INSTRUCTIONS FOR NOMINATED OFFICERS

  1. Please complete and return the blank position statement template using the example provided below
  2. Please supply a photo headshot in e-mail format
  3. Complete and return Conflict of Interest Form
  4. In order for your nomination to be complete:
  • E-mail Position Statement, Conflict of Interest Form and Headshot by APRIL 15th 2014 to:

Attn: Nominating Committee

Karen S. Weeks PT MPT WCS CLT

Nominating Committee Chair

POSITION STATEMENT TEMPLATE FOR NOMINATED OFFICERS

Section on Women’s Health

American Physical Therapy Association

500 WORDS MAXIMUM

(Outline format is acceptable except for final question.)

Name / Jane Doe
Position for which you are nominated / Secretary
Education / B.S. in Kinesiology Angel University 2001; M.S. Gramercy University 2003; Ph.D. in Physical Therapy, America University, 2005
Certifications / OCS 2006, CAPP 2007, Certified Strength and Conditioning Specialist 2006
Current Practice / Faculty Member, US University. Physical Therapy Curriculum primarily instructing orthopedics and women’s health. Clinical practice at a hospital based outpatient department seeing patients with pelvic floor dysfunctions.
Employment / 10 years in clinical practice. Started in general acute care for 2 yrs and moved to OP orthopedic setting next 5 years. Women’s health in OP setting for last 7 years.
Professional Contributions, for example, speaking, teaching, # of peer-review publications, etc. (150 words or less) / Contributed as a writer to the Gynecological Manual. Assisted with the development of the Section on Women’s Health marketing brochures. Two interviews published in ADVANCE regarding the role of physical therapy in the treatment of urinary incontinence. Several interviews on radio and TV regarding women’s health physical therapy in my home town.
Professional Awards / Volunteer of the Year, Section on Women’s Health 1999
Previous Involvement in the SoWH / PR chair 1994-97; won national awards two of three years for marketing brochures for women’s health diagnoses; Director of Practice 1998-2001. My primary contribution was towards refining the Sections position statement on Breast Exam by Physical Therapists. As a Section volunteer, I was a State Representative (Utah) and also served as a cub reporter.
Previous Involvement in the APTA or
State Chapter or Sections / Chief Delegate, Texas Chapter, House of Delegates, 1999-2002.
Delegate, Texas Chapter, House of Delegates, 1993-4.
Secretary, Texas Chapter, APTA, 1998-1999
Why are you running for this position? (250 words or less) / I have been involved in women’s health clinical practice for over 7 years and have served the Section in a variety of ways. As Secretary, I would be more intimately involved with moving the Section’s strategic vision forward. I am particularly interested in assisting with realizing the Sections vision for specialization via ABPTS. I am also hard working and have good organizational ability and attentiveness to detail. These qualities are desirable in a Secretary in terms of keeping the archives and documents for the Section in good order. As a front-line clinical therapist, I also understand some of the tools that a clinician would need in women’s health, specifically, ready-to-use marketing flyers and documentation tools. I would like to bring these issues to the Board and play a leadership role in getting these tools out to the membership.

POSITION STATEMENT TEMPLATE FOR NOMINATED OFFICERS

Section on Women’s Health

American Physical Therapy Association

500 WORDS MAXIMUM

(Outline format is acceptable except for final question.)

Name
Position for which you are nominated
Education
Certifications
Current Practice
Employment
Professional Contributions, for example, speaking, teaching, # of peer-review publications, etc. (150 words or less)
Professional Awards
Previous Involvement in the SoWH
Previous Involvement in the APTA or
State Chapter or Sections
Why are you running for this position? (250 words or less)

11/14/12 CJP