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AAPD EBD award nomination form
1.
The Academy presents an Evidence-Based Dentistry Service Award, only when warranted, to recognize a pediatric dentist(s) who has made a major contribution via service or publication, on a national or international level, to the dental profession and the specialty of pediatric dentistry through evidence-based clinical practice, academics or policy development over the past year. Nominees are solicited from the membership and considered by the Evidence-Based Dentistry Committee (EBDC), which shall make recommendations to the Board of Trustees who shall make the final selection.
Teams may apply, such as a systematic review workgroup.
Individuals applying or being nominated for this award must:
1. Demonstrate through service or publication an extraordinary contribution to EBD;
2. Submit a letter from peer or patient attesting to the nominees contribution;
3. Provide proof of at least one peer-reviewed published EBD paper;
4. Submit a C.V. demonstrating ongoing dedication to EBD practice and principles;
5. Be a current member of the AAPD.
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We will contact you after the nomination is submitted.
Due 02/28/2018
Enter your nominee's name below:
2.
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