2021 Nomination for Clinical Practitioner of the Year

PSRC Research Practitioner of the Year Award - Nomination Form
The PSRC is seeking nominations for the 2024 Research Practitioner of the Year award. This award identifies and recognizes a PSRC member who displays significant contributions to the growth and development of respiratory care through research and quality improvement and displays mentorship and support to future researchers.

Nomination, the nominee must meet the following criteria:

1) Be an active AARC / PSRC member.

2) Hold an active PA respiratory license.

3) Currently practicing in the state of Pennsylvania.

4) Registered Respiratory Therapist (RRT) credential awarded by the NBRC.

5) Display significant contributions to the growth and development of respiratory care through research and quality improvement. Diplays mentorship and support to future researchers.

6) Must have at least one publication in a peer reviewed journal in the last 18 months.

To view the full criteria for this award, click here.

NOMINATIONS DUE BY FEBRUARY 28, 2025
Nominator:

Person submitting the nomination
Full Name*

First NameLast Name
Company*
Position*
E-mail*
example@example.com
Phone Number*
AARC #
Nominee Information

Please indicate details about your nomination
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:

CRTRRTACCSNPSCPFTRPFTSDSRPSGTAE-CRNMDOther
Education Credentials:

ASAABSBABSNMBAMSMEdPhDOther
Years in the Profession:

1-4 Years5-9 Years10-14 Years15-19 Years20-24 Years> 25 YearsUnknownOther
AARC # (if known):
Publication(s) in a peer reviewed journal in the last 18 months (does not include abstracts):
Honorary Fellowships (FAARC, FCCP, FACHE ect):
PSRC Involvement (Board of Directors, Committee Involvement):
AARC Involvement (HOD, Committee Involvement):
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, ie Curriculum Vitae*

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Additional comments for consideration:*
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PSRC Research Practitioner of the Year Award - Nomination Form

Nominator:

Nominee Information