Leaders in Clinical Excellence, Institutional Service Award

This award honors clinical faculty who consistently share time and expertise in service to internal committees, task forces, and other institutional activities that make a significant impact on the care delivered to UT Southwestern patients.

Award Eligibility Criteria

All UTSW clinical faculty, regardless of site of service, are eligible for this award.

Nomination Information

Nomination should include details as to:

How the nominee has led or individually affected process or operational improvements
Examples of exceptional leadership on internal committees, task forces, or other institutional activities that have impacted UT Southwestern’s ability to deliver outstanding patient care

Nominee First Name

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Nominee Last Name:

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Nominee Title

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Nominee Department

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Nominee Phone

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Nominee Email

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Nominator First Name

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Nominator Last Name

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Nominator Title

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Nominator Department

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Nominator Phone

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Nominator Email

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In what capacity does the nominee serve on institutional committees, task forces, or in other internal administrative roles?

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What personal qualities enable the nominee to make impactful changes to patient care at UT Southwestern through his or her leadership in institutional service?

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Please provide examples of the nominee's institutional service leading to improvements or enhancements in clinical care?

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How does the nominee work within institutional groups to maximize the impact others can make on clinical care?

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What additional information would you like to add?

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This submission requires a copy of the nominee's CV, along with any other documents you would like for the Award Review Committee to consider in evaluating this nomination. How would you like to submit it?

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I have those documents and would like to upload them.

I or someone in my office will email them.

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Upload the nominee's CV here.

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You or someone from your office can email the nominee's CV to clinicalawards@utsouthwestern.edu. Please include in the subject line "LCE, Institutional Service, ______ ______." Don't worry, we'll send you an email reminding you of that address! Please note that this nomination will not be considered complete until we have received the nominee's CV.

Do you have any additional documents you would like to submit for the committee's consideration?

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Yes, I have those documents and would like to upload them now.

Yes, and I or someone in my office will email them.

No, I do not have any additional documents

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How many files would you like to upload?

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You or someone from your office can email the remainder of your documents to clinicalawards@utsouthwestern.edu. Please include in the subject line "LCE, Institutional Service, ______ ______." Don't worry, we'll send you an email reminding you of that address!

Date

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Why is this candidate ineligible?

Other,

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Why is this candidate ineligible? Please type why this candidate is ineligible within a self-contained sentence.

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HR Use Only-- Did this candidate win?

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