Awarding Fellowship of AdPha is one means by which AdPha fosters and rewards demonstrated excellence in pharmacy practice. Successful candidates for Fellow status will have made a sustained contribution to AdPha and will have demonstrated a high level of excellence in pharmacy practice.

Applicant Information
Name(Required)
pharmacists only
Education(Required)
Please list the universities or other institutions attended, years of attendance and qualifications earned.
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Name of institution
Years of attendance
Qualification earned
 
Post-registration workplace based training
If you have completed an AdPha Resident or Registrar Training Program or other workplace based training program please enter the details below.
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Specific type of workplace based training program (i.e. AdPha Resident training program)
Insitution
Program lead/preceptor
Dates of participation
 

Professional impact

Demonstration of sustained commitment and contributions to excellence in Australian pharmacy practice across hospital and community care settings.
Please provide a detailed summary that demonstrates your sustained contributions to advancing pharmacy practice and improved patient outcomes across acute and/or primary care environments and why you believe that a level of excellence has been achieved. Your statement should focus on innovations that improved practice and should explain the impact of this work. (max 500 words)
Impact indicators
List your 3-5 most significant professional achievements with brief quantifiable outcomes where possible.
For technicians: Include workplace innovations, scope expansions, or workforce development contributions.
Innovation/achievement
Setting (i.e. hospital)
Year
Measurable outcome
Recognition level (Local/Regional/State/National)
 

Organisational impact

Demonstration of active involvement and leadership in AdPha and the broader Australian pharmacy profession.
Professional service
In the space below, please list your most significant organisational roles and service activities in reverse chronological order. Include AdPha service, other professional organisations, healthcare committees, educational institutions, government advisory roles, etc. Focus on leadership positions and significant contributions rather than basic membership.
For technicians: Include multidisciplinary healthcare committees, TAFE advisory roles, technician professional groups, workforce development activities, and interprofessional leadership positions.
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Organisation/committee
Role/activity
Years active
Key contribution/impact
 
Please enter a concise, but sufficiently detailed statement which demonstrates your sustained commitment to advancing the profession through consistent and active involvement in AdPha and related professional organisations that serve Australia’s pharmacy community. Your statement should focus on how your contribution has impacted AdPha and/or the profession. (max 500 words)

Knowledge translation and impact

Demonstration of measurable impact through knowledge translation, professional education, and scholarly contributions to Australian pharmacy practice.
Publications and professional writing
In the space below, please list publications of peer-reviewed research, practice guidelines, or professional papers in recognised pharmacy, medical, or healthcare journals that have influenced Australian pharmacy practice
AND/OR
Authorship or co-authorship of textbooks, book chapters, or professional monographs addressing pharmacy practice relevant to the Australian healthcare context.
Work included should be from within the last 10 years
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Type (i.e. journal article, book chapter, guideline)
Title/citation
Outlet/publisher
Year
 
Knowledge sharing and education
In the space below please list your most significant knowledge translation activities. Include national presentations, educational programs you’ve delivered, formal mentoring, training development, etc.
Focus on activities with measurable impact.
For technicians: Include workforce development activities, training programs created, peer mentoring, and practice improvement education.
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Activity type (i.e. conference presentation, educational program)
Title/description
Setting/event (i.e. Medicines Management 2022)
Date/duration
 
Please enter a detailed statement which demonstrates your involvement and commitment to educating practitioners and others through additional activities, such as precepting students, interns or training program candidates, mentoring staff, educating and training technicians and/or educating the public. (max 500 words)

Section Break

Additional requirements
In addition to the information provided above, you must also include the following:
Your CV may be used as a reference document for selected sections of the application and to assist with the overall assessment of your qualifications for Fellow of AdPha; however, only information contained within the application will be considered.
Accepted file types: doc, docx, pdf, Max. file size: 1 GB.
A brief description (200 words or less) of your education, current position and achievements in pharmacy practice.
Recommendations from three colleagues (i.e., practitioners, administrators or academicians, multidisciplinary is encouraged) who can attest to your achievement of the Fellow criteria
Drop files here or
Accepted file types: doc, docx, pdf, Max. file size: 1 GB.