GSACEP Medical Director Leadership Award Nomination Form
Criteria for Nomination  
Any member of the Government Services Chapter of the American College of Emergency Physicians (GSACEP) may nominate himself/herself or another member for this award. The leadership team of any hospital or military treatment facility may nominate a GSACEP member for this award. The nominee must be a GSACEP member and must serve in a leadership position in an emergency department within 1-year preceding nomination. The nominee must demonstrate significant contributions to the department in the following categories:

            • Quality Patient Care
            • Operational Effectiveness
            • Education
            • Community Service
            • Collaboration with Nursing
            • Synergistic approach to leadership within the hospital or hospital system

The nominee must demonstrate collaborative relationships with nursing and ancillary departments to implement and improve operational and clinical standards based on evidence-based practice. The nominee will create and sustain a high degree of patient satisfaction with emergency care delivery and will implement creative and innovative strategies to address emergency department throughput.

Annual call for nominees: Nov/Dec
Deadline for nominations: 31Jan

Selection and presentation
The Medical Director Leadership award winner is selected by a majority vote of awards committee members, the chair vote deciding in a tie situation. Awards are announced in the September timeframe.  The award is presented at the annual ACEP Scientific Assembly.  


This form must be completed entirely. Do not indicate “see C.V.” Please send CV & other items to admin@gsacep.org.
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Nominator name *
Nominator contact info: Please provide your phone number so that we may contact you regarding the nomination. *
Are you self nominating? *
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