SECTION ON BIOETHICS
2016 William G. Bartholome Award for Ethical Excellence
Nomination Form
Nominations are being sought for an award to recognize an individual impacting public discussion of
ethical issues in pediatric medicine. The award will be presented to a Fellow of the American
Academy of Pediatrics (FAAP) or another individual who has made a significant contribution to
the field.
The award recipient will receive a plaque, honorarium, and reimbursement for expenses to attend the
Section on Bioethics program at the AAP National Conference and Exhibition. The recipient will be
asked to briefly address the members of the Section on Bioethics at the time of the award
presentation.
Please complete the information requested below, and provide a one-page, double-spaced
explanation of why the nominated individual is deserving of the award, along with a curriculum
vitae or biographical data. No more than two letters of support will be accepted from individuals
familiar with the nominee’s work. It is imperative that the letter contain specific examples of why
the nominee meets the criteria for the award. For a list of past winners visit: https://www.aap.org/enus/about-the-aap/Committees-Councils-Sections/Council-on-sports-medicine-andfitness/Pages/Shaffer-Award.aspx
To be considered for the 2016 award, nominations and supporting materials must be received by
December 30, 2015. Nominations should be emailed to aemanuel@aap.org or faxed to the
attention of Anjie Emanuel at the American Academy of Pediatrics at 847/434-8000. If you
have any questions, please feel free to contact Anjie at 800/433-9016, ext. 4979 or
aemanuel@aap.org. Thank you for your input.
Brenda Jean Mears, MD, FAAP
Chairperson
Section on Bioethics
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