LEAD Resident or Fellow Award Nomination

Listens to and values each other’s input

Empathizes to understand and put our patients first

Achieves our goals together

Dedicates him/herself to make quality care and attentive service our priority

This resident’s or fellow’s commitment to exemplary service is evident in their daily patient, peer, and interprofessional interactions. They consistently role-model the following award criteria:

1. Demonstrates advocacy for patient safety and quality

2. Exemplifies caring and compassion

3. Promotes a strong physician/patient relationship

4. Communicates with clarity and respect

5. Collaborates with nursing in the delivery of patient care

Note: This award is for residents and/or fellows to be recognized by their nurse colleagues.

Your Name*
Confirmation
- Agree
By checking the box above, I confirm that I am a nurse who is nominating a resident or fellow for the Resident of the Month award.

Note: this award is NOT for residents or fellows nominating other housestaff.
Your Email Address*
Floor/Department you work on*
Name of the resident or fellow you are nominating*
Physician's division or department
I am nominating this physician because...*
Please describe a situation involving the physician you are nominating that clearly demonstrates how he/she meets this award criteria.