Are you applying for Duke AHEAD Membership - New
Duke AHEAD Membership - Renewal
First Name:
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Gender Female Male
Current educational role at Duke:
Years of experience: Teaching years
Other educational activities years
I am interested in the following educational competencies: Assessment
Change Agent
Curriculum Design
Educational Technology
Educational Theory
Identify Formation
Lifelong Learning
Scholarship
Check all that apply
I am interested in the following pillars of the Duke AHEAD mission: Recognition and Promotion
Faculty Development
Research and Innovation
Check all that apply
Chief residents, fellows, and post-docs who do not have faculty positions may apply, but must submit a letter of recommendation and support from their program director describing their educational activities at Duke.
Please attach letter of support from your Residency Program Director
Use the checklist below to indicate your educational activities and contributions to Duke . Advising and Mentoring
Assessment and Evaluation
Curricular and Instructional Design
Direct Teaching
Educational Administration and Leadership
Faculty Development
Scholarly Practice/Activities including Educational Research
Other
Check all that apply
Use the checklist below to indicate your educational activities and contributions to Duke . Advising and Mentoring
Curricular and Instructional Design
Direct Teaching
Educational Administration and Leadership
Evaluation and Assessment
Personal Development
Scholarly Practice/Activities including Educational Research
Other
Check all that apply
Specify Other Activities
Please describe your primary areas of interest within health professions education:
What are you goals or expectations for becoming a member of Duke AHEAD: Educational Career Development
Facilitate the creation of an interest group
Join an educational interest group
Participate in educational events
Pursue grant opportunities with others
Seek an educational mentor
Serve on Duke AHEAD committees and work groups
Strengthen or learn new educational skills
Support/recognition for APT process
Teach skills to other members through workshops and presentations
Check all that apply
What are you goals or expectations for becoming an Associate member of Duke AHEAD: Educational Career Development
Participate in an interest group
Participate in educational events
Pursue grant opportunities with others
Seek an educational mentor
Serve on Duke AHEAD committees and work groups
Strengthen or learn new educational skills
Teach skills to other members through workshops and presentations
Check all that apply
As Duke AHEAD develops groups to work on initiatives and activities, would you be interested in serving on a committee, planning or other work group within the next year? Yes No
Areas of research or possible grant support?
In the past two years, have you participated in any Duke AHEAD faculty development sessions either as a facilitator or attendee? Yes No
2014 The Road AHEAD: Becoming a Successful Health Professions Educator
Show me the Money: Resources for Support of Health Care Educators
Grant Writing for Health Professions Educators: Keys to Success
Creative Use of Technology in Health Professions Education
Medical Education Reimagined
Get AHEAD on Your Writing
Check all that apply
2015 Preparing for Promotion
How to Avoid death by PowerPoint
Advances & Retreats in the Quest for Interprofessional Education
Demystifying Effective Leadership
Tips & Tricks for Effective Posters and Presentations
Fine Tuning Feedback for Learners: Striking the Note between Sharp & Flat
Publication Metrics: Assessing your Research Impact
Vivek Murthy: Community Health Engagement
EGR: Teaching orthopaedics upside down: A competency based approach to teach residency education
EGR: Teaching in the Electronic Medical Record
Check all that apply
2016 REDCap @ Duke
Balancing the Glass Balls: Strategies for Achieving Work-Life Integration
Know Your Brand Parts 1&2
Teaching in the Presence of Patients
The Networking Game
7 Habits of Highly Productive People at Duke
The Value of Virtue
Clinical Teaching: Efficient, Effective, & Fun
The Value of Virtue
Pain & the Difficult Patient
EGR: Learner Centered Learning
EGR: Legal Issues with Learners
EGR: It's a Team Sport - Teaching Non-Physician Learners
EGR: Health Professions Education Must Change: What Educators Need to Know About the Changing Clinical Context
EGR: "Learning from Our Mistakes: How to improve access to healthcare for Transgender patients"
EGR: "Creating an Environment for Optimal Healthcare Delivery: Leading by Influence and Managing Implicit Bias"
EGR: "Mentorship: Igniting Success, Extinguishing Burnout"
An Approach to Evaluation and Feedback Designed to Improve Performance
Other
Check all that apply
If you checked "other" above, please list additional events which may include collaborations.
2017 EGR: High Value Care - A Curriculum for all GME Programs
Social Media for Health Professions Educators
Blending the Blues
EGR: Planning Ahead by Looking Back: Lessons Learned in Simulation-enhanced Interprofessional Education
EGR: Enough About Burnout: Let's Talk Well-Being & the Role of Coaching
AHEAD Social Media Interest Group
The Metacognitive Approach to the Health Humanities
Volunteer with AHEAD Learner Advisory Board
EGR: "Leadership... You keep using that word. I'm not sure it means what you think it means."
Using Logic Models for Program Development & Program Evaluation
AHEAD Social Media Interest Group Meeting
Improving Surgical Teaching
Use of Social Media in Teaching & Learning
AHEAD Social Media Interest Group
Powerful Presentations: The art & science of communicating information, ideas, and concepts in health education
EGR: Simple Tools to Enhance Interprofessional Communication
4th Annual Haunted Halloween
EGR: Engage your learners: Active learning for health professions education
Copyright & Fair Use in Online Teaching
Other
Check all that apply
If you checked "other" above, please list additional events which may include collaborations.
2018 EGR: Coaching Emerging Leaders for Their Career
The Mythical Balanced Life and Busy Health Professionals: New Challenges, New Solutions
Blending the Blues - Drs. Erin Fraher and Barbara Brandt
EGR: Assessing the Competence of the Healthcare Team: Measuring the Immeasurable?
Sleep, Fatigue, and the Provider
2018 Duke Health Leadership Summit - Innovation Collaboration: Building Effective Teams
Second victims & sentinel emotional events: How to help health professionals constructively engage with feelings of shame
Building the Future of Women Leaders in Duke Health: Progress and Possibilities
EGR: "The Financing of Healthcare: A Primer for Educators"
Implementing Project Management: It's like using Waze to route you to your highest priority work destinations
Blending the Blues - IPE Faculty Development to Avoid the Tragedy of Miscommunication at End of Life
AHEAD Social Media Interest Group - Guide to Visual Abstracts
TEAMDuke: Tools for Educators to Apply, Master, and Use Daily
Unpacking Peer Review Together: Learning to Review Manuscripts & Enhance Your Scholarly Writing
Department of Medicine Book Club (co-sponsored by Duke AHEAD)
The Credibility Factor: A Key that Separates Great Leaders from the Rest
Other
If you checked "other" above, please list additional events which may include collaborations.
Which of the following subcommittees or interest groups have you served on? Steering Committee
Executive Advisory Board
HPE Certificate Committee
Communications Committee
Membership Committee
Research and Innovation
Faculty Development/Needs Assessment
Promotion & Tenure
IPE Teaching Awards
HPE Collaborative (Blending the Blues)
Associates Steering Committee
AHEAD LAB
Learning Environment Grant Review Committee
Social Media Interest Group
Writing Boot camp
DASHE Review Committee
2016 Certificate Program Participant
2017 Certificate Program Participant
2018 Certificate Program Participant
Other
Check all that apply
Specify Other
Have you received any Duke AHEAD grants (as PI or Collaborator)? 2014 Innovation
2015 Innovation
2016 Innovation
DAPSEM
2016 Learning Environment
2017 Innovation
2018 Innovation
DASHE Voucher
Check all that apply
I attended or presented at Education Day 2014
2015
2016
2017
2018
Check all that apply
2014 Attended Presented
Check all that apply
2015 Attended Presented
Check all that apply
2016 Attended Presented
Check all that apply
2017 Attended Presented
Check all that apply
2018 Attended Presented
Check all that apply
Lastly, please tell us if you have presented a poster or published related to any of the Duke AHEAD offerings (including the Writing Bootcamp, any AHEAD grants you may have received, etc.) Internal to Duke
Regional
National
Check all that apply
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