2020 OAFP Family Medicine Educator of the Year Nomination Form
This award recognizes family physicians teachers who have exhibited extraordinary, beyond-the-call-of-duty merit, articulated and encouraged members and students to pursue the ideals of family medicine, and conveyed these ideals to the public.
Email address *
First Name *
Your answer
Last Name *
Your answer
Address *
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Phone *
Your answer
Who are you nominating? (First, Last, and Designation) *
Your answer
Nominee Email
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Nominee Address
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Nominee Phone
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How is this physician recognized for exemplary teaching skills? *
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How does this physician show that they are a role model for residents and/or medical students? *
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Additional Comments
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