Award Nomination Form
2019 Community Emergency Medicine Excellence Award Nomination Form
The Community Emergency Medicine Excellence Award recognizes individuals who have made a significant contribution in advancing emergency care and/or health care within the community in which they practice.
Andrew G. Southard, MD, FACEP
The Community Emergency Medicine Excellence Award is presented to the individual recipient and the recipient’s name is inscribed on a master plaque at ACEP Headquarters. The recipient will also be recognized on ACEP’s website and included in other ACEP communications as part of the annual award recognition process
Any member of the College may nominate himself/herself or another ACEP member that has made an outstanding contribution in advancing emergency care and/or health care within the community they serve such as: significantly helped advance health care within their community: developed or provided unceasing support of a community effort that enhances access to emergency medicine and/or health care within the community or shown exemplary performance as a clinical physician in emergency medicine and health care. Examples of significant contributions to the specialty and community may include, but are not limited to, community outreach, public health initiatives, or exemplary bedside clinical care. Nominees must be an ACEP member for a minimum of five years. Nominations can be submitted by Chapters, Sections and Committees as well as individuals. Up to three letters of support can be submitted per nomination.
2018 Sergio Hernandez
Any ACEP member who wishes to nominate a candidate should complete a nomination form. Submit the nomination form, nominee’s curriculum vitae, and up to three letters of support to the staff liaison to the Emergency Medicine Practice Committee. Letters of support are greatly encouraged and are at the discretion of the nominator. Additionally, a nominee should have only one nomination from a chapter, committee or section, or individual. All entries must be submitted no later than March 1, 2019 for consideration. Receipt of each nomination will be confirmed by email.
The Emergency Medicine Practice Committee will judge the entries, with its recommendations subject to review by the ACEP Board of Directors. The decision of the Board is final, and the Board reserves the right to make no award if there are no nominees of sufficient merit. The Board may also decide to grant the award to more than one individual. The award will be presented at the Emergency Medicine Practice Committee meeting during the ACEP annual meeting. The recipient will also be recognized at the annual President’s Awards Gala.