This award is a $2,500 cash award available annually to a physician who demonstrates excellence and leadership in palliative care and advances palliative care in their communities through mentorship of family physicians.

To the considered for this award, the nominee must:
  • Be a physician licensed to practice in the Province of Ontario
  • Work primarily in community settings (non-institutional)
  • Demonstrate excellence in patient care
  • Demonstrate leadership in advancing palliative care in community settings
  • Be recognized by their peers as a mentor

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* 1. Nominator Contact Information

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* 2. Nominee Contact Information

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* 3. This nomination is supported by the following two (2) individuals:

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* 4. In 400 words or less, please tell us how the nominee demonstrates excellence in patient care.

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* 5. In 400 words or less, please tell us how the nominee demonstrates leadership in advancing palliative care in community settings (home care, hospice care, long-term care)

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* 6. In 400 words or less, please tell us how the nominee demonstrates leadership in palliative care education and mentoring for family physicians.

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* 7. Please use this space to share any other information you feel supports your nomination.

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