Welcome to AFHTO's ED Mentorship Program

Thank you for your interest in becoming a mentor in AFHTO's ED Mentorship Program to help new EDs excel! Please complete this survey. This information will help us make appropriate mentor-mentee matches.

We will be in touch soon.

Question Title

1. Please provide your name and contact information (Required.)

Name

Email address

Phone number

Team name

Question Title

2. How long have you been an executive director in a family
health team, NPLC, or other team-based care model? (Required.)

Question Title

3. What types of models have you worked in? Please check all that apply. (Required.)

Family Health Team

Nurse Practitioner-Led Clinic

Community Health Centre

Indigenous FHT or Aboriginal Health Access Centre

Unionized Team

Academic Team

Francophone Team

Blended Salary Model

Other (please specify)

Question Title

4. Please check all areas in which you have expertise in a team-based primary care model (Required.)

Governance

Budget accountability

Working with indicators for performance measurement

Quality improvement planning

Physician engagement

Complete business cycle experience, including reporting cycles

Privacy and risk management

Information technology

Human resources

Health system integration

Ontario Health Team (OHT) development

Welcome to AFHTO's ED Mentorship Program

Question Title

* 1. Please provide your name and contact information (Required.)

Question Title

* 2. How long have you been an executive director in a familyhealth team, NPLC, or other team-based care model? (Required.)

Question Title

* 3. What types of models have you worked in? Please check all that apply. (Required.)

Question Title

* 4. Please check all areas in which you have expertise in a team-based primary care model (Required.)

Question Title

* 5. What appeals to you the most about joining this program?

1. Please provide your name and contact information (Required.)

2. How long have you been an executive director in a family
health team, NPLC, or other team-based care model? (Required.)

3. What types of models have you worked in? Please check all that apply. (Required.)

4. Please check all areas in which you have expertise in a team-based primary care model (Required.)

5. What appeals to you the most about joining this program?