Best Laboratory Champion Clinician Award, ASLM2018

The deadline for accepting nominations is Friday, 30 November 2018

The ASLM2018 Best Laboratory Champion Clinician Award seeks to promote and recognise an exceptional clinician in the field of public health whose work has had a profound impact and/or benefit on laboratory medicine in Africa.

For more information, please visit the ASLM2018 Awards webpage.

Clinicians who meet the following criteria are eligible (self-nomination is acceptable):

Playing a key role in providing laboratory services to under served and hard to reach populations.
Promoting the integration of laboratory services in individual health.
Serving/practising in public and/or private clinics or hospitals.
Advocating for laboratory-based diagnosis.
Influential in laboratory policy development.
Strengthening laboratory-clinician interface.

Nomination criteria:

Required: A curriculum vitae (CV) for the nominated clinician.
Required: Three (3) individual letters of reference.
Required: Complete answers to narrative questions (below).
Optional: Testimonials or other supporting documentation.

Nomination instructions:

To ensure that your nomination form is reviewed in a timely manner, it is critical to submit your completed nomination form (along with required and optional attachments) before Friday, 30 November 2018.
Email nominations are not accepted, only nominations submitted via this online submission form will be considered.
For inquiries, contact the ASLM2018 awards organising committee via awards@aslm2018.org.

“Best Laboratory Champion Clinician Award” nomination form:

Complete the nomination form below and select “Submit” to finalise your nomination. All fields are required unless otherwise noted.

Section 1: Contact Information of the Nominator

Salutation*

First Name(s) of Nominator*

Surname of Nominator*

Affiliation of Nominator*

Phone Number of Nominator*

Email Address of Nominator*

Section 2: Details of Nominee (Clinician)

Salutation*

Clinician First Name(s)*

Clinician Surname*

Clinician Home Country*

Clinician Phone*

Clinician Email Address*

Please attach the CV of the clinician. (Attachment in pdf, word or jpeg format)*

Section 3: Selection Criteria

In the following fields, describe the nominee’s actions and support towards the strengthening of the laboratory-clinician interface at the personal, community, district, regional, national or international level and the nominee’s contributions that benefit the laboratories through his or her practice/influence and support.

Describe the nominee’s activities contributing to saving lives through the use of quick and reliable laboratory results.*

Describe how the nominee improved a practice leading to improved patient outcomes.*

Describe a situation where the nominee spoke in meetings advocating for laboratorians or laboratories.*

Describe times the nominee was honoured or recognised by laboratory associations. Please include dates and relevant details.*

List the nominee’s articles (and source) that have been published and have influenced laboratory-clinical interface leading to improved policy and strategic planning affecting laboratories.*

Provide examples of when the nominee supported resource allocations for a laboratory or for laboratory networks.*

Please upload letter of reference #1. (Attachment in PDF, WORD or JPEG format)*

Please upload letter of reference #2. (Attachment in PDF, WORD or JPEG format)*

Please upload letter of reference #3. (Attachment in PDF, WORD or JPEG format)*

Please attach any other supporting documentation you would like to provide. (Attachment in PDF, WORD or JPEG format)

Drop files here or

Section 4: Declaration of Intent

Confirmation*

I hereby confirm that the information provided in the nomination form above is accurate to the best of my knowledge.

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Best Laboratory Champion Clinician Award, ASLM2018