2025 Nomination Form

Criteria and Nomination Instructions

The Daniel Drake Medal is the highest recognition the College of Medicine can bestow on its former students, faculty, and residents or current faculty. It is awarded to living individuals who have been associated with the College of Medicine at present or in the past. Nominees are evaluated on the basis of outstanding scholarly achievements in biomedical science as evidenced by major significant contributions to medical research and/or a distinguished career as a clinician-teacher. Generally, two awards are given annually.

To be eligible, a nominee must meet one of the following criteria

• Be a graduate of the University of Cincinnati College of Medicine
• Have received a Ph.D. degree from one of the programs of the College of Medicine
• Have been a member of the College of Medicine faculty for five or more years
• Have completed a residency or fellowship in a College of Medicine program sponsored by the University of Cincinnati Medical Center or Cincinnati Children’s Hospital Medical Center

Each nomination should include

• A nomination letter which indicates as specifically as possible the accomplishments of the candidate
• A completed nomination form further describing the candidate’s attributes
• A copy of the nominee’s curriculum vita Supporting external letters of recommendation (at least 2 but no more than 5) concerning the candidate
• The candidate’s NIH biosketch

In judging nominees, importance will be given to recognition by prestigious professional societies and other national or international organizations of an individual’s unusual and productive talents and the impact of his/her contributions, not only on the strength and reputation of the College of Medicine, but on basic and clinical health-related research generally in the United States and internationally.

The committee also will be considering those who have been nominated in the past who have not received the award. If you will be nominating someone who has been previously nominated, please submit an updated nomination letter.

Deadline

Nominations are being solicited from members of the College of Medicine faculty, alumni, emeriti, past Daniel Drake medalists, and former associates of the College through Tuesday, December 31, 2024. Shortly after the close of nominations, there will be a review of all nominees received by the Selection Committee. After consideration of the nominees, the Committee will recommend several candidates to the Dean, who makes the final decision. Medal recipients will be notified by the Dean and will receive their medals during the annual Daniel Drake event.

Daniel Drake Medal Nominee Form

Nominee's Name

Current Address

Years of Nominee's Affiliation With the UC College of Medicine

Status During the Affiliation with UC College of Medicine (e.g., faculty member with department and rank, student, resident, etc.)

Contributions Upon Which the Nominations is Based:

Please be as specific as possible by considering the following categories and weighing them on a 0 (none) to a 5 (most) designation. It is unlikely that any one nominee will have achievements in all categories. Since there is great variation in quantitative information available in curriculum vitas, your category for weighting will help the Selection Committee compare candidates based on their individual strengths:

For Clinician-Teacher Award – Rank (0-5)

Leadership role in medical or graduate school courses

• 0 (Lowest)
• 1
• 2
• 3
• 4
• 5 (Highest)

Leadership role in resident training

• 0 (Lowest)
• 1
• 2
• 3
• 4
• 5 (Highest)

Nationally recognized participant in educational development or health/policy

• 0 (Lowest)
• 1
• 2
• 3
• 4
• 5 (Highest)

Teaching and other (educational) national awards

• 0 (Lowest)
• 1
• 2
• 3
• 4
• 5 (Highest)

Leadership role in national societies for medical education and practice

• 0 (Lowest)
• 1
• 2
• 3
• 4
• 5 (Highest)

Publications in medical journals

• 0 (Lowest)
• 1
• 2
• 3
• 4
• 5 (Highest)

Authored books and chapters

• 0 (Lowest)
• 1
• 2
• 3
• 4
• 5 (Highest)

Service on certifying and/or licensing boards

• 0 (Lowest)
• 1
• 2
• 3
• 4
• 5 (Highest)

Leadership role in department (Director or Chair)

• 0 (Lowest)
• 1
• 2
• 3
• 4
• 5 (Highest)

Involvement in teaching medical students and residents

• 0 (Lowest)
• 1
• 2
• 3
• 4
• 5 (Highest)

Distinguished clinical (referrals, consults, etc.) activities

• 0 (Lowest)
• 1
• 2
• 3
• 4
• 5 (Highest)

Other(specify)

For Biomedical Investigator Award – Rank (0-5)

Impactful publications in scientific journals

• 0 (Lowest)
• 1
• 2
• 3
• 4
• 5 (Highest)

Impactful authored biomedical books and chapters

• 0 (Lowest)
• 1
• 2
• 3
• 4
• 5 (Highest)

Grants/Contracts - research support as principal investigator

• 0 (Lowest)
• 1
• 2
• 3
• 4
• 5 (Highest)

Scientific or other national awards

• 0 (Lowest)
• 1
• 2
• 3
• 4
• 5 (Highest)

Invited speaker: National and International meetings

• 0 (Lowest)
• 1
• 2
• 3
• 4
• 5 (Highest)

Service on NIH, NSF and foundation grants review and scientific advisory boards

• 0 (Lowest)
• 1
• 2
• 3
• 4
• 5 (Highest)

Leadership role in national scientific organizations

• 0 (Lowest)
• 1
• 2
• 3
• 4
• 5 (Highest)

Nationally recognized participant in scientific development or health/policy

• 0 (Lowest)
• 1
• 2
• 3
• 4
• 5 (Highest)

Leadership role in medical or graduate school courses

• 0 (Lowest)
• 1
• 2
• 3
• 4
• 5 (Highest)

Graduate students (MS and Ph.D.) as major advisor

• 0 (Lowest)
• 1
• 2
• 3
• 4
• 5 (Highest)

Leadership role in department (Director or Chair)

• 0 (Lowest)
• 1
• 2
• 3
• 4
• 5 (Highest)

Involvement in teaching medical/graduate students and/or residents

• 0 (Lowest)
• 1
• 2
• 3
• 4
• 5 (Highest)

Other(specify)

Please send your letter of nomination, the nominee’s CV, letters of recommendation (at least 2 but no more than 5) and NIH biosketch, along with this completed form.

Upload Supporting Documents

Nominee's CV

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Letter of Nomination

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Other

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Other

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Name of the Nominator

Street Address

City

State

Zip Code

Daytime Phone Number (With Area Code)

Email Address

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