The Clinical Educator Award recognizes HIVMA members who have demonstrated significant achievement in the area of HIV clinical care and provider education. Significant achievement will be based on overall achievement and refer to contributions to the acquisition and dissemination of information on HIV disease that transcend a single institution.

Nominations for the 2019 HIVMA Leadership Awards are due May 1st. Nominators and nominees must be members of HIVMA. Preference will be given to nominations that reflect a broad base of support.

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* 1. Nominator General Information

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* 3. Nominator Contact Information

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* 4. Nominee General Information

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* 5. Upload Nominee CV

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* 6. Please discuss how the nominee has demonstrated an impact outside of his/her own institution or outreach to a group with unmet needs. 

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* 7. Please discuss how the nominee has demonstrated excellence in teaching. Include a description of what audience was affected by the clinician educator and how they were affected-- whether inside or outside of the usual academic setting.

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* 8. Please discuss evidence of the nominee's originality and innovation in the area of clinical education. Please include no more than two examples of a curriculum, manuscript, book chapter or other educational materials that the nominee has developed

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* 9. Please discuss the nominee's greater impact on the field of HIV Medicine.

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* 10. Please share any additional information to support your nomination that was not addressed above.

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