Program Coordinator Nomination Form | UAMS Graduate Medical Education

The UAMS College of Medicine Graduate Medical Education Office is seeking nominations for the GME Educator Award for Program Coordinators. The submission deadline for this award is Monday, February 24, 2025 at 5:00 p.m. Central. The GME Educator Award for Program Coordinators will be awarded to an individual that demonstrates significant contributions to the graduate medical education community. This category refers to the individual who supports the program director, manages the day-to-day operations of the residency or fellowship program, and is actively involved in the ACGME functions of the program.

Eligibility Requirements

Program coordinator for an ACGME-accredited residency or fellowship program.
Program has a status of Continued Accreditation.
Individual has at least three years total experience as a program coordinator (may combine program coordinator experience from other institutions/programs) at the time of nomination submission.

Criteria for Selection

Nominees must:

meet eligibility requirements
demonstrate significant contributions to the graduate medical education community and proven excellence in the following areas:
- communication and interpersonal skills with internal and external constituents
- understanding of and facilitating excellence in program’s ACGME accreditation processes
- organizing and coordinating activities needed to promote program excellence
- personal lifelong learning, leadership, and mentorship of others

Nomination Instructions

Three components are required for nomination:

A completed nomination form.
Signed letters of support (each letter is limited to 500 words or less).
A current resume/curriculum vitae.

About the Letters of Support

The letters must state the reasons for the nomination and provide concrete examples of how the nominee fulfills each of the criteria outlined above, including significant contributions to graduate medical education.
Letters should be addressed to the Selection Committee.
Comments from a group (faculty members, residents, etc.) should be compiled into one group letter.
Required Letters of Support: Program Director and Current Resident
No more than three letters of support for each nominee will be accepted.

Nominator Contact Information
Nominator Name * Required
First Last Suffix
Nominator Work Address * Required
Street Address Slot# City State ZIP Code
Nominator Phone Number * Required
Nominator Email * Required
Nominee Contact Information
Nominee Name * Required
First Last Suffix
Nominee Work Address * Required
Street Address Slot# City State ZIP Code
Nominee Direct Phone Number * Required
Nominee Email * Required
Nominee's current Resume/Curriculum Vitae * Required
please upload as PDF
Accepted file types: pdf, Max. file size: 15 MB.
Specialty for which the program coordinator is responsible: * Required
Current Accreditation Status (Please list ACGME citations, if applicable): * Required
Total number of years as a program coordinator (must have three or more years of experience at the time of nomination submission): * Required
Currently a member of a program coordinator association? * Required
Not all specialties have a program coordinator association. If yes, please specify which association, role, and number of years as member.
- Yes
- No
Association Name
Association Role
Number of years as member?
Currently TAGME certified? * Required
- Yes
- No
Expiration Date of TAGME certification
MM slash DD slash YYYY
Letters of Support
Letters must be 500 words or less. Please refer to Criteria for Selection section above.
Program Director's Name * Required
First Last Suffix
Program Director's Title
example: Pediatric Residency Program Director, Associate Professor of Adolescent Medicine
Program Director Letter of Support * Required
please upload as PDF
Accepted file types: pdf, Max. file size: 15 MB.
Current Resident/Fellow Name * Required
First Last Suffix
Resident/Fellow's Current PGY
Resident/Fellow Letter of Support
please upload as PDF
Accepted file types: pdf, Max. file size: 15 MB.
Optional Letter of Support Name
Can be from any of the following: Program Coordinator Organization Officer, Core Faculty Member, Program Evaluation Committee Member, Clinical Competency Committee Member
First Last
Optional Letter of Support Title
Other Letter of Support
please upload as PDF
Accepted file types: pdf, Max. file size: 15 MB.
File
Max. file size: 15 MB.

Eligibility Requirements

Criteria for Selection

Nomination Instructions

About the Letters of Support

Nominator Contact Information

Nominee Contact Information

Letters of Support