Education Awards 2025 Nomination

Education Awards 2025 Nomination

This webform is not able to save partially complete applications, so only begin when you are ready to complete the entire form.

A copy of the application questions along with the scoring rubric (link) is available for you to use as you draft your responses.

Your First and Last Name:*

Your Email:*

Nominee's First and Last Name:*

What is your professional relationship to the nominee?*

Which award are you nominating them for?*

Please note the Staff Excellence award is for STAFF only. Faculty will not be considered.

Inspirational Educator Award

Excellence in Education Mentoring Award

Staff Excellence in Education Award

Inspirational Educator Award

DOM honors and celebrates the valuable efforts of faculty and APP educators who motivate and inspire others. These awards recognize those who display unparalleled energy, passion, and skill for educating students, residents, and/or fellows. Recipients of this award are those who leave a lasting impression and impact on learners long after the learning experience has ended.

Please keep in mind: Two educators will be honored in each of these educational settings:

Classroom instruction (synchronous and/or asynchronous) of any size with SMPH, residency, and/or fellowships
Clinical instruction

Excellence in Education Mentoring Award

DOM recognizes faculty and APPs who are actively engaged in education mentorship of junior or peer educators. Mentors selected for this award exemplify extraordinary selflessness as they support and contribute to the education career development and advancement of junior or peer clinician-educators. They accomplish this through providing guidance for teaching skills (e.g., curricular design, teaching methods, and learning and program assessments) and opportunities for the development of educational scholarship (e.g., writing abstracts, developing workshops, and creating manuscripts from educational work). They serve as role models by maintaining high standards of excellence and professionalism.

Please keep in mind: One mentor will be honored in each of the following categories:

Junior faculty (assistant professor) or APP
Senior faculty (associate or full professor) or APP
Bennet Vogelman Award: Senior faculty with career long dedication to mentoring

Staff Excellence in Education Award

DOM honors and recognizes University or Academic staff who demonstrate extraordinary dedication to the growth and professional development of others. Staff selected for this award are actively engaged in supporting and promoting a culture of learning. They demonstrate a commitment to the professional growth of their peer and junior staff and consistently seek out new and innovative ways to promote learning for DOM learners, trainees, and faculty.

NOTE: FACULTY WILL NOT BE CONSIDERED FOR THE STAFF AWARD.

Please keep in mind: Two staff members will be honored.

Are you nominating this individual for their teaching in the classroom or clinical setting?*

Classroom

Clinical

Describe how your nominee creates a supportive and inclusive learning environment.*

Provide examples of their actions, behaviors, or initiatives that promote equity, respect, and a sense of belonging.

Explain how the nominee consistently demonstrates professionalism in their interactions with learners, colleagues, and staff.*

Provide behaviors or attitudes that highlight their role as a model for others.

Describe how the nominee effectively facilitates teaching sessions.*

Provide examples of their methods, strategies, or approaches that enhance learning and engagement for participants

Explain how the nominee demonstrates a strong and consistent commitment to teaching opportunities.*

Share examples of their dedication, including frequency, reliability, and impact on learners.

Describe how the nominee serves as a role model for clinical skills and positive interactions with patients in the clinical setting.*

Share specific examples of their approach to patient care and how it inspires others.

Explain how the nominee demonstrates a strong commitment to mentorship.*

Provide examples of their mentorship activities, including how they have supported and guided mentees in their personal, professional, or academic growth

Describe how the nominee has effectively advocated for junior or peer clinician educators on administrative, organizational, or professional matters.*

Provide specific examples of their efforts and the impact of their advocacy.

Explain how the nominee effectively sponsored their mentees at the institutional, regional, and/or national levels.*

Share specific examples of opportunities they have facilitated or advocacy they have provided to advance their mentees’ careers

Explain how the nominee demonstrates a commitment to learning for both themselves and others.*

Provide examples of how they serve as a role model for peers through their dedication to continuous learning and professional growth.

Describe how the nominee actively participates in professional development and networking opportunities.*

Share examples of their involvement and how it has contributed to their growth or the growth of others.

Explain how the nominee contributes to the development and dissemination of innovative learning or educational improvement initiatives.*

Provide examples of their involvement in creating or sharing new approaches that have positively impacted education

Describe how the nominee serves as a role model for respect, excellence, and collaboration in education.*

Provide examples of how they demonstrate high standards of educational practice and work effectively with others to enhance teaching and learning

Describe how your nominee inspires others.*

Provide specific examples of how their behavior or skills have had an impact on learners and/or colleagues.

Send me a copy of my responses

Privacy Notice|Report Abuse