Junior Doctor Awards

Junior Doctors Awards 2021
Nomination Form

Junior Doctors Awards 2021

Please ensure you read the criteria for each category before you complete your nomination.

A separate nomination form must be completed for each category you wish to nominate someone against.

Team Player

This award recognises a junior doctor who demonstrates exceptional leadership skills while being supportive and approachable working in a multi-disciplinary - recognising that we are one team with a common purpose. Setting high standards, they respond to situations professionally and calmly, and are a positive role model for others.

Compassionate Care

This award recognises a junior doctor who regularly demonstrates care and compassion, listens to and respects others, whilst keeping patients and the Trust values at the heart of everything they do. They see the patient as a person and often perform the ‘little things’ which make a big difference to patient care.

Outstanding contribution to quality improvement/research or education

This award recognises a junior doctor who has contributed to quality, research or education by applying creative solutions which has had a positive impact for the benefit of staff, patients and/or the Trust.

Rising Star

This award recognises the achievements of a junior doctor in the early stages of their career, who is considered to be a ‘star’ of the future. They demonstrate this ability throughout the year by improving services and experience for patients, carers and/or staff through their leadership, creative thinking, commitment, vision, determination and drive.

Nomination details:

Which category would you like your nomination to be placed in?*

About your nominee

Nominees full name*

Nominees department*

Nominees main work site*

Nominees email address

Your nomination:

In no more than 350 words, please write your nomination here

Nomination*

About you

Your full name*

Your job title*

Department you work in*

Your base site

Your email address*

Consent of nomination

Nominations are automatically published both in internal publications and on social media, this would include the nominees details, your name and a synopsis of your nomination.

I give my consent as indicates above*

From time to time, we may come across external awards which we feel your nomination is suitable for. Generally, these awards require a little more information than what you have provided above. we will contact you with the external award details and ask that you consider submitting a nomination in one of the categories.

I give my consent to the above*