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1. Expression of Interest

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* Full name

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* Email address

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* Specialty

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* Practice Location

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* Payment model:

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* Contact number

Our commitment to equity, diversity and inclusion
Doctors Nova Scotia is committed to developing and supporting a more diverse, inclusive and equitable environment for both physicians and staff. We encourage applicants from equity-deserving populations to apply and self-identify when completing the skills and attributes survey. We also encourage all applicants to share how they will bring an equity lens to leadership positions at DNS. Equity, diversity and inclusion (EDI) is an integral component of DNS through our Strategic Plan and EDI framework. DNS considers EDI to be outcomes which are achieved through processes and tools such as reconciliation, decolonization and accessibility. When DNS refers to “EDI work,” it is including the processes that can lead to the outcomes of EDI for all. The association’s commitments to EDI are upheld through regular education sessions; a Respectful Workplace Policy for staff, Board and committee members; external audits; a staff EDI committee; and routine application of an equity lens in all organizational decision-making. As outlined in our Board and Committee Diversity Policy, the Board will strive to foster a brave space that tackles challenging topics with respect and care, and where everyone feels comfortable participating. If you have questions about how DNS can ensure a safe place for you or how the expression of interest process can accommodate your needs, we invite you to reach out to Maddi McKay, Chair, EDI Committee at maddi.mckay@doctorsns.com.

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* Select the boards(s) or committee(s) you would like to be considered for:

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* Please explain why you are interested in serving on the selected board(s) or committee(s).

(Note: Although we gather this information, a leadership designation and formal leadership training or experience is not required for a position on the Board or a committee):

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* Do you have any leadership training or credentials that you believe would be relevant to your work on a board or committee? (For example, formal credentials might include Doctors Nova Scotia Physician Leadership Development Program certificate, Canadian Medical Association Physician Leadership Institute (PLI) certificate, or Canadian Certified Physician Executive Credential.)

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* Please provide any other examples of how you have demonstrated leadership as a physician (either in formal roles or in less structured settings) within the past 5 years (excluding those experiences identified in previous question). Examples of your leadership might include advocating for others or for yourself, supporting peers or patients, or navigating challenges in your medical career.

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Please tell us how you have or will foster and prioritize equity in your medical leadership. (Optional question)

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* Please include any other information you would like to be considered in the selection process.

Please continue to the next page to complete the Skills and Attributes Matrix (required).
If you have any questions about the expression of interest process or require assistance completing this form, please contact Sonia Abi-Ajab at sonia.abiajab@doctorsns.com.

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