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 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. Last year more than 100+ PHS pharmacists were directly involved in response efforts after the attack on the World Trade Center, the Pentagon, and at the site of the plane crash in Somerset County, Pennsylvania; as well as participating in the mass antibiotic prophylaxis campaigns in Washington D.C. and New York after potential anthrax exposures.
As
part of our effort to encourage pharmacy students and pharmacists to become
more involved in public health, the Pharmacist Professional Advisory Committee
is proud to announce the United States Public Health Service Excellence in
Public Health Pharmacy Practice Award.
Attached are directions for the Award Process, Nomination forms and Checklist. Identification and selection of the nominee is the responsibility of each pharmacy school. We request that you complete the nomination packet and return it by the deadline of January 31, 2003 to allow time for processing and preparation. The final selection will be conducted by the USPHS Awards Committee. The selection process will be a limited competitive process.
I hope that you will be able to participate in our award program and ask that you respond at your earliest convenience. If you have any questions about the awards program, please contact LTJG Kristen Maves at 907-729-2159 or via email at klmaves@anmc.org.
Thank you again for your help in identifying pharmacy
students deserving of recognition for efforts in public health pharmacy.
United States Public Health Service
Excellence in
Public Health Pharmacy Practice Award
Fall 2002 – Spring 2003
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?
The nomination may be made Pharmacy School or College Dean, Awards Committee, Faculty Member, ASP President, or other student pharmacy organization. The final award nomination must be made through the Pharmacy School or College’s Dean or Awards Committee.
1.
Nomination form containing a brief citation
(25 words or less) suitable for public occasions.
2.
The
nomination narrative must be no
longer than two typed page, single spaced, and no smaller font than pitch 12. (Do not send letters of
recommendation, CVs, or other supporting materials.)
3.
Checklist – to be completed to ensure
the nomination packet is complete.
Nominations
must be reviewed competitively by the Dean or School Awards Committee. They
should be evaluated to determine the extent to which the student demonstrated:
1.
Development
and implementation of programs that advance the goals stated in “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:
-
Education
programs on effects of smoking or programs aimed at reducing the sale of
tobacco to children under the age of 18
-
Education
on adverse effects of lead poisoning or screening for lead toxic levels
-
Drug
abuse prevention
-
Chronic
disease or cancer screening
-
Immunization
surveys
-
Sexually
transmitted disease education
2.
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 2010”.
3.
Accomplishments
of a single outstanding act of significant benefit to a medically undeserved
community. Examples could be serving in an inner-city health clinic or
renovation of a health clinic in an underserved area.
4.
Contributions
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.
5.
Providing
outstanding leadership and participation in recruitment, placement, or training
activities that effectively foster the team approach in patient care.
The
publication “Healthy People 2010” is available in most medical libraries. (Full Report, stock no. 017-001-00474-0 or
Summary Report, stock no. 017-001-00473-1 is available through the
Superintendent of Documents, Government Printing Office, Washington, DC
20402-9325, phone 202-783-3238). The web site is http://www.odphp.osophs.dhhs.gov/pubs/hp2000/.
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.
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. Award
recipients will be selected by the Public Health Service Pharmacist
Professional Advisory Committee’s Awards Committee. For selected 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).
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 and proposed date of presentation of the
award.
The student’s nomination packet must be sent to the USPHS Pharmacy Award
Committee NO LATER THAN JANUARY 31, 2003. Completed
nomination packets should be mailed to:
LTJG Kristen Maves Phone #: 907-729-2159
USPHS Pharmacy Awards Committee
4320 Diplomacy Drive, Suite 1710 E-mail:
klmaves@anmc.org Anchorage, Alaska 99508
United States Public Health Service
Excellence in
Public Health Pharmacy Practice Award
Fall 2002 – Spring 2003
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 criterion? Yes _______
2. Meets
one or more award criteria Yes _______
C.
Presentation
of Award
Date award is to be presented: ______________________________________________
Time of presentation: _________________(AM, PM)
2.
Location of Presentation
Street Address:
_________________________________________________________
City: _________________________________ State: __________________________
Phone #:
______________________________
D.
Contact Person (Person that the award will be sent to) at Pharmacy
School/College:
Name:
______________________________________________________________
Title: _______________________________________________________________
Street Address:
_______________________________________________________
City: _________________________________ State:
________________________
Phone
#: ______________________________ Fax
#: _________________________
E-mail Address:
______________________________________________________
D.
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 NO LATER THAN JANUARY 31, 2003.
Nominee packets may be mailed to:
LTJG Kristen Maves
USPHS Awards Committee
4320 Diplomacy Drive
Anchorage, Alaska 99508
Phone-907-729-2150
Email-klmaves@anmc.org
United States Public Health Service
Excellence in
Public Health Pharmacy Practice Award
Fall 2002 – Spring 2003
(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) 2002 2003 2004 2005
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: ___________
Nomination: Approved Disapproved Date:
____________ Committee Chair: ________
Unites States Public Health Service
Excellence in
Public Health Pharmacy Practice Award
Fall 2002-Spring 2003
Please DO NOT exceed the space provided below and DO NOT attach additional pages.
(Please Print or Type)