CALIFORNIAACADEMYOFFAMILYPHYSICIANSFOUNDATIONANNUALAWARDSandPASTRECIPIENTS

AwardforEducationalExcellenceinHonorofBarbaraHarrisThisawardrecognizeseducationalexcellenceinthefieldoffamilymedicine.TheBarbaraHarrisAwardwasestablishedin1984tohonorthelateMs.Harris,aformerExecutiveDirector.Theawardwasrenamed,withanenhancedfocus,in1996.TheAwardforEducationalExcellenceinHonorofBarbaraHarrishighlightsachievementsineducation,afieldveryimportanttoMs.Harris.Oneindividualwillbehonoredannuallywiththisaward.TheawardispresentedtoanindividualworkinginCaliforniawhodemonstratesexcellenceinadvancesineducationinthefieldoffamilymedicine;familymedicineteachinginmedicalschools,residencyprogramsand/orpost-graduateCME.TherecipientshouldalsobeactivelyengagedinCAFPeducationalinitiatives,fromclinicaltopracticetransformationtoadvocacy.1984 RansomB.Turner,MD1985 MerrillWerblin,MD1986 JohnCrivaro,MD1987 EdwardNeal,MD1988 HarrisonMcCandless,MD1990 RichardBarnett,MD1991 StephenBrunton,MD1995 HughUpton,MD1997 JohnDervin,MD1998 GeorgeKent,MD1999 AlexSherriffs,MD2000 JimmyHara,MD2001 FrancescaTaylor,MD

2002 EllenBeck,MD2003 TimMunzing,MD2004 MarianneMcKennett,MD2005 MargaretMcCahill,MD2006 MichaelPrislin,MD 2007 PeterSommers,MD2008 SusanMelvin,DO2009 CarolHavens,MD2010 CeceliaGutierrez,MD2011 J.DennisMull,MD2012 DavidE.J.Bazzo,MD2013 ThomasBent,MD2014 LaurenSimon,MD,MPH2015 JoMarieReilly,MD

AwardforExcellenceinFamilyMedicineResearchOurresearchrecognitionawardwillidentifyoneindividualwhoexemplifiesexcellenceinfamilymedicineresearchthroughtheirownstudies,orthrougheffortstopromoteandsupportresearchinfamilymedicine.Recognizingsuchanindividualsetsastandardofexcellenceandprovidesapositiveandinspiringexampleforotherstofollow.Oneindividualwillbehonoredannuallywiththisaward,assumingqualifiednomineesarereceived.TheawardispresentedtoanindividualworkinginCaliforniawithaprovenrecordofsupportingandpromotingresearchinfamilymedicine,encouragementandmotivationtootherstobecomeresearchersandparticipationinfamilymedicineresearch.2001 LillianGelberg,MD,MSPH2002 TedGaniats,MD2004 KevinGrumbach,MD2006 MichaelRodriguez,MD,MPH2007 DavidFolsom,MD2010 MimiTarn,MDPhilanthropistoftheYearAwardAfullyintegratedrecognitionprogrammovesthedonoralongapathofheightenedawarenessandinvolvement.Ourpremierrecognitionprogramistheidentificationofoneindividual(orcouple)whoexemplifiesthespiritofphilanthropythroughextraordinarysupportoffamilymedicine.Recognizingsuchanindividual(orcouple)setsastandardofexcellenceandprovidesapositiveandinspiringexampleforotherstofollow.Oneindividual(orcouple)willbehonoredannuallywiththisawardofexceptionalgenerositywho,throughdirectfinancialsupport,hasdemonstratedoutstandingcivicandcharitableresponsibility,andwhosegenerosityencouragesotherstotakephilanthropicleadershiprolesonacommunity,stateand/ornationallevel.2000 Dr.andMrs.NorbertHillecke2001 DanaWare,MD2002 JohnCrivaro,MD2004 RonaldBangasser,MDandSusanBangasser,PhD2006 YushuJackChou,MD2010 JimmyHara,MD

CAFPFoundationResidentoftheYearIn2010,theCAFPFoundationbestoweditsfirstResidentoftheYearAwardtoaresidentwhorepresentsthefinestcharacteristicsoffamilymedicine,includingacommitmenttoleadership,communication,mentorshipandadvocacy.ThewinnerofthisawardisselectedbytheCAFPFoundation,withinputfromtheMedicalStudentandResidentAffairsCommitteebasedonnominationspresentedbytheMedicalStudentandResidentLeadershipCouncils.2010 VeronicaJordan,MD2011 AshbyWolfe,MD,MMP2012 AlishaDyer,DO,CharleneHauser,MD,MPH,andRandiSokol,MD,MPH2013 RaulAyala,MD2014 DanielPio,MD2015 AaronEdelstein,MDCAFPFoundationPreceptoroftheYearIn2013,theCAFPFoundationfoundedthePreceptoroftheYearawardtocelebratethemanyfamilyphysicianswhotakemedicalstudentsandresidentsintotheirpractices,andintotheirlives.Thisawardhonorsmorethanthe“rotation”encounter;itcelebratesthetimeandcommitmentourpreceptorsandmentorgivetothefutureofourspecialty.

2013 Alex[Sandy]Sherriffs,MDandJoanRubinstein,MD2014 ThomasBent,MD2015 StephenLin,MD

CALIFORNIAACADEMYOFFAMILYPHYSICIANSFOUNDATIONANNUALAWARDSNOMINATIONS

PleasereturnthisformandaccompanyingmaterialsnolaterthanFebruary15,2016to:ShellyRodrigues,CAFP-F,1520PacificAvenue,SanFrancisco,CA94109,fax:415-345-8668oremail:srodrigues@familydocs.org Yourname: Yourphone: Youremail: I’mpleasedtonominatethefollowingindividualfora2016CAFP-FAward!Name: Position/Title: Organization(ifappropriate): Address/C/S/Z: Phone: Fax: Email: Award(checktheappropriateaward)

o AwardforEducationalExcellenceinHonorofBarbaraHarris o AwardforExcellenceinFamilyMedicineResearcho AwardforPreceptoroftheYear

PleasereviewthecriteriaforsubmissionintheAwardsDescriptionandsendtherequiredelementswithyournomination.

1. NominationLetter:Includeadescriptionofwhyyouarenominatingtheindividualandwhatinparticular,makesthenomineedeservingoftheaward.

2. LettersofSupport(2minimumand5maximum):Trytoobtainlettersofsupportfromstudents,

colleagues,membersofthecommunityand/orothersdirectlyinvolvedinthenominee’sendeavors.

3. Nominee’sCurrentCVandPhoto(digital):Abriefsummaryissufficient.Maximum10pages!