2021 Nomination for Clinical Practitioner of the Year

The PSRC is seeking nominations for the 2025 Education Practitioner of the Year award. This award identifies and recognizes a PSRC member who has distinguished themselves throughout the past year as an educator.

In order to be eligible for nomination, the nominee must meet the following criteria:

Be an active AARC / PSRC member.
Hold an active PA respiratory license.
Currently practice in Pennsylvania.
Displays significant contributions to the education of future respiratory therapists which enhances the field of respiratory care.
Spend greater than 50% of his/her time educating future respiratory therapists.
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.

Education Practitioner

Displays significant contributions to the education of future respiratory therapists which enhances the field of respiratory care.
Must spend > 50% of professional time educating future respiratory therapists.

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NOMINATIONS DUE BY FEBRUARY 28, 2026

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

Mobile 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 educating students or therapists:

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. :

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 Education Practitioner of the Year Award - Nomination Form

Nominator:

Nominee Information