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Skills & Attributes Matrix Survey

4.Skills and Attributes Matrix

A skills and attributes matrix is a tool used to assess the diversity of member representation on the Board, committees and other leadership positions. The information gathered is important as it will highlight gaps that may need to be filled. That information will be used to find someone who best complements the current mix of skills and attributes on the Board or committee.
 
There is no particular perspective, background, experience, knowledge or skills that would be required for a position on the Board or committees. Nothing listed is required or mandatory; the information provided is used only to assist the selection committee with identifying and filling gaps.
 
The information gathered will be kept confidential and only shared with the selection committee.
Full name(Required.)
Email address(Required.)
Specialty
Practice Location
Payment model:
Contact number(Required.)
Stage in medical career:(Required.)
Perspective/Background:
(Please tick the boxes that apply).(Required.)
How do you identify?
Experience/Knowledge/Skills
(Please check the number that you feel best represents your experience, knowledge or skills in the specified area).(Required.)
1 (none)
2 (low)
3 (moderate)
4 (high)
Board & Governance
Cultural Competence/Equity Issues
eHealth/Technology
Financial Acumen
Government Relations
Health Policy
Leadership
Comments
This matrix and the supporting documents (Board and Committee Diversity Policy and Guidelines for Diversifying the Board and Committees) were developed in collaboration with the Governance Committee, the internal DNS EDI Committee and physician members of equity-deserving groups.
If you have any questions or require assistance completing this form, please contact Sonia Abi-Ajab at sonia.abiajab@doctorsns.com.