South Island MSA - Annual Recognition Awards Nomination
Thank you for recommending a colleague for recognition! We would appreciate learning more about the candidate and why you feel he or she would be a worthy recipient of a Recognition Award.
Your Email Address
Which award are you nominating the candidate for?
Award for Communications Leadership: Facilitated effective communication between the medical staff, administration, and Board of Directors of the Health Authority
Award for Innovation Leadership: Led physician engagement and quality improvement within our facilities, making a significant improvement to patient and/or provider care
Award for Community Leadership: Fostered physician-to-physician relationships to improve professional and collegial bonds
Award for Collaborative Leadership: Partnered with the Health Authority/other organizations to lead change.
Please describe why you feel the candidate should be considered for this award.
Who else would you recommend we seek insight or information from about this nomination? It could be someone who has worked with or who has gained benefit from the candidate's contributions.
Is there anything else you'd like the Adjudication Committee to know?
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This form was created inside of South Island Medical Staff Association.