The Journal of the American Board of Family Practice

Peer Review Volunteer Form

Journal of the American Board of Family Medicine

Name, Academic Degrees:

Email (preferred, then alternate, if any): Phone:

Mailing Address:

Affiliation (include dept/div):

Major Roles (select all that apply): Physician, Family Physician, Community-based Physician, Geriatric Physician, Obstetric Physician, Pediatric Physician, Sports/Orthopedic Physician, Academic Faculty, Biostatistician, Clinician, Nurse/Midwife, Researcher, Epidemiologist, PharmD, Psychiatrist, Psychologist, Other:

Areas of Expertise: Please select all that apply (up to 15), then email form to

or fax to 313-577-9828. Thank you.

___ Aboriginal Health

___ Abortion

___ Access to Care

___ ACGME Competencies

___ Addiction

___ ADHD

___ Adherence/Complian

___ Administration

___ Adolescence

___ Adolesc at-Risk Behav

___ Adolesc Pregnancy

___ Adult ADHD

___ Adult Circumcision

___ Aging

___ Agricultural Medicine

___ Alcoholism

___ Allergies

___ Anesthesia

___ Antibiotics/Bacterial

Resistance

___ Antioxidants

___ Anxiety Disorders

___ Arthritis

___ Asian Health

___ Asthma

___ Audiology

___ Automotive Safety

___ Back Pain

___ Bariatric Surgery

___ Behavioral Counseling

___ Behavioral Medicine

___ Behavioral Science

___ Bioethics

___ Bioinstrumentation

___ Biomed Engineering

___ Biorhythms

___ Biosocial Issues

___ Biostatistics

___ Bioterrorism

___ Bipolar Disorder

___ Body Compos/Wt Mgt

___ Body Image

___ Brachial Plexus

___ Breast Cancer

___ Breast Disorders

___ Breast Feeding

___ Breast Imaging

___ Breast Implant

___ Burns

___ C-Reactive Protein

___ Cancer

___ Cancer Fertility

___ Cancer Education

___ Cancer Epidemiology

___ Cancer Prev & Control

___ Cancer Res, Prim Care

___ Cancer Screening

___ Capacity Devel Res

___ Cardiovascular

___ Career Development

___ Caregivers

___ Case Mgt Hi-Risk Fam

___ Case Reports

___ Cervical Cancer

___ Cervical Disorders

___ Changing Phys Behav/

Practice

___ Chemistry

___ Child Abuse

___ Child & Adolesc Dev

___ Child Health

___ Child Psychiatry

___ Childhood Disease

___ Childhood Obesity

___ Chiropractic

___ Chronic Disease

___ Chronic Disease Mgmt

___ Chronic Disease Prev

___ Chronic Fatigue

___ Clinical Epidemiology

___ Clinical Medicine

___ Clinical Research

___ Clinical Trials

___ COPD

___ Coccidiomycosis

___ Cold Injury

___ Colorectal Cancer Scrn

___ Colposcopy/Pap Smrs

___ Common Illnesses

___ Communication

___ Community Medicine

___ Community-based Res

___ Comorbidity

___ Comp Alternative Med

___ Complexity Science

___ Cont Med Ed (CME)

___ Continuity of Care

___ Contraception

___ Cost-effectiveness

___ Counseling

___ Critical Care

___ Cross-cult Issues Med

___ Culturally Sensitive

Research

___ Culture and Disease

___ Deaf Culture

___ Decision Sciences

___ Dementia

___ Dental/Oral Disorders

___ Depressive Disorders

___ Dermatology

___ Developmental Med

___ Diabetes

___ Diabetes & Obesity

___ Disabilities

___ Distance Education

___ Diversity

___ Doctor/Patient

Interaction

___ Doctor/Patient

Internet Interaction

___ Domestic Violence

___ Drug-seeking Behavior

___ Dyspepsia

___ Early Childhood Dev

___ Eating Disorders

___ Echocardiography

___ Economics of Health

___ Educational Methods

___ Educ Prf’ls in Fam Med

___ Educational Research

___ Educational Theory

___ Electronic Med Rec

___ Emergency Medicine

___ Emotional Intelligence

___ End-of-life care

___ Endocrinology

___ Endoscopy-Small Bwl

___ Environmental Med

___ Epidemiology

___ Epidemiol of Trauma

___ Ethics & Humanities

___ Evaluation Studies

___ Evidence-based Med

___ Exercise

___ Faculty Development

___ Faculty Research Dev

___ Families & Health

___ Family Dynamics/Syst

___ Family in Family Med

___ Family Medicine

___ FM Career Choice

___ FM Faculty

___ FM Research

___ Family-centered

Perinatal Care

___ Fellowship Training

___ Fetal Development

___ Folk Medicine/Trad

Cultures

___ Foreign Body Ingest

___ Gastroenterology

___ Gender differences

___ Genetics

___ Genetics Behavior

___ Genetics Education

___ Genomics

___ Geographic Info Sys

___ Geriatric Education

___ Geriatric Psychiatry

___ Geriatrics

___ GLBT Health

___ Group Psychotherapy

___ Gynecology

___ Headache

___ Health Behavior

___ Health Care

___ Health Care Finances

___ Health Care Insurance

___ Health Care Seeking

Strategies (Patient)

___ Health Disparities

___ Health Education

___ Health Law

___ Health Literacy

___ Health on Internet

___ Health Personnel

___ Health Policy

___ Health Promotion

___ Health Sys & Services

___ Hearing Loss

___ Hematology

___ Hepatitis B

___ Hepatitis C

___ Hered. Hemorrhagic

Telangiectasia

___ High Altitude

___ Hispanic Faculty

___ Hispanic Health

___ History of Medicine

___ HIV/AIDS

___ Homeless

___ Hormone Replcmt

___ Hospitalists

___ Hyperlipidemia

___ Hypertension

___ Hypotension

___ Illiteracy

___ Immigrant Health

___ Immunization Educ

___ Immunizations

___ Immunology

___ In Vitro Fertilization

___ Infant Development

___ Infectious Diseases

___ Infertility

___ Inflammatory Process

___ Information Systems/

Computing

___ Information Technol

___ Informed Consent

___ Insulin Resistance

___ Internal Medicine

___ International Health

___ Int’l Medical Grads

___ International Medicine

___ Interpers Violence

___ Interviewing

___ Knowledge Translation

___ Labor Induction

___ Laparoscopy

___ Leadership

___ Life Span Devel

___ Lifestyle Mortality

___ Lifestyle Modification

___ Lipids

___ Liver/Hep/Bil Disord

___ Longitudinal Research

___ Lupus

___ Mallet Finger

___ Malpract/Risk Mgmt

___ Mammograms

___ Managed Care

___ Marital/Partner Rel,

Becoming Parents

___ Maternal, Child Health

___ Mat/Fetal/Newbrn Hlth

___ Maternity Care

___ Measurement

___ Medicaid

___ Medical Anthropology

___ Med Decision-making

___ Medical Education

___ Medical Errors

___ Medical Ethics

___ Medical Humanities &

Spirituality

___ Medical Informatics

___ Medical Licensing

___ Medical Office Design

___ Medical Soc/Psych

___ Medical Specialization

___ Medical Student

Mental Health

___ Medicare

___ Medication Admin

___ Men’s Health

___ Menopause

___ Mental Health

___ Meta-analysis

___ Metabolic

___ Microbiology

___ Military Medicine

___ Mind-Body

___ Minority Health

___ Minority Mental Health

___ Minority Physicians

___ Movement Science

___ MRI

___ Multi-method Res

___ Multidiscip Team Care

___ Multiple Sclerosis

___ Musculoskel/Connec

Tissue Disorders

___ NASH

___ Native American/First

Nations/Aboriginal

___ Nephrology

___ Neuro-ophthalmology

___ Neurology

___ Neuropathy

___ Neuropsychology

___ Neuroscience

___ Nuclear Medicine

___ Nursing

___ Nursing Homes

___ Nutrition

___ Nutritional Education

___ Nutr. Supplements

___ Obesity

___ Obstetrics

___ Occupational Medicine

___ Oncology

___ One-on-One Patient

Care

___ Operative Obstetrics

___ Ophthalmology

___ Orthopedics

___ Osteopathic Fam Med

___ Osteoporosis

___ Otolaryngology

___ Outcomes Research

___ Outcomes/Tech Asses

___ Pain Control

___ Palliative Care

___ Parenting

___ Participatory Research

___ Patient Education

___ Patient Safety

___ Patient-centered Care

___ Patient-oriented Res

___ Pay for Performance

___ PDAs

___ Pediatrics

___ Perinatal Care

___ Perinatal Epidemiology

___ Perinatal Psychiatry

___ Pharmaceutical

Economics & Policy

___ Pharmacoepidemiol

___ Pharmacology/Drugs

___ Pharmacotherapy

___ Physician Competency

___ Physician Licen/Accred

___ Physiology

___ Pollution

___ Population Health

___ Population-based Res

___ Post Traum Stress Dis

___ Postpartum Health

___ Practice Management

___ Practice-based Res

___ Practice-based

Research Networks

___ Preconception Care

___ Predoctoral Education

___ Pregn/Prenatal Care

___ Premature Birth

___ Prevention/Screening

___ Preventive Counseling

___ Preventive Medicine

___ Primary Care

___ Problem-solving (Bus)

___ Procedures

___ Process of Care

___ Program Evaluation

___ Prostate

___ Prostate Cancer

___ Psychiatry

___ Psychology

___ Psychometrics

___ Psychopharmacology

___ Psychosocial Aspects

of Cancer

___ Psychotherapy

___ Public Health

___ Pulmonary Problems

___ Qualitative Research

___ Quality of Care

___ Quality of Life

___ Quantitative Research

___ Radiology

___ Register-based Res

___ Rehabilitation

___ Renal/Kid/Bldr Disord

___ Reprod Endocrinology

___ Reproductive Health

___ Research & Pub Ethics

___ Research Design

___ Research Methodology

___ Residency Education

___ Resident Research

___ Respiratory Diseases

___ Rheumatology

___ Rhinology

___ Rosacea

___ Rural Health

___ Rural Physicians

___ Scholarly Publishing

___ School-based Hth Ctrs

___ Screening

___ Secondary Data Analy

___ Self-limiting Illness

___ Sexual Dysf/Disorders

___ Sexual Medicine

___ Sexually Trans Dis

___ Shoulder Dystocia

___ Skin Cancer

___ Sleep Disorders

___ Smoking

___ Smoking Cessation

___ Snow Burial

___ Social Justice

___ Social Problems

___ Sociology

___ Spectroscopy

___ Spinal Cord Injury

___ Spirituality

___ Sports Medicine

___ Statist & Mixed Meth

___ Statistics

___ Stress

___ Stroke

___ Substance Abuse

___ Surgery

___ Survey Research

___ Systematic Reviews

___ Technology in Med

___ Telemedicine

___ Telephone Triage

___ Thrombosis

___ Thyroid Disorders

___ Toxic Ingestion

___ Translational Research

___ Trauma

___ Traumatic Brain Injury

___ Travel Medicine

___ Tropical Medicine

___ Ultrasound

___ Undergraduate Educ

___ Underserved Popultns

___ Unexpl/Vague Symp

___ Upper Resp Infect

___ Ureter Rupture

___ Urgent Care

___ Urinary Incontinence

___ Urology

___ Use of Standardized

Patients

___ Venomous Bite, Sting

___ Veterans’ Health

___ Violence Educ & Prev

___ Visual Impairment

___ Waste Prevention

___ West Nile Virus

___ Women in Fam Med

___ Women’s Health

___ Women’s Mental Hlth

___ Workplace Health

___ Xerostomia

Other: