (P/F)-IDIS 5058 Endocrn,Digestion,Reproduction P 0.00Grading Basis: -Pass/Fail (P/F)-IDIS 5068 Brain, Behavior, Movement P 0.00Grading Basis: -Pass/Fail (P/F)-MED 5012 Physical Diagnosis P 0.00Grading Basis: -Pass/Fail (P/F)-

2017 YearEM 5315 Emergency Medicine Elective P 0.00Grading Basis: -Pass/Fail (P/F)-IDIS 5002 Discovery P 0.00Grading Basis: -Pass/Fail (P/F)-IDIS 5215 FHD 2: Clnl Systems of Care P 0.00Grading Basis: -Pass/Fail (P/F)-IDIS 5233 Learning Communities FCC P 0.00Grading Basis: -Pass/Fail (P/F)-MED 5016 Diagnostics and Therapeutics P 0.00Grading Basis: -Pass/Fail (P/F)-MED 5020 Medicine Core Clerkship P 0.00Grading Basis: -Pass/Fail (P/F)-NEUR 5020 Neurology Core Clerkship P 0.00Grading Basis: -Pass/Fail (P/F)-OBGN 5020 OB/GYN Core Clerkship P 0.00Grading Basis: -Pass/Fail (P/F)-PED 5020 Pediatrics Core Clerkship P 0.00Grading Basis: -Pass/Fail (P/F)-PSYCH 5020 Psychiatry Core Clerkship P 0.00Grading Basis: -Pass/Fail (P/F)-SURG 5020 Surgery Core Clerkship P 0.00Grading Basis: -Pass/Fail (P/F)-SURG 5315 Intro to Plastic Surgery P 0.00Grading Basis: -Pass/Fail (P/F)-

2018 YearIDIS 5220 PLAN P 0.00Grading Basis: -Pass/Fail (P/F)-IDIS 5626 ISC: Medical Imaging & Anatomy H 0.00Grading Basis: -Graded (H/HP/P/F)-IDIS 5633 Learning Communities IMM 0.00Grading Basis: -Pass/Fail (P/F)-IDIS 5741 Health Care Delivery IMM I P 0.00Grading Basis: -Pass/Fail (P/F)-IDIS 5742 Intro to Core EPAs P 0.00Grading Basis: -Pass/Fail (P/F)-IDIS 5743 Health Care Delivery Imm II P 0.00Grading Basis: -Pass/Fail (P/F)-IDIS 6006 Research IM: Bench to Bedside H 0.00Grading Basis: -Graded (H/HP/P/F)-IDIS 6006 Research IM: Bench to Bedside H 0.00Grading Basis: -Graded (H/HP/P/F)-IDIS 6006 Research IM: Bench to Bedside H 0.00Grading Basis: -Graded (H/HP/P/F)-IDIS 6006 Research IM: Bench to Bedside H 0.00Grading Basis: -Graded (H/HP/P/F)-MED 5825 ACE: Medical Ethics H 0.00Grading Basis: -Graded (H/HP/P/F)-PED 5830 ACE: Pediatric Emergency Med H 0.00Grading Basis: -Graded (H/HP/P/F)-SURG 5680 ACE: Plastic Surgery H 0.00Grading Basis: -Graded (H/HP/P/F)-SURG 5685 AI: Plastic Surgery H 0.00Grading Basis: -Graded (H/HP/P/F)-

2019 YearANES 5611 ACE: Adv Clnl Anesthesiology 0.00Grading Basis: -Graded (H/HP/P/F)-IDIS 5614 ISC: Community Healthcare 0.00Grading Basis: -Graded (H/HP/P/F)-IDIS 5622 ISC: Obesity 0.00Grading Basis: -Graded (H/HP/P/F)-IDIS 5629 ISC: Sexual Health & Medicine 0.00Grading Basis: -Graded (H/HP/P/F)-IDIS 5633 Learning Communities IMM 0.00Grading Basis: -Pass/Fail (P/F)-IDIS 5714 FHD: Patient Safety 0.00Grading Basis: -Pass/Fail (P/F)-IDIS 5716 FHD: Quality Improvement 0.00Grading Basis: -Graded (H/HP/P/F)-IDIS 5722 FHD: Interprofessional Ed 2 0.00Grading Basis: -Pass/Fail (P/F)-IDIS 5744 Health Care Delivery Imm III 0.00Grading Basis: -Pass/Fail (P/F)-MADM 5750 AE: Students as Teachers 0.00Grading Basis: -Pass/Fail (P/F)-SURG 7100 AWAY ACE: Surgery H 0.00Grading Basis: -Graded (H/HP/P/F)-SURG 7100 AWAY ACE: Surgery 0.00Grading Basis: -Graded (H/HP/P/F)-

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, () MSPE


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Office for Medical Student Affairs Vanderbilt University School of Medicine PMB 407712 Nashville, TN 37240-7712

Phone: (615) 322-5007 Fax: (615) 343-8397

October 1, 2019

MEDICAL STUDENT PERFORMANCE EVALUATION For

IDENTIFYING INFORMATION: is a fourth-year student in good standing at Vanderbilt University School of Medicine in Nashville, Tennessee.

NOTEWORTHY CHARACTERISTICS: Leadership: has extensive leadership at Vanderbilt including co-chair of the Shade Tree Benefit Dinner, which raised over $110,000 (50% increase from previous years), appointment by the dean as a member and Communications Team Leader of the university/medical center Learning Environment Assessment and Feedback Committee, SNMA chapter President, Plastic Surgery Interest Group co-Leader, Wellness Committee (Education Chair and Mind co-Chair), appointed member of the Admissions Committee, and member of the Second Look Weekend Committee.

Medical Education: spearheaded the creation of the Plastic Surgery Acting Internship – the first surgical subspecialty AI at Vanderbilt University School of Medicine, and created a student pager system and call calendar that advanced the role of the medical student on the plastic surgery service to a higher level of patient ownership.

Research: is deeply invested in research spanning plastic surgery, burn, trauma and medical education. She crafted two nation-wide studies on bias experienced during medical training – medical student experiences with microaggressions on the Wards and Resident experiences with Gender Bias (~3000 responses). Thus far, she has one first-author peer-reviewed publication, 6 additional manuscripts in progress, and 5 presentations at national and regional meetings.

is a first-generation college student and the first person in her family to complete a medical degree. She was recruited to Vanderbilt University School of Medicine with the prestigious, full-tuition, Cornelius Vanderbilt scholarship.

ACADEMIC HISTORY:

Date of expected graduation from Medical School: 5/8/2020

Date of initial matriculation in Medical School: 7/1/2016

Is the student a dual degree student? No

Was this student the recipient of any adverse actions by the medical school or its parent institution? No

Was this student required to repeat or otherwise remediate any coursework? No

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ACADEMIC PROGRESS:

Professional Performance: Vanderbilt University School of Medicine has developed medical student milestones for all six ACGME competency domains. In the professionalism domain, has met or exceeded all of the target competencies.

Pre-Clerkship/Basic Sciences (Foundations of Medical Knowledge - FMK): passed all pass/fail coursework in the Foundations of Medical Knowledge (FMK) phase of her education. In addition to a basic science curriculum, the FMK phase included early introduction to clinical activities through the Continuity Clinic course. was recognized by faculty as an "active and enthusiastic Case Based Learning participant; she was a well-prepared, effective leader and team member. She has consistently made significant knowledge contributions to the group Learning Objectives. She asked mechanistic questions and facilitated the group efforts to work through some difficult material." "She is willing and able to develop new approaches for the group and to implement them. She is organized and willing to 'take charge' when others acquiesce their responsibilities." Peers noted, "You got us all to look at issues from multiple perspectives. You are also incredibly knowledgeable and good at explaining things." and ", you are very knowledgeable and are able to quickly and correctly apply your knowledge base to a new case, which is amazing. Additionally, you are consistently one of the first ones to contribute, or volunteer to go up to the board. Overall, I think your contributions to our group have been of tremendous value."

Core Clerkships (Foundations of Clinical Care – FCC): The FCC phase/clerkship year was graded for this student’s cohort on a Pass/Fail System. Clerkships are presented here in the order in which they were taken by this student.

Surgery - P: did very well on the Surgery Clerkship. She actively participated in classroom discussions showing an impressive fund of knowledge. She was fully engaged, attentive and eager to care for her patients in any way possible. She both answered and asked insightful question demonstrating a deeper understanding of difficult topics. Her clinical abilities were outstanding and easily evident while observing her do H&Ps. She quickly understood the essence of each patient's problem in taking their history, confirmed her suspicions while doing the physical exam and outlined a superb workup and management plan. She functioned at the level of an intern. She will do well in the future. "Excellent clinical knowledge and strong grasp of appropriate anatomy. is consistently prompt, efficient and hard-working. Very nice job on clinical presentation of H&Ps." "It was a pleasure working with . She did an excellent job on the Trauma service. Her breadth of medical knowledge is exceptional and her dedication to seeking learning opportunities is commendable. Great initiative." " did a superb job while on the busy trauma service. She was very engaged in patient care, preemptively seeing patients on rounding on them independently during the day and was essential to our signout and evening rounds. She actively sought teaching moments and, given her enthusiasm, was permitted to act as trauma Jr during several trauma activations."

Psychiatry - P: " was very eager to learn and sought out educational opportunities, including receiving information/teaching from team members, interviewing patients and discussing with team, and requesting ongoing feedback. was pleasant, professional, helpful, and overall very beneficial to have on the team during her rotation. It was a pleasure working with her." "I really enjoyed Kianna's persistence with difficult patients. She upheld her agreements with a particularly challenging patient and was able to demonstrate very clear consistency, which is something this child very much lacked in his home life. I appreciated Kianna's even-keel demeanor as well. She showed a lot of compassion and was very professional. I think Kianna's bedside manner and interviewing techniques are at a level above what I would expect from a 2nd year medical student. I know she is undecided in her future specialty, but I know our department would love to have her join psychiatry."

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Neurology - P: did a great job on the neurology clerkship. She demonstrated genuine enthusiasm, energy and interest in clinical neuroscience. She was prepared for patient presentations, and delivered them in an organized and efficient manner. She showed proficiency in performing the neurological exam and was able to localize the lesion on several stroke patients based on examination alone. On the stroke service, she did not shy away from complex or critically ill patients and, with a pleasant and unassuming persona, demonstrated a natural ability to establish rapport with patients and their families, with whom she was able to communicate in a manner and language that they could clearly grasp. " did an exceptional job on the neurology consult service. She performed well above her peers. She was able to take a throughout yet concise history, do a great exam and present to the team with minimal help from residents. She showed great confidence but asked for help very appropriately when needed." In summary, is functioning at a high level at this stage of her training. With her strong clinical performance in the clerkship, she is encouraged to consider a career in neurology.

Medicine - P: had an outstanding performance during her Internal Medicine clerkship. Kianna's level of engagement in the clerkship was at the top. She is a passionate and inquisitive learner which is infectious to those around her. She is ready to step up to the challenge, is not afraid to commit, and seeks feedback for the purpose of continuous improvement. Knowledge and reasoning are well applied clinically. She brings sound bedside skills, easily develops rapport, and nicely balances open and closed ended questions when taking a history. " took a tremendous interest in the care of her patients. It truly felt like she was their doctor. She went above and beyond to see that they got the best care...I was impressed at her abilities to interview patients and ask questions based on her understanding of the differential. She is intelligent and eager and will make an excellent resident in any specialty that she chooses." "One of the best clerkship students I've worked with". Overall, just a spectacular performance. The Department was thrilled to have the opportunity to work with and strongly encourage her to seek additional opportunities in the coming years. Would be an outstanding internist if she were to so choose.

Obstetrics/Gynecology - P: Great team player. Always well prepared for rounds and helped with taking care of complex patient. Easy to work with and engaged. Easy to get along with, works well with providers, RN staff, and patients. Knows when and when not to ask questions and/or speak up. Actively conducts physical exam and requires little assistance with the pelvic exam. is well above her peers for a 2nd year student and deserves recognition. She would make a great OB/GYN!

Pediatrics - P: did an excellent job on the Pediatric Clerkship during her second year of medical school. She was noted to be eager, hardworking, and had great rapport with the families. An attending that worked with remarked that "she was eager to work with team, picks up her own patients, managed several patients for her level of training. Quick learner; asks great questions. Fun to work with."

Advanced Coursework (Immersion): Vanderbilt’s recent curricular revision includes a longer post-clerkship experience, enabling individualization of each student’s education to meet goals driven by both personal interests and general competency development. Students select from a broad menu of courses including Integrated Science Courses (ISCs), Advanced Clinical Experiences (ACEs), Acting Internships (AIs) and Advanced Electives (AEs). The assessment of student performance in this redesigned phase is more rigorous than the historical "senior year" of medical school, with less frequent application of the honors designation. Immersion coursework is graded Honors/High Pass/Pass/Fail unless otherwise designated. Histograms are shown for those courses with a higher number of students and Immersion coursework is presented here in the order in which they were taken by this student. Below are Kianna's assessments for Immersion coursework.

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Integrated Science Course (ISC): Medical Imaging and Anatomy - H You were an effective teacher of the group due to your engaging delivery and enthusiasm for your facial anatomy and plastic surgery topics with explanations broadly useful to the class as a whole. You were an enthusiastic team member who contributed to each learning environment in a positive manner. Your anatomic prosection of the facial region and internal heart allowed an in-depth correlation with imaging studies and clinical cases. You displayed a responsible demeanor and fulfilled all your assignments and professional responsibilities with excellence this month. Especially noted were your creative teaching techniques. We believe you have a talent for teaching and hope your incorporate educational activities within your career. In summary, we are delighted to share that both your qualitative and quantitative performances this month earned you an official grade of Honors for Medical Imaging & Anatomy.

Research Immersion: Clinical & Translational - H The Research Immersion course has rigorous requirements and has significantly exceeded these requirements. Project Title: Identification of Immunologic Factors Involved in Aged Mouse Response to Deep Partial Thickness Burns Mentor: Wesley Thayer Mentor Comments: was an outstanding student to have in lab. Her project hit multiple bumps along the road, but she remained optimistic, and was extremely proactive in finding new ways to help progress the project. When we discovered we had unusable results for EGF and RANTES, proposed multiple methods to further investigate the effects EOTAXIN, making our data much more robust. She also found ways to connect our data to our previous work in humans, and her work has led to many ideas for future study. In addition to her work on this project, has also been incredibly productive on other projects in this lab. While waiting for results for her RI project, she took the lead on a study investigating emergency hand coverage in TN and obtained a first author publication in Annals of Plastic Surgery for her work. It is impressive for a student to complete all of the work (and get a publication) for a study in just a few months, and I have rarely seen that kind of work ethic in a student. It is even more impressive that she did this while also making great strides on her research immersion project. In summary, has been an exceptional student to have in lab. She is enjoyable to work with and has been extremely productive during her Research Immersion. I have had multiple students join us for their RI, and stands out amongst her peers as an over-achiever. I am excited that she is staying with us to pursue some of the questions raised from her study, and even more excited to see how her career progresses. She is really on top of her game! Perfect student! In the top 5%. She works well w people, has incredible initiative. Has great wealth of knowledge. She helps others in the lab. Excellent student!

Advanced Clinical Experience (ACE): Pediatric Emergency Medicine - H works hard and is eager to learn. She has excellent history-taking skills and can efficiently evaluate patients. She had confidence when it comes to procedures. She works well with a team and is good at following-up with patients and families. She will be a good resident.

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Advanced Clinical Experience (ACE): Plastic Surgery – H Outstanding performance on plastic surgery; excellent communication and professionalism. Continue to work on surgical skills.

Advanced Clinical Experience (ACE): Medical Ethics – H During her month working closely with the Clinical Ethics Consultation Service, demonstrated a keen awareness of how to prioritize factors that bear on difficult ethical issues in patient care. Her willingness to engage patients and advocate for them beyond what is expected is exceptional. She can think broadly about possible solutions to highly complex patient care situations that involve seemingly intractable ethical issues. Her skills of analysis in the process of moral inquiry were noteworthy and helpful.

Acting Internship (AI): Plastic Surgery – H functions like an intern. She is pleasant, hard-working and very bright. Gets along well with the team. Has a keen interest in plastic surgery and is eager. Her surgical skills are better than most interns I've seen this year. I think she is excellent. is doing an excellent job. Truly technically much improved. Her floor work is on par with a good intern. Overall, I have been impressed. has really excelled, plastics comes naturally to her, she gets along with the whole group. She is trusted to suture alone and perform finger blocks on her own. She organizes the students into cases and shows leadership. I will be sad when leaves our team, I've worked quite a bit with . She was absolutely amazing. Really interested in the cases / care of the patients. Always available and wanting to engage in cases. Definitely more mature than her level and technically excellent in the OR (She was closing my cash cases without any hesitancy from me, which is rare for a student!). - honors. Doing very well. Working hard. did a stellar job on service as our AI. She was always prepared with the list before we even showed up to round and had all the surgery consents for the day filled out for us. This in particular showed that she was thinking ahead and planning ahead for the day which not many students or even interns do. has been a great team member. She is prompt, responsive and always actively searching for opportunities to help the team. I have observed her remove a JP drain and she did well. She is always very knowledgeable about the patients. I had the chance to work with last year when she was starting out in her clerkships and very new to surgery and compared to this month, she has improved tremendously as far as knowledge, technical skills and even confidence. She is always happy to help the team. Happy to have her part of our team anytime. She has done an excellent job. We already know she is one of the better students and had high expectations for her, but she went even beyond that. She is always present, to a point that I think she has a twin. She is always helpful and thinks ahead. She's been one of or even the best AI thus far.

SUMMARY: is a brilliant, hardworking, compassionate student and leader who has had an exceptional performance at the Vanderbilt University School of Medicine. is the first in her family to attend college and went on full scholarship to MIT graduating with a double major in Biology and Chemistry. She was recruited to Vanderbilt on the full-tuition Cornelius Vanderbilt scholarship where her medical school success is highlighted by leadership, service, mentoring, and research on top of her highly valued clinical acumen, and outstanding academic performance. Her evaluations are full of descriptions of her maturity, exemplary communication skills, deep knowledge, engagement, superb work ethic, consistently positive attitude, and dedication to patient care. In her clinical evaluations, is repeatedly noted for her spectacular performance. She consistently assumes responsibilities above those required or expected, with comments like the following from her plastic surgery AI: " functions like an intern. She is pleasant, hard-working and very bright. Gets along well with the team...Her surgical skills are better than most interns I've seen this year... has really excelled; plastics comes naturally to her...She is trusted to suture alone and perform finger blocks on her own. She organizes the students into cases and shows leadership...Definitely more mature than her level and technically excellent in the OR." In research, " has been an exceptional student to have in lab. She is enjoyable to work with and has been extremely productive...Perfect student! In the top 5%. She works well with people, has incredible initiative. Has great wealth of knowledge. She helps others in the lab. Excellent student!" Beyond academics and research has demonstrated her natural affinity for leadership. As president of the Student National Medical

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Association, she transformed on-campus discussions on race in medicine and addressing healthcare disparities. As the Shade Tree Benefit Dinner co-Chair, she led fundraising efforts of over $110,000 for Vanderbilt’s student-run free clinic. She helped create the first Acting Internship in a surgical subspecialty and changed the role of medical students on the Plastic Surgery service by creating a student pager system and call calendar. Because of her articulate voice and passion for education and Vanderbilt’s community, she has been selected by the deans to serve on numerous committees including the Learning Environment Task Force, the Learning Environment Assessment and Feedback Committee, the Admissions Committee, the Second Look Weekend Committee, and the Wellness Committee. Based on Kiana's record of achievement in academics, research, leadership and service, she was selected for membership in Alpha Omega Alpha Honor Medical Society. In summary, is clearly among our most accomplished and talented students, and I am certain that she will become a resident physician of the highest caliber.

Sincerely,

Amy Fleming, MD, MHPE Associate Dean for Medical Student Affairs

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CURRICULUM 2.0

PHASES OF THE CURRICULUM

Foundations of Medical Knowledge (year 1) integrates foundational sciences (considered broadly to include basic sciences, social and behavioral sciences, humanities, health systems science), and physical diagnosis. Case-based small-group sessions provide clinical context and foster skills in identifying learning needs and resources.

Foundations of Clinical Care (year 2) includes rotation through six discipline-based clerkships that further medical knowledge and clinical skills. The Diagnostics & Therapeutics course runs throughout the phase to emphasize appropriate, cost-effective diagnostic evaluations for a defined set of presenting problems.

The Immersion Phase (years 3&4) is a highly individualized two-year period including courses that deliberately integrate basic science teaching in the clinical setting (ISC). Advanced clinical experiences (ACE) and acting internships (AI) foster increasing clinical responsibility. Advanced electives (AE) and Special Studies add to individualization.

Longitudinal programs are integrated with each phase: The Foundations of Healthcare Delivery focuses on health systems science. Each student is placed on a healthcare team in year one as a participant in that micro-system. During the clerkships, emphasis is on systems of care and patient safety. In the Immersion Phase, students complete a quality improvement project plus modules in advanced communication, population health, advocacy, and policy.

The Learning Communities are based in advisory colleges and address metacognition, medical ethics, medical humanities, healthcare policy, and leadership. Discussions draw upon actual clinical experiences to anchor this content in the real world.

The Research curriculum in FMK and FCC provides an introduction to research methodology and exposure to various research areas. A mandatory individual research experience of 3-6 months during the Immersion Phase promotes scholarly differentiation and grooms students for future leadership roles.

Curriculum 2.0 is a dynamic system with an emphasis on active, self-directed learning. The program utilizes multiple learning modalities: lecture, case-based learning, team-based learning, discussion, and labs - all intertwined with extensive clinical experience. This integration models the way students will continue to learn throughout their professional lives.

Curriculum 2.0 not only teaches students to be great physicians, but also provides skills to become life-long, self-sustaining learners. Students gain an outstanding knowledge base and learn how to access, interpret and apply evolving knowledge.

Designed to improve patient outcomes in the real world, our curriculum is driven by the competencies expected of a practicing physician. Our assessment program and innovative digital portfolio promote student development in the ACGME Core Competencies and the Core EPAs for Entering Residency.

Vanderbilt’s unique culture of support grooms learners for leadership in medicine through strong mentorship, transparent data-driven self-assessment, and coach-supported personalized learning plans.

Assessment in Curriculum 2.0 Students are assessed in all ACGME competency domains throughout all phases.

Targeted personalized coaching plans address areas needing further development.

Grading: Courses in the FMK and FCC Phases, including the core clinical clerkships in year 2, are graded on a pass/fail basis. This is intended to create a culture in which early students can openly address their development in all competency domains.

Discriminatory grades (honors, high pass, pass) are awarded only in the Immersion Phase. Immersion courses have been designed to promote academic rigor; attaining “high pass” or “honors” in this phase demands excellence across multiple competency domains.

Students are permitted to view the MSPE prior to transmission: Yes

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As I watched my best friend fall from 15 feet in the air, there was not a single thought in my mind, onlyinstinct. She landed forcefully in my arms, I sat her down with a smile, and we finished the rest of thewarm-up. In an hour we were competing in my last cheer nationals competition, and that catch left bothof my index fingers fractured and incredibly swollen. Walking away from the competition wasn’t anoption, so I buddy-taped my fingers and let my adrenaline carry me (and my partner) through theperformance. Afterwards, my partner hugged me and said “I should probably stop breaking your fingersif you ever want to be a surgeon someday.”

Ironically, I entered my clerkship year thinking that surgery was the last thing that I would choose. Ischeduled my surgery rotation first to get it out of the way, and I started with neurosurgery. Theneurosurgery cases were crowded, and an older student suggested I scrub into the plastic surgery casesnext door – little did I know this would change my life’s course. The first case that I ever scrubbed intowas a free flap, and I distinctly remember seeing aspects of myself in how the surgeon focused on thedetails and symmetry. That case was the most fun that I had had in medical school, and I was excited toreturn to the department for an official rotation in the spring.

When I returned months later for my first plastic surgery elective, I was eager but incredibly nervous. Ihad not yet fallen in love with any other rotation of clerkship year, and this was the last one – the stakeswere high! I was pleasantly surprised as the rotation lived up to the imaginary bar that I had set in mymind. I loved how every case was unique, and many felt like an art project. I enjoyed watching thesurgeons apply the artistic and spatial creativity that seems unique to plastic surgery. As I was exposedmore to the field, I began to appreciate how many populations were impacted by the work of plasticsurgeons. I knew that I had found the right field when I saw the reaction of my first transgender patientwhen he removed the binder after top surgery.

I believe there is no other field that so beautifully melds medicine, creativity, artistry, and service. I can’timagine myself pursuing anything else. I look forward to the late nights of call and the long but satisfyingdays of residency. I look forward to helping patients feel as if they identify with the person that they seein the mirror. I am thankful for the older student who suggested I go next door, and to my many mentorswho have opened this path for me.

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United States Medical Licensing Examination® (USMLE®)Certified Transcript of Scores

This document was prepared byNational Board of Medical Examiners® (NBME®)

3750 Market Street, Philadelphia, PA 19104-3190 - Telephone (215) 590-9700

Date: 09/13/2019

Examinee: , Examinee ID: Date of Birth: 05//1995

Results for all Steps taken by this examinee (and for which results have been reported to date) are shown below. For Steps that span morethan one day, the test date reflects the day on which the examination began. Where numeric scores are reported, the recommendedminimum passing score (MP) is shown in parentheses. Pass/fail outcomes are based upon the minimum passing level in place at the timeof test administration and are not altered by subsequent revisions to the minimum passing level. Effective April 1, 2013, test results arereported on a three-digit scale only; two-digit scores reported for prior administrations will no longer be reported. Test results reported aspassing represent an exam score of 75 or higher on a two-digit scale.

USMLE Step 1

Test Date Pass/Fail Score MP Comments08/19/2018 Pass 246 194

NOTE: A search of the Physician Data Center of the Federation of State Medical Boards (FSMB) reveals no reported information on thisexaminee.

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INTERPRETATION OF RESULTS

USMLE transcripts include a complete examination history. On those Step examinations for which numeric scores are reported, a three-digit scale is used.Most scores fall between 140 and 260 on this scale. The recommended minimum passing score is shown on the front of the transcript next to theexaminees score for each administration along with a pass/fail outcome. Test results reported as passing represent an exam score of 75 or higher on atwo-digit scoring scale. The level of proficiency required to meet the recommended minimum passing level for each USMLE Step is reviewed periodicallyand is subject to change. Such changes do not alter pass/fail outcomes from prior test administrations.

For examinations with reported scores, the Standard Error of Measurement (SEM) provides an index of the variation that would be expected to occur if anexaminee were tested repeatedly using different sets of items covering similar content. The SEM is usually in the range of 4 to 8 points.

STEP 2 CLINICAL SKILLS (CS)

Step 2 CS results are reported as pass or fail, with no numeric score. Had the two-digit reporting scale been used, examinees would have had to achieve ascore of 75 or higher in order to pass.

ANNOTATIONS APPEARING UNDER "COMMENTS"

Circumstances in connection with an administration shown on this transcript may result in one or more annotations listed next to the score. A descriptionof each Comment is provided below:

Indeterminate - Results are at or above the passing level but cannot be certified as representing a valid measure of the examinees knowledge orcompetence as sampled by the examination. Information regarding the nature of the indeterminate score is available. If suchNo score is reported.information is not enclosed with this transcript, it may be obtained by contacting the organization from which you received the transcript or the USMLESecretariat, 3750 Market Street, Philadelphia, PA 19104, telephone (215) 590-9700.

The examinee sat for some, but not all, of the scheduled examination. Incomplete - No score is reported.

Irregular Behavior - The Committee for Individualized Review determined that the examinee engaged in irregular behavior. Examples of irregularbehavior are described in the current edition of the USMLE Bulletin of Information. Information regarding the nature of the irregular behavior and thedetermination of the Committee is available. If such information is not enclosed with this transcript, it may be obtained by contacting the organizationfrom which you received the transcript or the USMLE Secretariat, 3750 Market Street, Philadelphia, PA 19104, telephone (215) 590-9700.

Score Not Available - The score is not available. Further review and/or analysis may be pending, or it may have been determined that the score cannot bereported.

ANNOTATIONS APPEARING AS NOTE

Circumstances in connection with an administration shown on this transcript may result in one or more annotations and an explanation or instructionsnotto contact the appropriate individual or organization. The Note will appear at the end of the document.

PHYSICIAN DATA CENTER INFORMATION APPEARING AS NOTE

The Physician Data Center of the Federation of State Medical Boards (FSMB) contains actions reported to the FSMB by U.S. licensing and disciplinaryboards, Canadian licensing authorities, the U.S. Armed Forces, the U.S. Department of Health and Human Services, and other credentialing entities. To beincluded in the Data Center, an action must be a matter of public record or be legally releasable to state medical boards or other entities with recognizedauthority to review physician credentials. Certain actions reported to and released by the Physician Data Center are not disciplinary or otherwiseprejudicial in nature. Such actions are reported to ensure that records are complete and to assist in preventing misrepresentation or the use of lost or stolencredentials by unauthorized persons. Once reported to the FSMB, an action becomes part of the permanent record of the individual physician, and theexistence of such an action may be indicated on the USMLE transcript by a Note.

1/2016

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