Submit Publication for Academic Excellence

If you do not have all details needed to complete the form, note that you can save your progress and continue later.

Submissions for the 2024 Academic Award are now closed.

Winners will be announced at the CommonSpirit Health
Physician Enterprise Virtual Leadership Summit in May 2024.

Your Information:

* indicates required fields

to see how we may share your nomination.

If you would like to save and continue the nomination later, please click the 'Save and Continue Later' button at the bottom of the form.
This will display a page with the link to use to continue your submission.
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Without this link it is not possible to resume your submission.

Your Name*

Today's Date*

Your email address*

Your phone number*

Are you a Resident or Fellow Physician*

Yes

Credentials (if applicable, ie: MD, DO, NP, PA)

Your Submission:

Author(s) Name*

Lead Author/Principal Investigator*

Author email address*

Author phone number*

Medical group or academic institution*

Location*

Author state*

Article title*

Publication Venue or Journal*

Date published*

Upload article here (.pdf only)*

Accepted file types: pdf, Max. file size: 50 MB.

Award Category*

Click Here for a description of the categories.

Please provide a high level executive summary of article in 100 words or less*

Please Summarize Relevance to Patient Care (50 word count recommended)*

Name

This field is for validation purposes and should be left unchanged.