Confederation of Postgraduate Medical Education Councils

Confederation of Postgraduate Medical Education Councils

2017 CPMEC Australia & New Zealand Junior Doctor of the Year Award

Nomination Form

Eligibility: The candidate should be a PGY1 or PGY2 trainee. PGY3 trainees may also be nominated but their contributions must be restricted to their contributions as PGY1 & PGY2 trainees. (See notes to guide completion of the form on page 4[1])

1. Details of nominee:

* Australia or New Zealand

1. Details of the person making this nomination:

* Australia or New Zealand

1. Provide details of how your nominee meets the criteria for theaward.[2]

Criteria for Selection: A junior doctor with satisfactory clinical performance[3] who has:

1. Made a significant contribution to teaching and learning as a prevocational trainee in their workplace settings (hospital, community placements, etc)[4].

1. Made a significant contribution to the activities of the PMC or equivalent[5].

1. Any special contributions to education and training such as project work, publications, posters, etc.[6]These may include presentations to the International, National and State conferences.

1. Any other relevant information you wish to include[7]

PLEASE ENSURE THAT NOMINEE CONSENT HAS BEEN OBTAINED PRIOR TO SUBMISSION

Nominations should be marked CONFIDENTIAL and forwarded by email to by Monday 28 August 2017.

NOTES TO GUIDE COMPLETION OF THE NOMINATION FORM

[1]To ensure a common base for comparing jurisdictional nominations, applications should only be assessed onthe contributions of the nominee during their first and second postgraduate years of training. If the nominee is in PGY3, restrict your responses on behalf of the candidate to their contributions in PGY1 and PGY2 years.

[2] The ANZ Junior Doctor of the Year Award is managed in two stages. Initially, each Postgraduate Medical Council or equivalent body determines the winner for their particular jurisdiction. The overall ANZ winner is then selected from the state and territory winners by CPMEC’s Awards Committee. The criteria for determining both the jurisdictional and overall ANZ winners are to be the same as outlined in this document. CPMEC will leave it to each member PMC or equivalent to determine the process for selecting their jurisdictional winner.

[3]This is to ensure that the nominee has adequately met their clinical responsibilities and avoid a (potential although highly unlikely) situation where this might not be the case.

[4]As the award is principally about contribution to education and training, in this section the nominator should highlight the involvement of the nominee specifically in relation to this domain in their workplace setting, be it a hospital or community placement. It could cover involvement and participation in establishing junior doctor learning needs, design of training programs, delivery and implementation of programs, and/or evaluation of training activities. The contributions should clearly exceed the normal standards expected of a PGY1 or PGY2 trainee.

[5]This could involve participation as prevocational accreditation surveyors, state JMO Forum organisers, and/or involvement in PMC (or equivalent) committee(s). Reference could also be made to the time commitment of the nominee to these activities. If the nominee has been involved in advocacy activities to improve access to quality education and training for prevocational doctors, highlight this here.

[6]In this section highlight involvement in projects at state and national levels and presentations made to the National Prevocational Forum and similar state/territory level, or international events. Participation in relevant professional development activity could also be included here to demonstrate the commitment of the nominee.

[7]This section should highlight any other information relevant to this nomination. It may include leadership roles, recognition received elsewhere (e.g. media coverage) and a general statement of what makes this nominee stand out.