OSMA Leadership Application 2026

Thank you for your interest in serving OSMA.

Please fill out the below application. Please note the following:
1. * denotes a required field
2. A letter of recommendation is required only if you are applying for an At-Large Councilor position OR if you are a NEW candidate running for a seat in the Ohio Delegation to the American Medical Association.
3. Submission of a Curriculum Vitae is optional.
Deadline to apply is Feb. 10, 2026 at 11:59pm

What position(s) are you applying for:

President-Elect
OSMA District Councilor
OSMA At-large Councilor
Ohio Delegate to the American Medical Association
Alternate Delegate to the American Medical Association

Number of years as OSMA member:

Your Leadership Competencies (check all that apply):

Health plan administration
Government affairs
Electronic communication (social media and patient engagement)
Technology usage in clinical practice
Diversity
Managed care
Alternative payment models (pay for quality)
Fundraising
Project management
Public health
Population health management
Performance measurement
Physician-Hospital integration/alignment
Physician practice management
Public speaking
Relationship building, peer to peer communication
Leadership experience outside of organized medicine
Leadership experience in the medical community

Personal Statement:

Why are you seeking a leadership position with OSMA? Please also include how your skills and expertise could assist OSMA to empower and advocate on behalf of our profession and patients. (3000 word maximum)
First Name
Last Name
Designation (MD, DO, MPH, FACS, etc.)
Email Address
Mobile Phone
Please submit on following pages or via email to smccullough@osma.org:
1. Headshot photo
2. Current CV (3 pages max) Submission of a Curriculum Vitae is optional.
3. Letter of recommendation*
*required only if you are applying for an At-Large Councilor position OR if you are a NEW candidate running for the Ohio Delegation to the American Medical Association.
   - denotes required fields