September 20, 2000

Dear Awards Coordinator:

The pharmacists of the U.S. Public Health Service (PHS) have had a vital role in protecting the health of our Nation for over 100 years. Whether serving as clinicians in the Indian Health Service or Bureau of Prisons, conducting research at the National Institutes of Health, working on the new drug approval process at the Food and Drug Administration, or conducting disease surveillance activities at the Centers for Disease Control and Prevention, PHS pharmacists continue this proud tradition.

As part of our effort to encourage pharmacy students and pharmacists to become more involved in public health, the Chief Pharmacist Officer and the pharmacists of the PHS are proud to announce the reestablishment of the United States Public Health Service Excellence in Public Health Pharmacy Practice Award. This program has two significant changes from the previous program. First, student nominations are reviewed by a board of PHS pharmacists to ensure that nominees meet the required criteria. This is designed to assure that the award recipients demonstrate the attributes this award was designed to recognize. Second, the award is signed by the Chief Pharmacist of the PHS. This change will allow review and completion of the awards in two to three weeks, rather than three to six months for processing by the Office of the Surgeon General.

Attached are the Award Process, Nomination forms and Checklist. The choice of the nominee is still up to your school's awards committee. All we request is that you complete the nomination packet and return it at least 30 days before the presentation date and no later than May 1, 2001 to allow time for review and processing.

I hope that you will participate in our new award program and ask that you respond at your

earliest convenience. If you have any questions or comments about the award program, please contact CDR Kathleen Downs by E-mail at kdowns@osophs.dhhs.gov or phone at

(301) 443-8249.

Thank you again for your help in identifying pharmacy students deserving of recognition.

Sincerely,

 

 

Fred G. Paavola, R.Ph., FAPhA

Rear Admiral, USPHS

Assistant Surgeon General, USPHS

Attachment

United States Public Health Service

Excellence in Public Health Pharmacy Practice Award

Fall 2000 - Summer 2001

Award Process

WHO IS ELIGIBLE

Any pharmacy student currently enrolled in a Baccalaureate or Pharm. D. program in a school or college of pharmacy that is ACPE accredited. This award is not limited to senior year students. This is an individual award; a group will not be considered.

WHO CAN NOMINATE

Pharmacy School of College:

Dean

Awards Committee

Faculty

ASP Chapter President

Other student pharmacy organizations (determined by the Dean or Awards Committee)

NOMINATION PACKET COMPONENTS:

1. Nomination form containing a brief citation (25 words or less) suitable for public occasions.

2. The nomination narrative must be no longer than one typed page. (Do not send letters of recommendation, CVs, or other supporting materials.)

3. Checklist - to be completed to ensure the nomination packet is complete.

AWARD CRITERIA GUIDELINES

Nominations should be reviewed competitively by the Dean or School Awards Committee. They should be evaluated to determine the extent to which the student demonstrated, at a minimum, one of the following:

    1. Development and implementation of programs that advance the goals stated in "Healthy People 2000" or "Healthy People 2010". These could be programs to educate patients about a specific disease or to promote healthy lifestyle choices. Examples of educational and community-based programs are:
    1. Participation in programs that support the philosophy and/or goals of the U.S. Public Health Service as articulated in the specific objectives of "Healthy People 2000" or "Healthy People 2010".
    2. Accomplishment of a single outstanding act of significant benefit to a medically underserved community. Examples could be serving in an inner-city health clinic or renovation of a health clinic in an underserved area.
    3. Contribution of time, talents, or energy without pay or other compensation in voluntary health related service by directly or indirectly helping individuals in need through work in civic, community, or humanitarian activities.
    4. Providing outstanding leadership and participation in recruitment, placement, or training activities which effectively foster the team approach in patient care.

The publication "Healthy People 2000" and "Healthy People 2010" are available in most medical libraries or the web site is http://www.odphp.osophs.dhhs.gov/pubs/.

STUDENT SELECTION

The Dean or School Awards Committee of each school or college of pharmacy will select one nominee to forward to the USPHS Pharmacy Awards Committee for evaluation. Once the nominee is selected, please use the checklist to verify that all required items are complete.

NOMINATION REVIEW PROCESS

Nominations received by the USPHS Pharmacy Award Committee are reviewed to ensure that the nominee meets the selection criteria. The review process is anticipated to be completed within two weeks of receipt of the nomination packet. For approved nominations, the award and other materials will be sent to the contact person (Item D of the Checklist) provided by the pharmacy school or college prior to the award presentation date (Item C of the Checklist). Nominations that do not meet the criteria or lack sufficient information to determine if they meet the criteria, will be returned to the school or college. If sufficient time is available, the school or college may revise and resubmit the nomination.

AWARD

The award consists of a mounted certificate signed by the Chief Pharmacist of the U.S. Public Health Service.

AWARD PRESENTATION

Presentation of the award will be made by a representative of the U.S. Public Health Service. A PHS representative will contact the school or college's contact person to finalize presentation plans.

The student's nomination packet must be sent to the USPHS Pharmacy Award Committee at least 30 days prior to the presentation date and NO LATER THAT MAY 1, 2001.

Completed nomination packets should be mailed or faxed to:

CDR Kathleen Downs
Office of Emergency Preparedness
12300 Twinbrook Parkway
Suite 360
Rockville, MD 20852
Phone: (301) 827-7314
FAX: (301)-443-5146
kdowns@osophs.dhhs.gov

United States Public Health Service

Excellence in Public Health Pharmacy Practice Award

Fall 2000 - Summer 2001

Nomination Form

(PLEASE PRINT OR TYPE)

Student's Name: _______________________________________________________________

Address:________________________________________________________________

City:______________________________ State:______________ Zip:______________

Name of Pharmacy School/College: ________________________________________________

Students Degree Program: (Please circle one) BS or Pharm.D.

Student's Year of Graduation: (Please circle one) 2001 2002 2003 2004 2005 2006

Proposed citation: (25 words or less)

_____________________________________________________________________________

_____________________________________________________________________________

_____________________________________________________________________________

_____________________________________________________________________________

Nominated by: (Please type or print) ______________________________________________________

Nominator's Title: ______________________________________________________________

Street Address:_________________________________________________________________

City:________________________________ State:________________ Zip:________________

Work Phone Number: ___________________________________________________________

Nominator's Signature: _____________________________________ Date: ________________

For USPHS Pharmacy Awards Committee Use Only Date Received:________________________

Nomination: Approved Disapproved Date:___________ Committee Chair:______________________

 

United States Public Health Service

Excellence in Public Health Pharmacy Practice Award

Fall 2000 - Summer 2001

Nomination Narrative

Please DO NOT exceed the space provided below and DO NOT attach additional pages.

(PLEASE PRINT OR TYPE)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

_____________________________________________________________________________

 

United States Public Health Service

Excellence in Public Health Pharmacy Practice Award

Fall 2000 - Summer 2001

Checklist

Please check that the following items are complete before sending the student nomination packet to the USPHS Pharmacy Awards Committee:

(PLEASE TYPE OR PRINT)

Student's Name:_______________________________________________________________

Pharmacy School/College Name:__________________________________________________

A. Nomination Form:

1. Full name of student correctly spelled Yes ______

2. Citation of 25 words or less Yes ______

3. Nominator identified Yes ______

4. Nominator phone number listed Yes ______

5. School name Yes ______

B. Nomination Narrative:

1. Does the narrative correspond with the citation Yes ______

2. Meets one or more award criteria Yes ______

C. Presentation of Award

1. Date and Time of Presentation

Date award is to be presented:_____________________________________________

Time of presentation: ________________(AM, PM)

2. Location of presentation:

Street Address:_________________________________________________________

City: _________________________________ State:___________________________

Phone #: ______________________________________________________________

 

5

D. Contact person (Person that award will be sent to) at Pharmacy School/College:

Name: __________________________________________________________________

Title: ___________________________________________________________________

Street Address: ___________________________________________________________

City:________________________ State:_____________ Zip Code:________________

Phone #: ___________________________ Fax #:______________________________

E-mail address: __________________________________________________________
    1. Dean or Award Committee Chairperson's signature denoting official nomination of this student for the award:

______________________________ _______________________________

(Name, please type or print) Signature

Please send the nomination packet (checklist, nomination form, and nomination narrative) of the student selected for the USPHS Excellence in Public Health Pharmacy Practice Award to the Awards Committee at least 30 days prior to the presentation date and NO LATER THAN MAY 1, 2001.

Nominee packets may be mailed or faxed to:

CDR Kathleen Downs
Office of Emergency Preparedness
12300 Twinbrook Parkway
Suite 360
Rockville, MD 20852
Phone: (301) 827-7314
FAX: (301)-443-5146
kdowns@osophs.dhhs.gov