Kaiser Awards for Excellence in Teaching Nomination

Deadline: Friday, May 9th, 2025 at 5:00 pm.

MY INFORMATION

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My First Name is:*

My Last Name is:*

I am a:*

Resident

Fellow

Medical Student

My Department is:*

My E-mail address is:*

MY NOMINEE

(all fields are required)

Ineligible: Dr. Ivance Pugoy, Dr. Greg Simpson

Nominee's first name is:*

Nominee's last name is:*

Nominee's Department:*

Reason for my Nomination (be specific):*

Nomination comments should emphasize the nominee’s most outstanding qualities as a teacher, including, as applicable, the quality of their presentations and teaching materials; their ability to motivate learning; their effectiveness as a mentor; and the impact that their teaching has had upon residents and/or students.