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Quality Assurance Awards
Quality Assurance Awards
Quality Assurance Awards
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Name of program director who is submitting a nomination
Name
*
First
Last
Program
*
Email
*
Name of resident that is being nominated by the above
Name
*
First
Last
Program
*
Program Level (example PGY4)
*
Nomination Letter (No CV's)
The nomination should summarize the work done and provide sufficient detail to describe the purpose of the project, methodology used, results obtained, and a discussion on the impact of this work. The submission must include a completed abstract or paper in publishable format. When work is done with a supervisor, it is important to describe the initiative shown by the resident and the proportion of the work done by the resident. Supervisor and Program Director to submit covering letter describing amount of work done and seniority of resident(s).
Nomination Letter
*
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Paper in publishable format
*
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Covering letter from supervisor or program director that describes the amount of work done and the seniority of the resident
*
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If the study required a survey or a work flow diagram was created, you may add it here
Click or drag a file to this area to upload.
Any additional information about the project, study, or scope of work that may be beneficial to the reviewers can be added here
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