2021 Nomination for Clinical Practitioner of the Year

The PSRC is seeking nominations for the 2025 Clinical Practitioner of the Year award. This award identifies and recognizes a PSRC member who displays significant contributions to the field of respiratory care that directly relates to the quality and safety of patient care.

Required (All Categories): In order to be eligible, the following are required for all nominations/candidates:

Be an active AARC / PSRC member.
Hold an active PA respiratory license.
Currently practice in Pennsylvania and spend at least 50% of his/her professional time caring for patients directly.
Registered Respiratory Therapist (RRT) credential awarded by the NBRC.

Preferred Attributes of Nominations (will be considered, please list below).

Examples:

Academic Preparation – BS, BA, BSRT, MS, MBA, MHA, PhD, etc.
Years of experience
Certifications/Registry – NPS, ACCS, AE-C, COPD Educator, RPSGT, PMP, CPHQ, etc.
Honorary Fellowships – FAARC, FACHE, FAACVPR, etc.
Professional Involvement – Local coalitions & support groups, district committees, regional officer, PSRC, AARC, etc.
Work Related Committees – Committees, shared governance, interdisciplinary
groups, governing boards, quality improvement projects, etc.

For more information: Click Here

NOMINATIONS DUE BY FEBRUARY 28, 2026

Nomination for the _________________ Practioner Award:

Full Name*

First NameLast Name

Company*

Position*

E-mail*

example@example.com

Mobile Phone Number*

AARC #

Name of Nominated Person*

E-mail Address (if known)

example@example.com

Phone Number (if known)

Place of Employment*

Job Title*

PA Licensure is in good standing:

YesNo

Professional Credentials:

Education Credentials:

Years in the Profession:

AARC # (if known):

Percentage of time spent with direct patient care

Honorary Fellowships (FAARC, FCCP, FACHE ect):

PSRC Involvement (Board of Directors, Committee Involvement):

AARC Involvement (HOD, Committee Involvement):

PSRC/ AARC Sputum Bowl participation:

Involvement in promoting public awareness of respiratory care through health fairs, community outreach events, school recruitment, etc. :

Actively participates in a formal mentoring program:

Presentation of evidence-based respiratory care, education, leadership, and/or research in the form of public or virtual speaking engagement:

Participation in collaborative and multidisciplinary committees within their organization that promotes patient safety, quality, experience, and/or growth:

Has documented direct contribution to the quality and safety of patient care delivered by respiratory care:

Has documented significant contribution to the education, direction, and future growth of respiratory therapists and/or the respiratory care profession:

Has published material in a peer reviewed journal in the last 18 months:

Please feel free to attach any supporting documentation you feel is necessary, for example curriculum vitae.*

Additional comments for consideration:

PSRC Clinical Practitioner of the Year Award (Neonatal/Pediatric, Adult, Diagnostics, Other)- Nomination Form

Nominator:

Nominee Information