Distinguished Contribution in Shoulder and Elbow Surgery Award Nomination Form – International Board of Shoulder and Elbow Societies (IBSES)

Distinguished Contribution in Shoulder and Elbow Surgery Award Nomination Form

The IBSES Distinguished Contribution in Shoulder and Elbow Surgery Award recognizes a living surgeon who has made sustained and meaningful contributions to the field of shoulder and/or elbow surgery and has achieved international recognition among their peers. Nominations must be submitted by a recognized national or international shoulder and elbow society and received no later than six months prior to the triennial ICSES meeting.

NOMINEE INFORMATION

Name

First

Last

Degrees/Titles

Institution

Country

Primary Area

Shoulder
Elbow
Shoulder & Elbow

nominee’s in SOCIETY

NOMINATING SOCIETY

Society

Submitted by

Position/Title

BASIS FOR NOMINATION

Please briefly describe the nominee’s most important contributions to shoulder and/or elbow surgery.

Consider contributions through scholarship, education, clinical innovation, leadership, or advancement of the specialty.

Please describe the nominee’s involvement with ICSES.

Examples may include attendance, scientific presentations, service as a moderator or faculty member, named lectureships, or other meaningful participation.

Why does your society believe this individual should receive the IBSES Distinguished Contribution in Shoulder and Elbow Surgery Award?

SUPPORTING MATERIALS

Please submit the following with this nomination:

Nominee’s current curriculum vitae

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One-page nomination/support letter

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From the nominating society