The Residents Council, a branch of the ASPS Young Plastic Surgeons (YPS), is restructuring mentorship through an initiative called PROPEL (Professional Resource Opportunities in PRS Education and Leadership). We are working to create launch teams as part of a new approach to mentorship and collaboration in plastic surgery. Each team will consist of a senior plastic surgeon, junior plastic surgeon, senior plastic surgery resident and junior plastic surgery resident; the goal of each group is to build relationships and create a continuum of learning opportunities that reflects the vast, yet overlapping experiences between faculty members and trainees in a longitudinal fashion. If you are interested in joining a mentorship team, please fill out the information below. We will do our best to pair you with a team that most directly matches your needs.

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* 1. Name

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* 2. Current Institution (Name, City, State)

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* 3. Sex

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* 4. How many years have you been in clinical training?

Teams will be organized in a fashion that maximizes similarities in interests between the mentors and mentees. Please rank the following categories below based on your comfort and preference to be teamed up according to your interest in the following categories. Please select 1 for your top choice.

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* 5. Please rank your preferred topics for mentorship:

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* 6. In conducting research, your area of interest is:

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* 7. Your future desired practice model is:

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* 8. Please select the fellowship training/clinical expertise you are interested in receiving mentorship in:

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