Nominations

My Family Doctor Nomination

The “My Family Doctor” award honours and celebrates the doctor-patient relationship, which is central to good health care and known to help improve patient satisfaction and health outcomes.

If you value your relationship with your family doctor and want to recognize them for the impact they’ve made in your life or that of a family member, the BCCFP wants to hear your story. Nominations are being accepted until March 31, 2018.

We will be providing five awards this year, honouring a family doctor from each regional health authority across the province.

My Family Doctor Nominations Form

Please share your story in 500 words or less.
BC Family Physician of the Year
First Five Years of Practice Award
First Five Years of Practice Nomination Form
Nominee's name*
First and Last Name
Hidden
CFPC membership number
if applicable

City*

Phone*
Email*

Is the nominee aware of this nomination?*

Yes

No
Nominator's name*
First and Last Name
Hidden
CFPC membership number
if applicable

City*

Phone*
Email*

Reason for nomination*
Please tell us why you are nominating this family physician for the First Five Years of Practice Award:
Nomination letter/supporting documents
Please upload your nomination letter and any supporting documents here.

Valid upload file extensions: .doc, .docx, .pdf

Maximum file upload size 64MB

Drop files here or

Accepted file types: doc, docx, pdf, Max. file size: 64 MB.

How did you hear about this award?*

BCCFP newsletter or email

Division of Family Practice

Facebook

Twitter

If other, please specify e.g. a colleague, health authority
If you do not receive a confirmation email from BCCFP within two business days, please contact office@bccfp.bc.ca
Small Changes, Big Difference Award
Resident Nomination
Medical Student Nomination
Medical Student Nomination Form
Nominations for the $1,000 BCCFP Medical Student Scholarship are due by June 30, 2021.
Nominee's name*
First Last
CFPC membership number
if applicable

Address*

City*

Province*

Postal code*

Phone*
Email*

Is the nominee currently a fourth-year medical student at UBC?*

Yes

No
Is the nominee entering post-graduate family medicine training in Canada?*

Yes

No
Is the nominee aware of this nomination?*

Yes

No
Nominator's name*
First Last
CFPC membership number
if applicable

Address*

City*

Province*

Postal code*

Phone*
Email*

Nomination letter/supporting documents
Your nomination letter/supporting documents should include:

The reason for your nomination

A brief biography or resume of your candidate (i.e. educational and community profile)

Evidence of your candidate’s significant characteristics relevant to the award in the form of descriptive materials, testimonials or other documentation.

Other information that will help our Awards Committee make a decision. Supporting documents could include:

Letters of support, which may be from allied professionals, patients, community members or others positively impacted by the work of the nominee

Any other information which you feel will help the selection committee in its deliberations.
Valid upload file extensions: .doc, .docx, .pdf Maximum file upload size 64MB

Drop files here or

Accepted file types: doc, docx, pdf, Max. file size: 64 MB.

How did you hear about this award?*

BCCFP newsletter or email

FMIG

Social media

If other, please specify e.g. a colleague, health authority.
Medical Student Nomination
Medical Student Nomination Form
Nominations for the $1,000 BCCFP Medical Student Scholarship are due by June 30, 2021.
Nominee's name*
First Last
CFPC membership number
if applicable

Address*

City*

Province*

Postal code*

Phone*
Email*

Is the nominee currently a fourth-year medical student at UBC?*

Yes

No
Is the nominee entering post-graduate family medicine training in Canada?*

Yes

No
Is the nominee aware of this nomination?*

Yes

No
Nominator's name*
First Last
CFPC membership number
if applicable

Address*

City*

Province*

Postal code*

Phone*
Email*

Nomination letter/supporting documents
Your nomination letter/supporting documents should include:

The reason for your nomination

A brief biography or resume of your candidate (i.e. educational and community profile)

Evidence of your candidate’s significant characteristics relevant to the award in the form of descriptive materials, testimonials or other documentation.

Other information that will help our Awards Committee make a decision. Supporting documents could include:

Letters of support, which may be from allied professionals, patients, community members or others positively impacted by the work of the nominee

Any other information which you feel will help the selection committee in its deliberations.
Valid upload file extensions: .doc, .docx, .pdf Maximum file upload size 64MB

Drop files here or

Accepted file types: doc, docx, pdf, Max. file size: 64 MB.

How did you hear about this award?*

BCCFP newsletter or email

FMIG

Social media

If other, please specify e.g. a colleague, health authority.
Criteria for Award
- A Nominator is required for each award and may be a family physician, fellow student or
  resident
- Each nomination must be accompanied by a cover letter from the Nominator addressing the
  specific reasons why the Nominee warrants the proposed recognition
- In the submission, the Nominator will ensure and confirm that the Nominee meets the required criteria for the award below:
  - $1,000 BCCFP 4th Year Medical Student Scholarship will be presented to two 4th year medical students entering the UBC Family Medicine postgraduate program.
For further information, please contact the BCCFP Office at:

Phone: 604-736-1877 or 1-888-736-1877
Email: office@bccfp.bc.ca

Nominations

My Family Doctor Nomination

BC Family Physician of the Year

First Five Years of Practice Award

First Five Years of Practice Nomination Form

Small Changes, Big Difference Award

Resident Nomination

Medical Student Nomination

Medical Student Nomination Form

Medical Student Nomination

Medical Student Nomination Form