PLDP application form

PLDP application form

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The completion of this application form indicates your interest and commitment to the Physician Leadership Development program for 2022-23 (Cohort #5).

This program requires a considerable time commitment from participants. In addition to the six learning modules, participants are required to participate in the following:

  • 1.5 hour virtual kick-off prior to Module 1
  • A 360-degree feedback assessment prior to Module 1
  • Five, one-hour individual coaching sessions over the course of the program
  • An action learning project that requires a minimum of 2-5 hours between modules

Please visit the Doctors Nova Scotia website for more program details including program goals, timelines, and application process.


What best describes your primary work setting(s)?


Where applicable, please be as specific as possible as to role, impact, and outcome.

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All applications will remain confidential and be reviewed by a selection committee.

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