UK-Yemen Surgical & Trauma Mentorship Scheme (Mentor Recruitment)

Mentor Application

The Royal College of Surgeons of England has partnered with the Yemeni Society of Surgeons to pilot a remote (online) mentoring scheme, linking UK surgeons and senior trainees with junior surgeons and residents in the following Yemeni participating hospitals:

Al-thawra Hospital Ibb
Al-thawra Hospital Taiz,
Al-thawra General Modern Hospital
Al-Gomhoria Hospital in Aden

Any UK surgeons and senior trainees interested in taking part in this scheme should complete and submit this online application form. Applications are welcome from all the surgical specialties.

If you have any questions, please email us: humanitarian@rcseng.ac.uk

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* 1. Title

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* 2. First name

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* 3. Middle name(s)

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* 4. Last name

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* 5. Email address

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* 6. Mobile number

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* 7. WhatsApp mobile number

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* 8. What is your gender identity?

Male

Female

Non-binary

Transgender

Other

Prefer not to say

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* 9. Country of current residence

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* 10. Do you speak Arabic?

Yes, i am a native speaker

Yes, basic level

Yes, intermediate level

No, i don't speak arabic

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* 11. Career grade

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* 12. What is your surgical specialty?

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* 13. Do you have any disability?

Yes

No

If yes please type in the type of your disability

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* 14. Do you have previous experience in delivering online mentorship?

Yes

No