2024 RDoC Puddester Award Nomination Form

Please note: The closing date to submit nominations is January 27, 2025, 17:00hrs ET. Only online submissions will be accepted.

Nomination Process

Nominations may be submitted, accompanied by suitable documentation, by any resident physician in Canada, Provincial Housestaff Organizations, Departments of Post-Graduate Medical Education, or any other organization associated with RDoC or post-graduate medical education. Serving RDoC Board members, Member Representatives and Award Committee members are not eligible to receive an RDoC Award. Only nominations for individuals are permitted (i.e. no group nominations)

Who Are You Nominating?

Select one:*

I am nominating staff (program director, educator) for this award.
I am nominating a resident for this award.

Name of individual being nominated:*

Title/Position (If you are nominating a resident, please include their PGY and specialty):*

Affiliated Faculty of Medicine:*

Address*

Street Address City Province/Territory Postal Code

Telephone Number:*

Email Address:*

Nominator Information

Name of individual/organization submitting nomination:*

Title/Position:*

Affiliated Faculty of Medicine:

Address*

Street Address City Province/Territory Postal Code

Telephone Number:*

Email Address:*

About the Nominee

In the text box below, outline why RDoC should consider your nominee for this award by highlighting the following (500 words maximum):

Contributions made by the nominee in promoting and advocating for resident wellness in Canada;
Innovations and creativity demonstrated by the nominee in addressing issues in resident wellness;
Leadership roles held by the nominee in the resident wellness community;
Mentorship roles held by the nominee that motivate or develop capacities in others; and
The impact the nominee has made as a specific result of their work.

Description of Nominee

Letters of Support

Provide up to two 1-page letters of support from separate individuals or organizations familiar with the nominee’s activities. Letters must be in 12pt font and must be PDF format. Letters may be uploaded with the nomination form or may be emailed to awards@residentdoctors.ca.

Upload Files:

Drop files here or

Accepted file types: pdf, Max. file size: 8 MB, Max. files: 3.

Nominee's Curriculum Vitae

Provide a maximum two page CV outlining related experience.

Upload File:*

Drop files here or

Accepted file types: pdf, Max. file size: 8 MB, Max. files: 1.

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