Interdisciplinary Collaboration Award Nomination

  • The Evidence-Based Practice and Research Council (EBP&R) would like to invite MedStar Georgetown University Hospital Nurses to honor the MGUH Attending Physicians that best exemplify the SPIRIT values of an Interdisciplinary Collaborator focused on patient care.

    One physician will be selected from each of the five service lines (Oncology and Medicine, Orthopedics and Surgery, Neuro-Care, Pediatrics and Women’s Services, and Psychiatry).

    Criteria:

    • Service: strive to anticipate and meet the needs of the interdisciplinary team
    • Patient First: makes the patient (is) the first priority in everything for the interdisciplinary team
    • Integrity: communicate openly and honestly, builds trust and conducts one according to the highest ethical standards
    • Respect: treats all members of the interdisciplinary team with the highest professionalism and dignity
    • Innovation: embrace change in a positive manner
    • Teamwork: works collaboratively with the interdisciplinary team

    Please complete the attached form to submit your nomination.

    Submission deadline is close of business Monday, March 27, 2017.

    We thank you for your input in selecting the annual Interdisciplinary Collaborators for 2016.

  • Nominator's Information

  • Specific Examples

    Please describe the specific examples of how this physician exemplifies the criteria of Interdisciplinary Collaboration based on the SPIRIT Values. You may answer each question below or you may incorporate the SPIRIT Values examples in one story. Reminder: Please omit the nominees name and unit number as you submit these specific examples.