Chapter of the Year Award
Sponsor:
Deadline: June 30
Selection of the Chapter of the Year will be determined based on the information provided below.
PURPOSE:
The Chapter of the Year Award emphasizes the dissemination and implementation of the current
Clinical Practice Guidelines (Guidelines). This award recognizes a Chapter that demonstrates
initiative and innovation in the implementation of Guidelines’ into practice. The chapter will
receive $1,000.00 and a commemorative plaque that will be presented at the Diabetes
Canada/Canadian Society of Endocrinology & Metabolism (CSEM) Annual Professional
Conference.
Chapter Name: _______________
____________________
Province:
CHAPTER EXECUTIVE LIST (ALL Executives must be Diabetes Canada Professional Members who
have currently paid their annual dues:
Chapter
Position
Position
Term
Name
Phone/Email
Chapter Membership:
Number of PAID Diabetes Canada Professional Section Members as of September 1 of the
previous year:
Total number of members as of June 30:
Chapter Activities:
1. Meetings:
Please fill out the following (point form is acceptable). If you have additional information
such as photos, brochures, etc., you may include them in a separate document.
Meeting
Dates
# of attendees
Location
Agenda/Topic
s/
Highlights
1
Member
s
NONmembers
Purpose of
Meeting
Briefly summarize below the Chapter’s activities and achievements regarding the promotion of
the key messages from the Guidelines’ and that have led to their implementation into practice.
Identify both barriers as well as successes of chapter members in meeting the objectives of their
plan.
1. One Chapter meeting will be dedicated to viewing the video presentation of The Essentials
located on the Guidelines website and to discussing the implementation of the 5 Key
Message tools and information in their practice/programs.
a. Copy of meeting agenda and attendance documentation required
2. Define steps to inform and train colleagues on the Guidelines tools for use at point of care
in diabetes education programs and individual practices:
a. Screening and diagnosis of diabetes: (identification of people who have diabetes
and don’t know about it – how do we find them and how do we diagnose them
appropriately?)
b. Blood glucose lowering: (lowering blood sugars reduces the risk of health problems
in the long term and involves both lifestyle and medications – how do we
individualize the choices on how to lower blood sugars based on the “best fit” for
our patients)
c. Cardiovascular risk: (people with diabetes are at higher risk for heart attack and
stroke – how do we help and promote strategies for reducing this risk?)
d. Team care/organization of care: (health-care teams and systems need to be
organized to provide optimal care for the person living with diabetes – how can we
promote and improve this?)
e. Self-management education: (people living with diabetes are in charge of their
chronic disease management – how can the health-care team provide the
knowledge and tools along with the coaching and support needed to empower them
to become good managers of their diabetes?)
Describe Chapter activities and achievements by using the three headings below:

Chapter plan for implementation:
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
Summary of successes/roadblocks:

Description of changes in practice:
2. Does your Chapter have any goals in relation to diabetes education and practice within
your community? Have any of these activities been in partnership with your local Diabetes
Canada office? If yes, please provide a brief description of the activities.
3. What has your Chapter done over the past year to maintain or grow membership?
4. What are the Chapter’s plans for celebrating the upcoming Diabetes Educators Day?
5. Did your chapter celebrate the previous Diabetes Educator Day? If yes, please provide a
brief description of the activities.
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6. Would your Chapter like to be considered for a visit by the Educator of the Year?
Y ☐ or N ☐
Completed application forms must be received by June 30 at Diabetes Canada National Office by
email at [email protected] (be sure to put in the subject line which award
you are applying for) or by mail to:
Professional Membership and Projects Coordinator
Diabetes Canada
1400-522 University Ave.
Toronto, ON
M5G 2R5
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