ASSESSING THE CRITERIA
The College wants to honour physicians whose performance in these roles is outstanding, recognizing that individual
physicians will demonstrate more extensive expertise in some roles than in others. Council Awards are presented at
Council meetings, which are held quarterly.
ELIGIBILITY FOR NOMINATION
Anyone may nominate an eligible physician for the Council Award. To be eligible for nomination, a physician must be
licensed in Ontario and be in good standing with the College. Former recipients of the Council Award or the Excellence in Quality Management of Medical Care Award are not eligible for nomination. The completed nomination form
(on back) and required documentation must be submitted by October 1, 2015, for consideration by the Council Award
Selection Committee.*
* Previous nominees who were unsuccessful are eligible
NOMINATION INSTRUCTIONS
• omplete the enclosed nomination form, providing as much information as possible about the physician nominee.
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Type or print clearly in the space provided. If additional space is required, attach additional pages.
• rovide a detailed nominator’s statement. In this statement, describe how the physician nominee has demonstrated
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overall excellence using the eight physician roles outlined on previous page. It is recognized that individual physicians
will demonstrate more extensive expertise in some roles than in others. The nominator may include concisely presented
pertinent supporting materials (letters, reports, testimonials, press clippings, etc.). Please do not bind or staple pages.
• ind a seconder for the nomination. The seconder should provide a secF
onder’s statement, their own written testimonial about the nominee and
his or her accomplishments, again using the eight physician roles.
CHECKLIST:
• btain and submit a copy of the nominee’s curriculum vitae, if possible.
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including:
• embers of the Council, and staff of the College and members of their
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immediate families are not eligible for nomination for the Council Award.
• e completed Council Award nomination form (including nominator’s
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statement, supporting material, seconder’s statement and nominee’s curriculum vitae) can be emailed, mailed or faxed to:
The Council Award, c/o Ms. Prithi Yelaja,
Policy and Communications,
College of Physicians and Surgeons of Ontario,
80 College Street, Toronto, Ontario, M5G 2E2
Nomination form complete...............................q
Nominator's statement......................................q
Seconder's statement........................................q
Nominee's CV....................................................q
Supporting documents (optional).....................q
Submitted papers are NOT bound......................q
Note: The deadline for nominations is
Thursday, October 1, 2015 at 5 p.m.
Tel: (416) 967-2600 or 1-800-268-7096, extension 402 Fax: (416) 967-2666 Email: [email protected]
Any questions concerning the nomination instructions should be directed to Prithi Yelaja, and additional nomination
forms can be obtained by contacting her. Nomination forms are also available at: www.cpso.on.ca.