Please complete this form to nominate an individual for the
Dr. Ashok Muzumdar Memorial Award for Physicians with Disabilities (including learners).
This award shall be presented to a CMA member with a disability, whether physical, cognitive or psychological, who embodies the resilience demonstrated by Dr. Muzumdar and who has demonstrated outstanding leadership abilities in one or more of the following ways:
- advocating for and effectively influencing positive changes at the regional, national and/or international level for patients and/or physicians with disabilities
- encouraging and facilitating the development of more equitable supports (e.g., facilities, assistance or funding) for patients and/or physicians with disabilities
- acting as an effective role model and/or mentoring physicians and learners with disabilities
- improving the quality of care and enhancing the quality of life for people with disabilities
- educating the public regarding the many facets of disabilities
If you would like to nominate more than one individual, each nomination must be entered on a separate nomination form. To do this, simply click on the link to the nomination form from the award page again.
Click "Next" to proceed.
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