2023 GHHS RESIDENT/FELLOW NOMINATION FORM

Gold Humanism Honor Society resident and fellow chapters recognize and honor residents and fellows who:

The UB Resident/Fellow GHHS Chapter will give priority to peer nominations from resident and fellow colleagues, but will also consider nominations from program directors and faculty.

Induction into GHHS is both an honor and a call to service. Residents and fellows considered for induction must have at least one year remaining in their residency or fellowship program, which enables participation in GHHS activities in the upcoming academic year. Exceptions will be considered for programs that are only one year in length.

Residents and fellows inducted into the GHHS will agree to:

Thank you for taking the time to nominate a deserving resident/fellow today.

With sincere gratitude,
Gregory Cherr, MD; Peter Martin, MD; Roseanne Berger, MD; Susan Orrange, PhD
GHHS Faculty Advisors

Induction Form Fields (Required)

Resident or fellow name who you are nominating to be considered for membership in the UB GHHS Resident/Fellow ChapterResident or fellow name who you are nominating to be considered for membership in the UB GHHS Resident/Fellow Chapter
Program of above nominee
PGY of above nominee
Description of humanistic behaviors and actions that inspired you to nominate this person (350 word limit). Nominations should contain details of humanistic behaviors and actions as described above
Your name (nominator)
Your program
Your title (eg. PGY 2 resident, PGY 5 fellow, program director)