George E. Thibault, MD Nexus Award Nomination

 
Check one awardee caregory:

 

Application (maximum of three pages, single spaced, 1-inch margins and 12-point font) must include the following:

  • Purpose statement for the initiative or practice model
  • Brief history (including inception date) of the initiative, practice model, and identification of key stakeholders within the initiative
  • Description of the initiative or practice model to include
    • How the initiative or practice model functions
    • How the key elements listed under Criteria are reflected
    • Evidence of impact
  • Clear articulation of how the initiative demonstrates leadership and innovation in the integration of collaborative practice and interprofessional education, in academic and practice partnership(s) at the specified award level.

 

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