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  • Physician Nomination Questionnaire

    RE: Top Physician Leaders in Concierge Medicine for 2026-2027 -- Please do not complete this questionnaire if you are not the Physician or without the Physicians knowledge.
  • Important information about this questionnaire and criteria:

    Throughout history, Physicians have been instrumental in driving progress in a wide range of areas in our healthcare culture. In modern times, the presence and recognition of Physicians in leadership roles have significantly increased across many specialties, including academics, leading new business endeavors, involvement in hospital leadership, leading advancements in healthcare technology, creating entrepreneurial opportunities, leading the conversation about healthcare and A.I., and more.
  • CRITERION #1: The Practice of Self-Leadership.

    Self-leadership involves understanding oneself, managing emotions and behaviors, setting goals, making decisions, and being proactive, self-disciplined, and adaptable.
  • CRITERION #2: The Practice of Risk Taking.

    Risk taking involves making decisions or engaging in activities with uncertain outcomes. It is essential for personal and professional growth.
  • CRITERION #3: The Practice of Delegation.

    Delegation empowers leaders to entrust tasks and responsibilities to others, harnessing the diverse skills and talents within their teams for greater productivity.
  • My Public Statement or Essay and Comment(s), If Selected:

    The recognized Physician leaders exemplify courage, innovation, fresh perspectives, and unwavering determination in their respective fields and organizations. They play a crucial role in inspiring future generations of Physician leaders, emphasizing that self-leadership, risk-taking, delegation, and courage are essential qualities for the next generation of Physician leaders.
  • Disclaimers, Terms and Conditions

    The information you submit will not be published publicly (Minus your Full Name, Name of Current Practice/Business/Organization, and Title") unless you indicate in the questionnaire below that you would like to submit a "public statement" if selected. By submitting this information below, Concierge Medicine Today may, in the future, use criteria to develop trends or future leadership criteria for future Concierge Medicine Today content. You understand and acknowledge that the information you submit/share will be used by Concierge Medicine Today LLC to select the "Top Physician Leaders [List] in Concierge Medicine" and release Concierge Medicine Today, LLC, its agents and representatives from any and all consequences or claims that should arise from the inclusion of your name, practice and title on this list. Please note that a submission is not a guarantee of acceptance. Only a small number of successful applicants will ultimately be chosen for the distinction by Concierge Medicine Today. Concierge Medicine Today may remove personal information from the information you submit with specific Concierge Medicine Today advisors to help vet nominations before final selection(s) are made. Candidates are evaluated based on their understanding of themselves, ability to manage emotions and behaviors, goal-setting, decision-making, proactivity, self-discipline, adaptability, willingness to engage in activities with uncertain outcomes, and empowerment of others through task delegation for greater productivity. Please note that final selections will not be announced until mid-2026, at the industry's trade publication, www.ConciergeMedicineToday.org.
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