Welcome to PQA's 2027 Quality Shadowing Program Application

The PQA Quality Shadowing Program provides individuals from diverse groups the opportunity to observe certain nomination-based panels to gain knowledge that can support selection for and participation in future panels. This opportunity is designed for early career professionals and individuals who are interested in quality but have not had opportunities to participate in formal PQA measure development and stewardship activities. Individuals who are selected for the PQA Quality Shadowing Program will complete baseline training in Medication Use Quality prior to shadowing a panel.

The PQA Quality Shadowing Program is part of the PQA Kelman Quality Leadership Program, and helps individuals at various career stages become leaders in health care quality that is focused on safe, effective and appropriate medication use. Through education, training and mentorship, the program has components for students, early career professionals and emerging leaders that support long-term professional development and advancement towards leadership positions.

Program opportunities for professionals are limited to those at PQA member organizations, but the student components are open to all students in an accredited pharmacy or related health care degree program.

Note: This form must be completed in one continuous session and you will not be able to save a partially completed form.

About You

First Name

Last Name

Credentials

Examples: PharmD, MPH

Organization

Your Email

Phone

Work Address

Street Address

City

State

Zip

How did you hear about the Kelman Quality Shadowing Program? (Select all that apply)

LinkedInPQA recruitment webinarCareer fair or other outreach from my universityOther

Please specify.

Please indicate the panel you are interested in shadowing. You may select more than one, but individuals can shadow only one panel per cycle:

Quality Metrics Expert Panel

Measure Update Panel

Other panel opportunities in the future, such as Technical Expert Panels

Supporting Materials

Please upload a PDF version of each required item using the following naming convention:

CandidateLastName_Statement
CandidateLastName_CoverLetter
CandidateLastName_CV

Visit the PQA Kelman Quality Leadership Program webpage, for more information on requirements.

Statement of Support from your Organization's PQA Membership Primary Contact is required. If you are uncertain who your organization's membership primary contact is, email Engagement@PQA.org for help. Statements can be uploaded here or emailed to Engagement@PQA.org by the membership primary contact.

Statement of Support

Cover Letter

Include how participating in the PQA Quality Shadowing Program aligns with your interests in medication use quality and would support your professional development.

Resume or CV

Optional Information for Application

As PQA works to grow and build the capacity of the health care quality workforce for the communities we serve, you are invited to voluntarily share demographic information about yourself.

PQA strives to be inclusive of all interested and qualified professionals in our work and recognizes that a mix of ideas, perspectives, and life experiences strengthens our work. This information is used internally to evaluate participation in PQA programs and events but is not used in the selection process.

A response is required for each prompt; however, you may select “Prefer not to answer” if you choose not to provide the information.

If you have any questions, please contact Engagement@PQA.org.

Race

Please specify.

Ethnicity

Gender Identity

Please Specify

Do you consider yourself part of a minority group?

If yes, please describe.

Preferred Pronouns

Please specify.

Digital Attestation

By typing my name below, I certify that all information provided in this application is current, correct, and complete to the best of my knowledge.

My typed name serves the same purpose as a legal signature and is binding.

Digital Signature

Date