2022 AAHCM House Call Educator of the Year Award Nomination Submission

2022 AAHCM House Call Educator of the Year Award Nomination Submission
Award Eligibility & Process

Nomination Deadline: August 31, 2022

Purpose: The AAHCM House Call Educator of the Year Award recognizes an educator who mirrors the highest standards of excellence in teaching home care medicine, has made significant educational impacts on the academic advancement of students studying home care medicine, and has made long-standing contributions to the profession in the academic setting. (Must be an AAHCM member)

Eligibility: Nominees must be AAHCM members in good standing. Self nominations are accepted. Current members of the AAHCM Board of Directors or AAHCM Awards Committee are not eligible to be nominated.

Nominations Process: All nominations packets must be submitted to Mel Douglas, AAHCM Executive Assistant at mel@aahcm.org by August 31, 2022 for consideration if not attached to this form. Please include the name of the nominee and award for which they are being nominated in the subject of your email. The nomination packet should consist of the following materials:
- Nominee's Curriculum Vitae (CV)
- Letter(s) of Recommendation : Nominator should submit 3 letters of recommendation from the nominee's peers, mentors, or colleagues. These letters should not exceed one page.
Supporting documentation such as formal commendations, citations or awards, newspaper or magazine articles, or other media-related profiles will be accepted, but shall serve only as evidence to support the nomination, and are NOT required.

An institution may not submit more than two award submissions per awards cycle. National institutions will be defined by state. Should the Awards Committee receive more than two award submissions from the same (state) institution, the burden of submission selection will fall on the submitting institution.

Award: The awardee will receive a one-year AAHCM membership and will be recognized at the AAHCM Annual Meeting with a personalized plaque.

Review Process: The AAHCM Awards Committee will review applications and select an award recipient. Nominators and nominees will be notified of a decision in September 2022.
2022 AAHCM House Call Educator of the Year Award Nomination Submission

Part 1
* 1. Nominator name and contact information.
Name
Institution
Address
Address 2
City
State
Zip Code
Email Address
example@example.com
Phone Number

Area Code Phone Number
2. Are you an AAHCM Member? *

Yes No
3. Enter the name(s) of additional nominators of this candidate (if applicable).
* 4. Nominee name and contact information.
Name
Institution
Institution Address
Address 2
City
State
Zip Code
Email Address
example@example.com
Phone Number

Area Code Phone Number
5. If this candidate is selected, may we notify their employer? *

Yes No
2022 AAHCM House Call Educator of the Year Award Nomination Submission

Part 2
*In the spaces below, please indicate how the individual you are nominating fulfills the following criteria for the AAHCM House Call Educator of the Year Award. For each item, describe in detail how the nomiee has:
6. Demonstrated accomplishments to home care medicine as an educator. *
7. Has made significant impacts on students, peers, academic institutions, and the home care profession. *
8. Demonstrated leadership, compassion, and innovation in his/her role as an educator. *
9. Demonstrated involvement in educational initiatives that have furthered the image of home based medical care. *
2022 AAHCM House Call Educator of the Year Award Nomination Submission

Part 3
*In the space below, please provide any additional information you would like the committee to know.
10. Additional information about this nominee
2022 AAHCM House Call Educator of the Year Award Nomination Submission

Part 4
*In the space below, please provide a proposed citation of 25 words or fewer for the Award Plaque.

Example: An educational leader and role model who has shaped the career of many outstanding practitioners. A patient advocate first and foremost.
11. Proposed citation
2022 AAHCM House Call Educator of the Year Award Nomination Submission

Part 5
*Please attach a copy of the nominee's CV. (optional)

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2022 AAHCM House Call Educator of the Year Award Nomination Submission

Part 6
AAHCM House Call Educator of the Year Award Reference Letter Guidelines:

Demonstrated accomplishments to home care medicine as an educator.
- Positively impacted patient resources, patient access and/or patient education.
- Encouraged collaboration that resulted in improved patient and professional education.
Has made significant impacts on students, peers, academic institutions, and the home care profession.
- Mentored home care clinicians, allied health professoals and other learners.
- Has delivered quality education in academic and professional settings.
- Exemplifies and encourages home care practice principles in his/her teachings.
- Collaborated with other disciplines regarding home care medicine education.
Demonstrated leadership, compassion, and innovation in his/her role as an educator.
- Created innovative teaching tools, methods, resources to further home care education.
- Has held educational leadership positions.
- Led or developed training sessions, workshops, or mentorships.
Demonstrated involvement in educational initiatives that have furthered the image of home-based medical care.
- Provided home care education in a variety of settings.
- Engaged in initiatives that have positively impacted the field and/or has extensively published.
- Is an advocate of home care medicine.
*Please provide reference information below for reference #1.
Name
Institution
Address
Address 2
City
State
Zip Code
Email Address
example@example.com
Phone Number

Area Code Phone Number
13. Is Reference #1 an AAHCM Member? *

Yes No
*Letter of Reference #1 (optional)

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*Please provide reference information below for reference #2.
Name
Institution
Address
Address 2
City
State
Zip Code
Email Address
example@example.com
Phone Number

Area Code Phone Number
15. Is Reference #2 an AAHCM Member? *

Yes No
*Letter of Reference #2 (optional)

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*Please provide reference information below for reference #3.
Name
Institution
Address
Address 2
City
State
Zip Code
Email Address
example@example.com
Phone Number

Area Code Phone Number
17. Is Reference #3 an AAHCM Member? *

Yes No
*Letter of Reference #3 (optional)

Browse Files

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Thank you for your nomination. Click on the submit button to finalize your submission.

*If you have any difficulty uploading the Nominee's CV, or Letter(s) of Recommendation, please email them directly to: Mel Douglas at mel@aahcm.org.
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2022 AAHCM House Call Educator of the Year Award Nomination Submission

Award Eligibility & Process

2022 AAHCM House Call Educator of the Year Award Nomination Submission

2022 AAHCM House Call Educator of the Year Award Nomination Submission

2022 AAHCM House Call Educator of the Year Award Nomination Submission

2022 AAHCM House Call Educator of the Year Award Nomination Submission

2022 AAHCM House Call Educator of the Year Award Nomination Submission

2022 AAHCM House Call Educator of the Year Award Nomination Submission

AAHCM House Call Educator of the Year Award Reference Letter Guidelines:

Thank you for your nomination. Click on the submit button to finalize your submission.