2027 Nomination Form

2027 Nomination Form

Board of Directors and Nominating Committee
AAPM Board of Directors & Nominating Committee Timeline & Process:

10.12.26: Nominations Open

11.04.26: Nominations Close at 11:59 pm Eastern

11.06.26: Nominee vetting and interviews

11.17.26: Nominee vetting and interviews conclude

11.23.26: Slate announced

11.27.26: Additional nominations by petition due

12.01.26: Elections Open

01.03.27: Elections Close at 11:59 pm Eastern

01.18.27: Results announced

03.21.27: Newly elected leaders take office

All newly elected board members must attend the Board Orientation and Board Meeting at PainConnect 2027, AAPM’s Annual Meeting, on March 21, 2027, in Orlando, FL. PainConnect 2027 will take place from March 18 to 21, 2027. The Board of Directors meets at least four times annually, and all meetings are mandatory. Meetings not held at PainConnect are conducted via Zoom and have typically been held on Wednesday evenings from 7:00 pm to 9:00 pm Eastern Time.

Note: Those serving on the Nominating Committee will be ineligible for the Board of Directors ballot while serving on the AAPM Nominating Committee.
Instructions

Please complete the form and upload a high-resolution professional headshot and your current CV.

2027 Election Open Positions:

Secretary (1)
Director-at-Large (1)
Doctoral-Level (non-physician) Director (1)
Nominating Committee (2)

Nominator (individual submitting nomination)

First NameLast Name
Email
example@example.com
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
I. Nominee Information
Nomination for:
Select one.
Attach a high-resolution photo. This photo will be used in all nominations and election communications.

Cancelof
Please attached your current CV

Cancelof
Please type in a brief bio (150 - 300 words max). Your bio will be used in all nominations and elections communication.

0/300
Name

First NameLast Name
Credentials
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Work Phone
Please enter a valid phone number.Format: (000) 000-0000.
Mobile Phone
Please enter a valid phone number.Format: (000) 000-0000.
Email
example@example.com
How long have you been a member of AAPM
Years
Current Volunteer Position within AAPM
How many years have you held your current AAPM Volunteer Position?
What is your total experience in the field of pain medicine?
Years

III. AAPM Strategy
Strategic Pillar One: A Credible Voice

By December 31, 2029, establish AAPM as the nationally recognized, scientifically credible voice for Pain Medicine by clarifying the field’s professional identity, setting and disseminating evidence-based guidelines, and translating multidisciplinary expertise into influence on practice, policy, and professional recognition.

Strategic Pillar Two: A Professional Home

By December 31, 2029, make AAPM the professional home physicians and pain professionals never outgrow by delivering differentiated career value at every stage that strengthens belonging, advancement, engagement, and long-term commitment to the specialty.

Strategic Pillar Three: A Resilient Economic Engine

December 31, 2029, build a resilient economic engine that reliably funds AAPM's North Star through recurring operating strength, adequate liquidity and reserves, diversified net revenue, and disciplined allocation of money, staff capacity, and leadership attention.
1. The Academy leadership developed its three pillars to be focused and flexible. The intent is that all activity will drive our mission and shape what the Academy looks like in three years. Based on the information above, your professional experience, and your experience with AAPM, what suggestions would you make to move the Academy forward?

0/500
2. What is your professional vision for the future of Pain Medicine?
3. Why would you like to serve on the AAPM Board of Directors? (limit to 30 - 50 words)

0/50

IV. Qualifications
1. How has AAPM membership brought value to your career?
2. After reviewing the AAPM Strategic Pillars, what abilities and attributes will you bring to the Board's strategic deliberations.
3. Describe one transformational/defining experience in your professional life you've been involved with and what you learned from that expereince.

4. List significant leadership commitment and involvement within the field of Pain Medicine

Rows	Organization Name	Type	Leadership Role	Duration of Appointment
Position
Position
Position
Position
Position
Position
Position
Position
Position
Position

5. Is there anything else you would like the AAPM Nominating Committee to know about you that has yet to be previously stated?
I hereby give permission to the Nominating Committee to contact me, print my Candidate Profile and Statement, and consider me for nomination to the AAPM Board of Directors on the Official 2027 Election Ballot. By signing, I confirm that I have read the board expectations and duties on the call for nominations page on painmed.org
Please verify that you are human
Should be Empty:

2027 Nomination Form

AAPM Board of Directors & Nominating Committee Timeline & Process:

Instructions

I. Nominee Information

II. Employment & Practice Information

III. AAPM Strategy

Strategic Pillar One: A Credible Voice

Strategic Pillar Two: A Professional Home

Strategic Pillar Three: A Resilient Economic Engine

IV. Qualifications