Instructions for investigator data sheet



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CODES AND INSTRUCTIONS FOR INVESTIGATOR DATA SHEET (VA FORM 10‑5368; PAGE 18)
5a. ACADEMIC RANK: The default Academic Rank for each Series is shown. If actual rank is different, or code is 06,

enter name.



01 = Instructor Series

03 = Assistant Professor Series

05 = Professor Series

00 = None

02 = Lecturer Series

04 = Associate Professor Series

06 = Resident/Fellow/Trainee/Other



5b. UNIVERSITY ADMINISTRATIVE TITLE: The default University Administrative Title for each Series is shown.

If actual title is different, or code is 99, enter name.

01 = Department Chair Series 02 = Division Chief Series 03 = Dean Series 99 = Other (Specify) 00 = None


6. DIPLOMATE STATUS, BOARD CERTIFIED: Physicians, Dentists Non‑physicians ‑ Check NOT APPLICABLE.
Psychologists ‑ Check YES or NO.
7. SPECIALTY: Select Board or area of training or expertise. If 99 is selected, enter name in space provided.


01 = Allergy & Immunology

70 = Emergency Medicine

34 = Nursing

51 = Physiology

66 = Anatomic Pathology

16 = Endodontics

35 = Obstetrics/Gynecology

52 = Plastic Surgery

67 = Anatomic & Clinical Pathology

17 = Engineering

71 = Occupational Medicine

53 = Preventive Medicine

02 = Anatomy

18 = Epidemiology

36 = OnGology

54 = Public Health

03 = Anesthesiology

19 = Family Practice

37 = Operations Research

55 = Prosthodontics

04 = Anthropology

20 = General Practice

38 = Ophthalmology

56 = Psychiatry

05 = Audiology

21 = Genetics

39 = Optometry

57 = Psychology

06 = Biochemistry

22 = Geriatrics

40 = Oral Pathology

73 = Radiation Oncology

07 = Bioengineering

23 = Health Care Administration

41 = Oral Surgery

58 = Radiology

08 = Biology

24 = Health Economics

42 = Orthopedic Surgery

59 = Rehabilitative Medicine

09 = Biophysics

25 = Histology

43 = Osteopathy

60 = Social Work

10 = Biostatistics

26 = Immunology

44 = Otolaryngology

61 = Sociology

11 = Chemistry

27 = Internal Medicine

45 = Pathology

62 = Speech Pathology

68 = Clinical Pathology

28 = Mathematics

46 = Pediatrics

63 = Surgery (General)

12 = Colon & Rectal Surgery

29 = Medical Illustration

47 = Periodontics

64 = Thoracic Surgery

13 = Dentistry (General)

30 = Microbiology

48 = Pharmacology

65 = Urology

14 = Dermatology

31 = Neurological Surgery

49 = Pharmacy

99 = Other (Specify)

69 = Diagnostic Radiology

32 = Neurology

72 = Physical Medicine & Rehabilitation




15 = Dietetics

33 = Nuclear Medicine

50 = Physics





8. SUBSPECIALTY: Physicians ‑ Enter code for ONE Board or area of training, or 00 (not applicable). If 99 is selected, enter name. Non‑physicians ‑ enter 00.


29 = Addiction Psychiatry

08 = Endocrinology

39 = Medical Microbiology

23 = Physiological Psychology

01 = Administrative Medicine

09 = Experimental Psychology

40 = Medical Oncology

24 = Public Health

03 = Allergy

10 = Forensic Pathology

41 = Medical Toxicology

25 = Pulmonary Disease

30 = Cardiac Electrophysiology

35 = Forensic Psychiatry

16 = Metabolism

26 = Rheurnatology

04 = Cardiovascular Disease

11 = Gastroenterology

17 = Nephrology

44 = Sports Medicine

05 = Child Psychiatry

12 = General Preventive Medicine

18 = Neuropathology

27 = Therapeutic Medicine

31 = Clinical & Laboratory Immunology

36 = Geriatric Medicine

19 = Neuropsychology

28 = Therapeutic Radiology

32 = Clinical Neurophysiology

37 = Geriatric Psychiatry

20 = Occupational Medicine

45 = Vascular Surgery

06 = Clinical Psychology

38 = Hand Surgery

42 = Nuclear Radiology

99 = Other (Specify)

33 = Critical Care Medicine

13 = Hematology

43 = Pain Management

00 = Not Applicable

34 = Dermatopathology

14 = Immunology

21 = Pediatric Allergy




07 = Diagnostic Radiology

15 = Infectious Disease

22 = Pediatric Cardiology



11. HOSPITAL SERVICE: Select code for the hospital service with which the investigator is identified and/or from which salary is paid. If salaried from VA research funds entercode09 13 27 or4l.




01 = Administration

02 = Ambulatory Care

34 = Anesthesiology

03 = Audiology & Speech Pathology

04 = Chaplain

41 = Cooperative Studies (Program 825)

05 = Dental

35 = Dermatology

06 = Dietetics

07 = Domiciliary



08 = Education

36 = Extended Care

09 = HSR&D (Program 824)

37 = Geriatrics

10 = GRECC

11 = Intermediate Care

12 = Laboratory

13 = Medical Research (Program 821)

14 = Medical

15 = Neurology



16 = Nuclear Medicine

17 = Nursing

38 = Ophthalmology

39 = Otolaryngology

18 = Outpatient Clinic

19 = Pathology

20 = Pharmacy

21 = Prosthetics

22 = Psychiatry

23 = Psychology



24 = Pulmonary Disease

25 = Radiology

26 = Rehabilitative Medicine

27 = Rehabilitation R&D (Program 822)

28 = Recreation

30 = Social Work

31 = Spinal Cord Injury

32 = Surgery

40 = Urology

33 = Voluntary

99 = Other (Specify)



13 and 14. PRIMARY and SECONDARY RESEARCH INTERESTS: Select codes that best define general areas of primary and secondary interests. Do NOT use 00 for primary research interest.


01 =Aging

02 = Alcoholism

38 = Ambulatory Care

03 = Anesthesiology

04 = Audiology & Speech Pathology

05 = Basic Sciences

06 = Behavioral Sciences

07 = Biochemistry

39 = Bioengineering

40 = Biomechanics

08 = Cardiovascular Disorders

41 = Clinical Epidemiology

09 = Clinical Pharmacology

42 = Computer Science

43 = Critical Care

44 = Dental Implants

10 = Dermatology


11 = Drug Dependence

45 = Emergency Medicine

12 = Endocrinology & Metabolism

46 = Epidemiology

13 = Gastroenterology

47 = Geriatrics

48 = Health Care

49 = Health Economics

50 = Health Services

14 = Hematology

15 = Immunology

16 = Infectious Diseases

51 = Medical Education

17 = Mental Health

18 = Molecular Biology

19 = Nephrology

20 = Neurology & Neurobiology


52 = Neuropsychology

21 = Nuclear Medicine & Radiation

22 = Nutrition

23 = Nursing

24 = Oral Biology

25 = Oncology

53 = Ophthalmology

26 = Orthopedic Surgery

27 = Pathology

54 = Pharmacology

55 = Pharmacy

28 = Podiatry

56 = Post Traumatic Stress Disorders

57 = Preventive Medicine

58 = Prostatic Disease

59 = Prosthetics

60 = Psychiatry


29 = Radiology

61 = Rehabilitation

30 = Rehabilitative Medicine

31 = Respiration & Pulmonary Disease

32 = Rheumatology

33 = Social Work

62 = Spinal Cord Injuries

34 = Surgery

63 = Urology

64 = Vascular Surgery

35 = Veterinary Medicine

36 = Virology

37 = Vision

99 = Other (Specify)



00 = None

Revised: January 1997
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