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Powell, Peter (AAMC #); Common Application Form

General Information
Name:
Powell, Peter
ID#:
0000000000
Previous Last Name:
XYZ
Gender:
Male
School:
University of Minnesota School of Medicine
Email:
Peter@email.com
Couples Match Notification:      No
AAMC ID:
AAMC #
NRMP:
Yes
SSN:
Citizenship:
Foreign National
   
Visa type: 
H-1, H-1B, H-2, H-3 temporary worker
AUA #:
Birth Place:
Minneapolis, Minnesota
Birth Date:
01/12/1975
USMLE ID:
0-000-000-0
NBOME ID:

Race:
White

Ethnicity:
Not Spanish/Hispanic/Latino/Latina
 
Present Mailing Address:
Permanent Mailing Address:
Street Address
City, State    zip

Street Address
City, State    zip
PreferredPhone #:     home phone
Phone:     home phone
Alternate Phone #:     cell phone
Pager:    
 

Military Service Obligation?
No
Years:  
    Military Branch:  
Other Service Obligation?
No
Description:  

Felony Conviction?
No
Reason:  
No Limitations?
Yes
Description:  

Examinations
Examination Status Date
USMLE Step 2 CK (Clinical Knowledge)
Will Take 
12 / 2002 
USMLE Step 1
Passed 
07 / 2002 

Medical Licensure
ACLS:
Exp. Date:
PALS:
Exp. Date:
DEA REG. #:
Exp. Date:
 
Board Certification:
Yes
Name:
State Medical Council
Medical Licensure Problem:
No
Ever named in a Malpractice Suit?
No
Past History?
No
 

State Medical Licenses
Type
Number
State
Exp. Date
None 
  
  
 

Education Commission for Foreign Medical Graduate Certification
Are you certified by the ECFMG?
Yes
 Certification Date: 12 /2002

Medical Education
Institution & Location
Dates Attended
Degree
Date of Degree
University of Minnesota School of Medicine
Minneapolis, MN
08 / 2000 -  05 / 2004
Yes, Doctor of Medicine
05 / 2004
Medical Education Extended or Interrupted?
No
  

Medical School Honors/Awards
Western Society for Pulmonary Research - Outstanding Abstract in Neonatal Pulmonology (2001)  

Membership in Honorary/Professional Societies
American Society of Anesthesiologists - American Medical Association - Honor Societies: Phi Beta Kappa, Phi Kappa Phi, Golden Key  

Graduate Education
None

Undergraduate Education
Institution & Location
Dates Attended
Degree
Degree Date
Field of Study
University of Minnesota - Minneapolis, Minnesota
08 / 1996 - 05 / 2000
Yes, Bachelor of Science
 
Biology

Residencies/Fellowships
None

Work Experience
Organization
Position
Dates
University of Minnesota School of Medicine
Laboratory Research Associate
05/ 2001 -  08 / 2001
Description
Work was done in the John Abhraham, Ph.D. laboratory. Duties included performing immunohistochemical analysis on tissue samples from an ovine model for chronic lung disease of prematurity to discern the potential role of tgf-beta expression in the pathogenesis of this condition.
Reason for Leaving:
My summer research grant ended with the start of the academic year.
Private resident of Minneapolis
Personal Construction Assistant
06/ 2000 -  08 / 2000
Description
Assisted a homeowner with various aspects of the construction of his new home.
Reason for Leaving:
I finished this job when I began my first year of medical school.
University of Minnesota Biology Department
Teaching Assistant
06/ 1999 -  08 / 1999
Description
Helped teach Basic Laboratory Techniques course to undergraduate students participating in the Bioscience Undergraduate Research Program.
Reason for Leaving:
I finished teaching when the summer semester ended.
Kaplan Education Center
Instructor
05/ 1999
Description
Teach commercial MCAT and DAT test-preparation course for undergraduate students planning on entering medical and dental school.
Reason for Leaving:
I am still employed and teaching during my fourth year of medical school.
University of Minnesota South Main Clinic
Statistical Research Associate
05/ 1999 -  06 / 2000
Description
Collected data through a comprehensive chart review of over 2000 medical charts of pediatric patients in the Minneapolis County foster care program. Entered information into a database for future analysis to recognize trends and improve patient care.
Reason for Leaving:
My part of this project ended when all required charts had been analyzed and entered into the database.
University of Minnesota Tutoring Center
Basic Science and Mathematics Tutor
08/ 1998 -  06 / 2000
Description
Worked one-on-one and in group sessions with high school and university students through school-funded peer-tutoring programs.
Reason for Leaving:
I stopped undergraduate tutoring when I began medical school.
University of Minnesota Biology Department
Laboratory Research Associate
06/ 1997 -  08 / 2000
Description
Basic science research focused on the Aer protein from E. coli. Work was done in the David Finch, Ph.D. laboratory. Duties included: supervised bench research, presentations at national, departmental, and other conferences, and writing grant proposals.
Reason for Leaving:
I concluded my research when I began medical school.
InterWest Endocrine
Laboratory Specimen Courier
06/ 1996 -  08 / 1997
Description
Collected specimens from area medical centers and delivered them to the lab for analysis.
Reason for Leaving:
I stopped when I began my research work in my second undergraduate year.
Supersonic Car Wash
Car Washer
06/ 1995 -  08 / 1995
Description
Worked at an automated car wash cleaning and detailing cars and assisting customers.
Reason for Leaving:
I stopped working when I started my senior high-school year. I also had a reaction to the washing chemicals.
Minnesota Youth Soccer Association
Soccer Referee
04/ 1994 -  06 / 1996
Description
Officiated youth soccer games as both center referee and linesman.
Reason for Leaving:
I stopped refereeing when I graduated from high-school and had other job opportunities which conflicted with the refereeing schedule.

Volunteer Experience
Organization
Position
Dates
U. of Minnesota School of Medicine College 
Council Member 
06 / 2003
Description
Participate in student government meetings as a School of Medicine Representative to vote on issues pertinent to the medical school, including funding, curriculum, and activities.
Dept. of Anesthesia Student Advisory Committee 
Medical Student Representative 
06 / 2003
Description
Participate in meetings with students and residents to evaluate anesthesiology department staff for tenure and promotion.
U. of Minnesota S.O.M. Anesthesia Interest Group 
Co-President  
02/ 2003
Description
Responsible for planning and organizing meetings with anesthesia faculty to educate students on anesthesia-related topics and practical skills such as intubation and IV placement. Also responsible for creation and maintenance of internet forum. Prior to starting leadership position, I attended meetings and helped the leaders run activities.
Garden Terrace Alzheimer's Center 
Volunteer 
08/ 2000 - 01/ 2001
Description
Participated in and helped organize group activities for residents.
U. of Minnesota Operation Smile Student Association 
Treasurer 
08/ 1999 - 08/ 2000
Description
Participated in organizing and running community service, fundraising, and awareness activities at the University of Minnesota and in the Minneapolis area. Created and maintained the internet site. As Treasurer, I was responsible for budgeting and collecting money raised through fundraisers.
Minneapolis VAMC Surgical Recovery Floor 
Volunteer  
04/ 1999 - 09/ 1999
Description
Spent time with hospital in-patients talking and doing craft projects.
U. of Minnesota Pre-Med Student Support Group 
Co-founder and Co-president  
05/ 1998 - 08/ 2000
Description
Responsible for organizing and leading educational meetings for pre-med students about topics and opportunities pertinent to medical school preparation and admission.
U. of Minnesota Operation Smile Student Association Awareness Committee 
Chairman 
02/ 1998 - 08/ 1999
Description
Participated in organizing and running community service, fundraising, and awareness activities at the University of Minnesota and in the Minneapolis area. Created and maintained the internet site. As Awareness Committee Chairman, I was in charge of a team of students who created and organized or participated in existing campus events to raise student awareness about Operation Smile.
Guadalupe School ESL Course 
Instructor 
01/ 1996 - 05/ 1997
Description
Taught English to Spanish-speaking adults in a community sponsored course.

Research Experience
Organization
Position
Dates
University of Minnesota Department of Anesthesiology 
Research Associate 
09 / 2003
Description
Dave Wurm, M.D. Working on several projects in various stages of completion. Duties include background research and writing IRB proposals, patient enrollment and data collection for active studies, and abstract writing for studies which have concluded.
University of Minnesota School of Medicine 
Research Associate 
05 / 2001 - 08/ 2001
Description
John Abhraham, Ph.D. Performed immunohistochemical analysis on tissue samples from an ovine model for chronic lung disease of prematurity to discern the potential role of tgf-beta expression in the pathogenesis of this condition.
University of Minnesota South Main Clinic 
Statistical Research Associate 
05 / 1999 - 06/ 2000
Description
Jeff Doerr, P.N.P. Collected data through a comprehensive chart review of over 2000 medical charts of pediatric patients in the Minneapolis County foster care program. Entered information into a database for future analysis to recognize trends and improve patient care.
University of Minnesota Biology Department 
Undergraduate Research Associate 
05 / 1997 - 08/ 2000
Description
David Finch, Ph.D. Basic science research focused on the Aer protein from E. coli. Duties included supervised bench research, presentations at departmental and other conferences, and writing grant proposals.

Publications
Powell PC, Abhraham JC , 7th Annual Frank Tyler Medical Student Research Symposium Poster Session , Transforming Growth Factor Beta Expression Is Not Effected In The Lungs of Preterm Lambs With Chronic Lung Disease of Prematurity , 08 / 2001 , Volume: , Pages:
Powell PC, Finch D , Annual University of Minnesota Biology Faculty Retreat , The Structure and Function of the E. coli Aer Protein and its Role In the Aerotaxic Response , 09 / 1999 , Volume: , Pages:
Powell PC, Finch D , National Conference for Undergraduate Research , The Structure and Function of the E. coli Aer Protein and its Role In the Aerotaxic Response , 04 / 1999 , Volume: , Pages:
Powell PC, Finch D , University of Minnesota Bioscience Symposium , The Structure and Function of the E. coli Aer Protein and its Role In the Aerotaxic Response , 03 / 1999 , Volume: , Pages:

Language Fluency (Other than English)
Limited conversational and medical Spanish

Hobbies & Interests
Fly-fishing, racquetball, soccer, reading, mountain biking, tennis, swimming, cooking, computers/web design, piano

Other Awards/Accomplishments
University of Minnesota: Cum Laude with B.S. Biology
University of Minnesota Biology Department: Student of the Year (1999/2000)
University of Minnesota Bioscience Symposium: First Place Oral Presentation
University of Minnesota: College of Science Dean's Scholarship (1998/99 and 1999/2000)
University of Minnesota Biology Department: Departmental Scholarship (1998/99 and 1999/2000)

Certification
I certify that the information contained within my ERAS application is complete and accurate to the best of my knowledge. I understand that any false or missing information may disqualify me from consideration for a residency position, or if employed, may constitute cause for termination from the residency program, and will also result in expulsion from ERAS and investigation by the AAMC per the attached policy (pdf file).
Certified by:
Powell, Peter
Date:
09/02/2002