2025 MN Lifetime Achievement Award

2026 MN ACEP EM Lifetime Achievement Award

Nominator Information

Full Name

First Name

Last Name

MO/DO

Address

City/State/Zip

Phone Number

Email Address

Nominee Information:

Full Name

First Name

Last Name

MD/DO

Place of Employment

Title

Address

City/State/Zip

Phone Number

Email Address

Additional Information:

Nominee Attributes:

Excellence in Clinical Practice: Sustained record of outstanding patient care, professionalism, and clinical skill.

Excellence in Clinical Practice: Recognized by peers for clinical expertise and compassionate care.

Leadership and Vision: Held leadership roles (e.g., department chair, medical director, society officer) that advanced emergency medicine.

Leadership and Vision: Influenced institutional policy, systems of care, or emergency preparedness.

Leadership and Vision: Advocated for the specialty at local, state, national, or international levels.

Service to the Community and Profession: o Made meaningful contributions to public health, disaster response, or humanitarian work.

Service to the Community and Profession: Served in leadership or volunteer roles in professional organizations: Served in leadership or volunteer roles in professional organizations.

Service to the Community and Profession: Demonstrated advocacy for patients and for the evolution of emergency medicine as a specialty.

Tell us why you are nominating this individual for the Lifetime Achievement Award?

0 of 1000 max words

Please provide any background information that may be beneficial to the nominee (limit of 1,000 words).

A CV must be submitted with the nomination. Upload it here:

Maximum file size: 516MB

Please upload the nominee’s CV along with additional information (up to 5 documents total), letters of recommendation (at least one letter of recommendation is required), and other items, such as news articles, video links, webinars, websites, etc., that you would like to submit with your nomination. If a curriculum vitae is unavailable for the applicant, we will accept a summarized work history in a document. Additionally, highlighting the applicant’s work history within the supporting materials is also considered acceptable. Contact Sarah Luebbert, exec@mnacep.org, if you need assistance with the upload process.

If you are human, leave this field blank.