Community Practice Surgeon Mentor Interest Survey

The Community Practice Surgeons (CPS) Committee is seeking volunteer mentors for the CPS Mentorship Program. This one-year program, developed in collaboration with the Community Practice Surgeons Committee, is designed to foster meaningful mentorship and professional development opportunities.

Mentors will be expected to connect regularly with their mentees, including meetings prior to the SSO 2027 and SSO 2028 annual meetings, as well as in-person engagement during the meetings themselves. Selected mentors should be committed to maintaining clear, consistent communication throughout the program and participating in CPS Committee meetings alongside their mentee.

If you are interested in being considered as a mentor, please complete the survey by July 20th.

1.First and Last Name(Required.)

2.Email Address(Required.)

3.Institution(Required.)

4.Role(Required.)

5.Years in Practice

6.Have you attended one or more SSO annual meetings in the last three years?

Yes

7.Have you served on an SSO committee?

Yes

8.Have you previously served as a mentor in a formal or informal capacity?

Yes

If yes, please describe your experience.

9.What career stage(s) would you feel most comfortable mentoring?

Early-career surgeon (0–5 years in practice)

Mid-career surgeon transitioning roles

Surgeon pursuing leadership opportunities

Surgeon seeking program development guidance

Any of the above

10.Which of these focus areas would you be able to contribute to?

Employment Negotiation: work effort FTE distribution (clinical, administrative, etc.), compensation models, malpractice coverage, separation clauses

Practice Expectation: Clinical Support (call responsibilities, partnership), mid-level & office staff support, OR block time

Defining Teaching & Research Opportunities

Care Excellence in Resource Challenged Setting (advanced GI, IR, etc.)

Sustained Track towards Leadership (Cancer Committee Chair, Medical Director, CMO)

Relationship Building & Practice Marketing in the Community

11.Would you be willing to meet with a mentee quarterly, before and following the SSO 2027 conference if selected as a mentor?

Yes

13.Please provide a brief professional biography (80 words) that may be shared with prospective mentees during the matching process.(Required.)