We can nominate a junior medical staff member to be recognised as an emerging leader by completing the following form. 

We expect that the winners of the award will:
  • Demonstrate a commitment to excellence in clinical practice and patient centred care
  • Promote understanding, manage differences and resolve conflicts in the workplace
  • Encourage and supports the learning of others
  • Demonstrate compassion/concern for colleagues
All nominations will be treated anonymously. You can nominate as many junior medical staff as you like; however, we ask that you nominate a person only once for the award.

Nominations are open till 30th October 2019. The winners will be announced in December 2019.

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* 1. What is your employee number? (Person making nomination) 
[This is only used to count the number of unique nominations]

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* 2. Who are you nominating?
(Please provide his/her full name)

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* 3. Which rotation or clinical area did/do you work together?
(e.g. in theatre, on 33S at Clayton, or during Cardiology rotation)

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* 4. In what capacity did/do you work together?
(e.g. I am a nurse working on the same ward)

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* 5. Could you please tell us why you are nominating this person?

Thank you for your nomination. 

If you have any queries, please contact Abi.Arulanandarajah@monashhealth.org

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