Fernando Arévalo Young Ophthalmologist Award Nomination Form

Application submission deadline: December 1, 2022

The Fernando Arévalo Young Ophthalmologist Award is $2,500. It will be presented at the 35th Pan-American Congress of Ophthalmology in Buenos Aires, Argentina, in March 2023. The awardee will be recognized at the Congress Opening Ceremony and give a mini-lecture as part of the Pan-American Congress.

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If you have any questions, please contact the Administrative office (817-275-7553 or info@paao.org) Please download this PDF for the complete information and instructions concerning this award.

Nomination Qualifications

1. The nominee should be an MD, no more than 40 years old.
2. The nominee should reside in the Americas, Spain, or Portugal
3. The nominee should be a current Active Member of the Pan-American Association of Ophthalmology at the time of the nomination.
4. The nominee should have demonstrated promise in academics.
5. The nominee should have published/presented relatively extensively for their age.
6. The nominee should have participated in leadership activities at the national and subspecialty society level or supranational society level.

Exclusions: No self-nominations shall be accepted. Optometrists, corporate employees, and family members of PAAO and PAOF Board of Directors may not be nominated for this award.

 

Nomination Materials

All nominations and materials must be submitted through the paao.org website. Preferred language: English.

    1. Completed nomination form including a description of the characteristics of the nominee (maximum 500 words)
    2. Minimum of three (3) letters of reference;
    3. CV in English of the nominee including photo, training information (medical degree: where and when; residency: where and when; fellowship(s): where and when), surgical experience (type and number of surgeries performed as both primary surgeon and assistant surgeon), and publications.

Please do not send videos, DVDs, books or published papers, or similar presentations. All submitted materials become the property of the Pan-American and cannot be returned. Failure to submit all requested materials can result in a delay in the review of the nomination.

General Criteria for Selection
The award may be given to individuals who have demonstrated excellence in academics caring and service in their home community above and beyond what is required or expected. Examples of such contributions could include outreach to under-served populations, focusing on efforts to address health care disparities, initiation of educational programs geared to patients, or design of community-based programs which emphasize compassion and quality care.

Fernando Arévalo Young Ophthalmologist Award Nomination Form

Award Nomination Form

NOMINEE INFORMATION

Nominee Name(Required)
MD, PhD, etc.
Nominee Address(Required)
Nominee Birth Date(Required)

NOMINATOR INFORMATION

Nominator Name(Required)
MD, PhD, etc.
Address(Required)

Nomination Materials

  1. Description of the characteristics of the nominee (500 word max)
  2. Minimum of three (3) letters of reference
  3. CV in English of the nominee including photo, training information (medical degree: where and when; residency: where and when; fellowship(s): where and when), surgical experience (type and number of surgeries performed as both primary surgeon and assistant surgeon), and recent publications
Why are you nominating this person?
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      All travel and housing expenses shall be paid by the awardee. All tax liabilities (if any) shall be paid by the awardee unless otherwise required by law, in which case the taxes will be withheld from the award.

      The awardee shall be required to submit to the Pan-American a full report and a copy of the Pan-American Congress
      presentation.