Franciscan Children's Profiles - Digital Marketing Hub

URL

This field is for validation purposes and should be left unchanged.

Guidelines

Note: This form updates profiles found on bostonchildrens.org. If you are looking to update the Web2/Intranet directory, please submit a Remedy ticket attn: web2 team.

We reserve the right to not accept any information, images or videos that do not fit brand guidelines.

Upon completion and submission of this form, your profile request will be created or updated within 10 business days.

We currently are not accepting profile requests for Residents.

Requester Email*

Please enter an email to receive information regarding your profiles progress. The email entered in this field is strictly for communication purposes should we have a question regarding your form submission.

Which are you doing today?*

* If you currently have a profile and recently had a name change, please select the update option. Creating a new profile will result in duplicate profiles for you. Thank you.

Creating a new profile
Updating an existing profile
Delete profile - individual no longer at Franciscan's/BCH

What type of profile is this?*

Physician
Physician Assistant
Staff Nurse/Nurse Practitioner/APRN
Clinical Staff
Non-Clinical Staff

Please provide as much information as possible for the new profile.

Please provide only the information that is to be added or changed after completing the required fields.

Please provide the name of the individual to be removed from the BCH site. If the provider has a research profile that also needs to be removed, please make a note in the comments field.

This field is hidden when viewing the form

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First Name*

Last Name*

Note: If you are looking to update your last name, please do not submit a new profile request. Please make note that you are only looking to update your last name so a duplicate profile is not created. Thank you.

This field is hidden when viewing the form

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Degree Level

Gender

Job Title

Please use the following format: Job Title, Department (ex. Attending, Department of XYZ; Nurse Practitioner, Department of ABC). If you hold multiple titles, please separate by semicolon ;

Academic Title

Please select the medical school you are affiliated with followed by your current title (ex. Instructor/Professor/Lecturer)

Harvard Medical School
Tufts Medical School

Staff Email

Entering your email in this field is optional. By entering your email in this field will prompt your email to be displayed on your profile.

Phone

The phone number provided in this field will be published to your public profile. Please do not submit your cell phone number, as it will be published.

It is recommended the phone number submitted be of your respected Department/Division/Center/Program.

Fax

Multi-Select Instructions

To select more than one specialty, department, program and languages, hold control or command and click on desired selection.

Certifications

Please only include completed board certifications. If there is a sub-specialty missing from this list, please make note in the instructions below. * At this time we are not accepting international certifications.

Languages

If your language does not appear in the list below, please request your language at the end of this form in the Notes/Instructions field.

To select more than one specialty, department, program and languages, hold control or command and click on desired selection.

Additional Items Instructions

Locations

* The location for all School-Based Clinicians will be defaulted to Children’s Wellness Initiative (CWI) at Franciscan Children's.

*** If you see patients at multiple locations, please indicate below your primary location; this will be listed first in your profile. ***

Undergraduate School

School Name	City	State	Date

Graduate School

Please only provide programs you have already complete/graduated from

School Name	City	State	Date

Medical School

School Name	City	State	Date

Internship

Please only provide programs you have already complete/graduated from.

School Name	Area of Training (ex. Cardiology)	City	State/Country	Year of Completion

Residency

Please only provide programs you have already complete/graduated from.

School Name	Area of Training (ex. Cardiology)	City	State/Country	Year of Completion

Fellowship

Please only provide programs you have already complete/graduated from.

School Name	Area of Training (ex. Cardiology)	City	State/Country	Year of Completion

Doximity

Do you have an existing, registered profile on Doximity.com? We encourage our clinicians to create a profile. Every year, if eligible, you will be able to participate in the online survey for the US News Best Children's Hospital.

Professional History

Please describe your professional history below in paragraph form (limit ~200 words). Please submit Professional History in 3rd person.

Philosophy of Care

Please provide a brief philosophy of care; this could include why you entered medicine or your approach to your practice. (Please keep short.

Headshots must be high resolution and brand compliant. Please see brand guidelines for full details on brand compliant imagery.

Please follow this link to schedule time with our photographer, Michael Goderre: https://directory.bookedin.com/boston-childrens-hospital

A non-brand compliant headshot will not be approved - this includes your badge ID.

Upload Your Headshot

Headshots must be uploaded at a clear, high quality image.

Accepted file types: jpg, png, Max. file size: 5 MB.

Media Gallery

All images must be high resolution and brand compliant.
Please see brand guidelines for full details on brand compliant imagery. Use the plus sign to add additional images if applicable.

All additional media must be formatted to a landscape proportions.

Accepted file types: jpg, png, Max. file size: 5 MB.

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Notes or Instructions for this profile

>> Any condition submitted must have a related condition or treatment page:
http://www.childrenshospital.org/conditions-treatments

>> Any department or program submitted must have a related service page:
http://www.childrenshospital.org/services

We are unable to include a specialties or programs that are not listed on either of the links above.

* Upon completion and submission of this form, your profile request will be created or updated within 10 business days.

Delete a profile

Notes or Instructions for this profile

Please note that all publications are pulled directly from Harvard Catalyst. If you need to make a change or edit to your publications list, you must log into your Catalyst account and update accordingly. We do not have access to your account. Once updated, edits/changes should then be reflective to your profile.

Franciscan Children’s Profiles

Create or Update Your Franciscan Profile

Guidelines

Please provide as much information as possible for the new profile.

Please provide only the information that is to be added or changed after completing the required fields.

Please provide the name of the individual to be removed from the BCH site. If the provider has a research profile that also needs to be removed, please make a note in the comments field.

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Multi-Select Instructions

Additional Items Instructions

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Delete a profile

[ AMERICAN BOARD SPECIALTIES ]
AB Allergy & Immunology (General)
AB Anesthesiology (General)
AB Anesthesiology, Critical Care Medicine
AB Anesthesiology, Hospice and Palliative Medicine
AB Anesthesiology, Pain Medicine
AB Anesthesiology, Pediatric Anesthesiology
AB Anesthesiology, Sleep Medicine
AB Audiology (General)
AB Audiology, Pediatric Audiology
AB Audiology, Cochlear Implants
AB Cardiovascular Perfusion (General)
AB Clinical Neurophysiology (General)
AB Clinical Pharmacology (General)
AB Colon and Rectal Surgery (General)
AB Dermatology (General)
AB Dermatology, Dermatopathology
AB Dermatology, Pediatric Dermatology
AB Electrodiagnostic Medicine (General)
AB Emergency Medicine (General)
AB Emergency Medicine, Emergency Medical Services
AB Emergency Medicine, Hospice and Palliative Medicine
AB Emergency Medicine, Pain Medicine
AB Emergency Medicine, Sports Medicine
AB Emergency Medicine, Undersea and Hyperbaric Medicine
AB Family Medicine (General)
AB Family Medicine, Adolescent Medicine
AB Family Medicine, Geriatric Medicine
AB Family Medicine, Pain Medicine
AB Family Medicine, Palliative Medicine
AB Family Medicine, Sleep Medicine
AB Family Medicine, Sports Medicine
AB Genetic Counseling (General)
AB Genetic Counseling, Pediatric Genetics
AB Internal Medicine (General)
AB Internal Medicine, Adolescent Medicine
AB Internal Medicine, Adult Congenital Heart Disease
AB Internal Medicine, Adult Pulmonary Critical Care
AB Internal Medicine, Adult Rheumatology
AB Internal Medicine, Cardiovascular Disease
AB Internal Medicine, Clinical Cardiac Electrophysiology
AB Internal Medicine, Critical Care Medicine
AB Internal Medicine, Endocrinology, Diabetes and Metabolism
AB Internal Medicine, Hematology
AB Internal Medicine, Infectious Disease
AB Internal Medicine, Pulmonary Medicine
AB Internal Medicine, Sports Medicine
AB Medical Acupuncture (General)
AB Medical Genetics and Genomics (General)
AB Medical Genetics and Genomic, Clinical Genetics
AB Medical Genetics and Genomic, Clinical Biochemical Genetics
AB Medical Genetics and Genomic, Clinical Molecular Genetics and Genomics
AB Medical Specialties (General)
AB Medical Specialties, Pediatric Therapeutic Radiology
AB Neurological Surgery (General)
AB Nuclear Medicine (General)
AB Obesity Medicine
AB Obstetrics and Gynecology
AB Obstetrics and Gynecology, Maternal and Fetal Medicine
AB Ophthalmology (General)
AB Oral and Maxillofacial Surgery (General)
AB Orthopedic Surgery
AB Orthopedic Surgery, General Orthopaedics
AB Orthopedic Surgery, International Recertification
AB Orthopedic Surgery, Sports Medicine
AB Orthopedic Surgery, Pediatric Orthopedics
AB Orthopedic Surgery, Pediatric Orthopedics International Certification
AB Orthopedic Surgery, Pediatric and Young Adult Hip Preservation Surgery
AB Orthopedic Surgery, Hand Subspecialty
AB Otolaryngology (General)
AB Otolaryngology, Neurotology
AB Pathology (General)
AB Pathology, Anatomic
AB Pathology, Anatomic Clinical Pathology
AB Pathology, Anatomic Cytopathology
AB Pathology, Anatomic Hematopathology
AB Pathology, Anatomic Molecular Genetics
AB Pathology, Anatomic Neuropathology
AB Pathology, Blood Banking/Transfusion Medicine
AB Pathology, Clinical Pathology
AB Pathology, Dermapathology
AB Pathology, Hematopathology
AB Pathology, Pediatric Anatomic Cytopathology
AB Pathology, Pediatric Clinical Anatomic
AB Pediatric Dentistry (General)
AB Pediatrics (General)
AB Pediatrics, Adolescent Medicine
AB Pediatrics, Cardiology
AB Pediatrics, Critical Care Medicine
AB Pediatrics, DevelopmentalBehavioral Pediatrics
AB Pediatrics, Diagnostic and Laboratory Immunology
AB Pediatrics, Emergency Medicine
AB Pediatrics, Endocrinology
AB Pediatrics, Gastroenterology
AB Pediatrics, HematologyOncology
AB Pediatrics, Hospice and Palliative Medicine
AB Pediatrics, Infectious Diseases
AB Pediatrics, Medical Toxicology
AB Pediatrics, NeonatalPerinatal Medicine
AB Pediatrics, Nephrology
AB Pediatrics, Neurodevelopmental Disabilities
AB Pediatrics,Pediatric Hospital Medicine
AB Pediatrics, Pulmonology
AB Pediatrics, Rheumatology
AB Pediatrics, Sleep Medicine
AB Pediatrics, Sports Medicine
AB Pediatrics, Transplant Hepatology
AB Physical Medicine and Rehabilitation (General)
AB Physical Medicine and Rehabilitation, Pain Medicine
AB Physical Medicine and Rehabilitation, Pediatric Rehabilitation Medicine
AB Pediatric Neurological Surgery (General)
AB Physical Therapy Specialties (General)
AB Physical Therapy Specialties, Pediatric Physical Therapy
AB Plastic Surgery (General)
AB Plastic Surgery, Hand Surgery
AB Plastic Surgery, Otolaryngology
AB Plastic Surgery, Surgery
AB Podiatric Medicine (General)
AB Preventive Medicine (General)
AB Preventive Medicine (Addiction Medicine)
AB Professional Psychology (General)
AB Professional Psychology, Clinical Psychology
AB Professional Psychology, Forensic Psychology
AB Psychiatry and Neurology (General)
AB Psychiatry and Neurology, Child and Adolescent Neurology
AB Psychiatry and Neurology, Child and Adolescent Psychiatry
AB Psychiatry and Neurology, Child Clinical Neurophysiology
AB Psychiatry and Neurology, Clinical Neurophysiology
AB Psychiatry and Neurology, Clinical Physiology
AB Psychiatry and Neurology, Epilepsy
AB Psychiatry and Neurology, Forensic Psychiatry
AB Psychiatry and Neurology, Neurodevelopmental Disabilities
AB Psychiatry and Neurology, Neurology
AB Psychiatry and Neurology, Pain Medicine
AB Psychiatry and Neurology, Psychiatry
AB Psychiatry and Neurology, Sleep Medicine
AB Radiology (General)
AB Radiology, Diagnostic Radiology
AB Radiology, Neuroradiology
AB Radiology, Interventional Radiology
AB Radiology, Nuclear Radiology
AB Radiology, Pediatric Radiology
AB Radiology, Radiation Oncology
AB Surgery (General)
AB Surgery, Pediatric Surgery
AB Surgery, Surgical Critical Care
AB Thoracic Surgery (General)
AB Thoracic Surgery, Congenital Heart Surgery
AB Transplant Certification (General)
AB Urology (General)
AB Urology, Pediatric Urology
[ CERTIFICATIONS ]
Adult Comprehensive Echocardiology
Advance Practice Registered Nurse
Advanced Cardiovascular Life Support
American Association of Nurse Practitioners
American Bronco-Esophagology Association
American College of Rheumatology Musculoskeletal Ultrasound
American Nurses Credentialing Center
American Occupational Therapy Association
American Occupational Therapy Association, Pediatrics
American Occupational Therapy Association, Fieldwork Educator
American Orthoptic Council
American Orthoptic Council, Certified Orthoptist
American Osteopathic Association
American Physical Therapy Association
American Physical Therapy Association, Adanced Cred Instructor Program
American Physical Therapy Association, Credentialed Clinical Instructor
American Speech-Language-Hearing Association
American Speech-Language-Hearing Association, Speech Language Pathology
American Speech-Language-Hearing Association, Clinical Competence
American Society of Pediatric Otolaryngology
American Society of Transplant Surgeons
American Speech-Language-Hearing Association
Association of Child Life Professionals
Board Certified Behavior Analyst
Board of Certification, Athletic Trainer
Board of Pharmacy Specialties
Certified Clinical Transplant Social Worker (CCTSW)
Certified Strength and Conditioning Specialist
Clinical Competence
Commonwealth of Massachusetts Board of Optometry
Doctor of Nursing Practice
Family Nurse Practitioner
Fellow American College of Surgeons FACS
Fellow Royal Australian College of Surgery FRACS
Honorary Fellow Royal College of Surgeons Glasgow
Licensed Clinical Social Worker (LCSW)
Licensed Independent Clinical Social Worker (LICSW)
Licensed Mental Health Counselor (LMHC)
MA Board of Registered Nursing
MA Board of Registration of Psychologists
National Board of Echocardiography
National Commission on Certification of Physician Assistants
NCCPA, Cardiovascular and Thoracic Surgery CAQ
NCCPA, Emergency Medicine CAQ
NCCPA, Hospital Medicine CAQ
NCCPA, Nephrology CAQ
NCCPA, Orthopedic Surgery CAQ
NCCPA, Pediatrics CAQ
NCCPA, Psychiatry CAQ
Neonatal Nurse Practitioner
Neonatal Resuscitation Program
Neurology Nurse
Neuroscience Nursing
Nurse Practitioner
Nurse Practitioner, Family Psychiatric Mental Health
Nurse Practitioner, Pediatric Acute and Primary Care
Nutrition Support Pharmacist
Pediatric Advanced Life Support
Pediatric Electrophysiology Specialist
Pediatric Nurse
Pediatric Nursing Certification Board
Pharmacotherapy Specialist
Primary Care Pediatrics
School Nurse
Society for Ear Nose and Throat Advances in Children
Speech Language Pathology
Therapeautic Pharmaceutical Agents (TPA)

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