2021 Nomination for Clinical Practitioner of the Year

The PSRC is seeking nominations for the 2025 Future Leader Practitioner of the Year award. This award identifies and recognizes a PSRC member who displays significant contribution to their personal & professional development, departmental improvement, and/or the field of respiratory care. In order to be eligible for nomination, the nominee must meet the following criteria:

<5 years experience as a licensed respiratory care practitioner.
Be an active AARC / PSRC member.
Hold an active PA respiratory license.
Currently practice in Pennsylvania.
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.

Future Leader

Display signifignant contribution to their personal and professional development, department improvement, and/or the field of respiratory care.
Must have <5 years experience as a licensed respiratory care practitioner.

For more information: Click Here

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:

0 - 2 Years3 - 5 YearsUnknown

AARC # (if known):

Percentage of time spent with direct patient care:

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, for example Curriculum Vitae*

Additional comments for consideration:

PSRC Future Leader Practitioner of the Year Award - Nomination Form

Nominator:

Nominee Information