2021 Distinguished Neurology Teacher Award Nomination Form

The nominations deadline has passed. Submissions are no longer being accepted

**Please submit all requested documents with this application. Documents that may not be required will be indiciated as 'optional" or " If available".  Incomplete applications will not be considered or reviewed".**

Purpose

The Distinguished Neurology Teacher Award was established to recognize outstanding accomplishments in teaching neurology students. The purpose is to encourage efforts to recognize and reward contributions by gifted and talented teachers in neurology. Each Neurology Department in the U.S. and Canada is encouraged to nominate one individual from the entire field of neurology each year.  Past recipients may be found here.

Eligible Candidates

  • Nominees must be neurology faculty members in either a tenured or non-tenured track.
  • The nominee's educational accomplishments should be in the field of neurology.
  • Nominees who have published in the field of medical education and whose educational materials have been adopted by other institutions will be given special consideration.
  • An institutional system for selecting candidates that provide for broad student participation and the peer judgment of faculty colleagues will be favored.
  • The nominee does NOT need to be an ANA member.

Self-nominations are encouraged.   Candidates who have submitted unsuccessfully in the past may reapply. Self-nominations are encouraged.

The awardee will receive:

  • $1,000 honorarium
  • gratis Annual Meeting registration
  • up to $1,000 travel reimbursement
  • a commemorative plaque

The submitter of the nomination must include the following:

  1. Nominee's CV with a complete bibliography
  2. Two (2) letters of support, 1 from each of the following people
    a. A letter from a National Neuroscience colleague involved in education that summarizes their teaching efforts and educational accomplishments
    b. A letter from a former student or trainee familiar with the nominee

The committee will be looking for documentation of national reputation in neuroscience educationsExamples include:

  • designing innovative curriculum
  • mentoring generations of neuroscience educators
  • publication in in neuroscience education
Submitter Information

It is my honor to nominate:

Nominee Information
Name of nominee and any credentials
File Uploads
Files must be less than 8 MB.
Allowed file types: pdf doc docx.
A letter from a National Neuroscience colleague involved in education that summarizes their teaching efforts and educational accomplishments
Files must be less than 8 MB.
Allowed file types: pdf doc docx.
A letter from former student or trainee familiar with the nominee
Files must be less than 8 MB.
Allowed file types: pdf doc docx.