OPPA Mentoring Network - MENTORS

Mentor Application

Thank you for volunteering to make a difference in the lives of medical students and psychiatrists by serving as a mentor for OPPA's Mentorship Network.

Typically, mentors are senior leaders in a particular area, however, they may be only modestly more advanced than a mentee. OPPA's Mentoring Network provides an opportunity for medical students, residents, fellows, early career psychiatrists and general members to connect with an OPPA member who would like to share their knowledge, experience, and support as a mentor.

Mentoring is a reciprocal and collaborative process or relationship in which a more experienced person (Mentor) provides guidance, support, and encouragement to a less experienced person (Mentee). It is a relationship-based, trusted professional activity, grounded on commonality, consideration, and confidentiality and a meaningful commitment to promote the mentee’s growth, learning, and career development.

In order to match OPPA mentors with potential mentees, we appreciate your thoughtful responses to the following questions.

1.Please indicate your level of training/experience:(Required.)
2.What is (or was if retired) your practice setting (select all that apply):(Required.)
3.In what area(s) of focus would you be interested in serving as a mentor (select all that apply)?(Required.)
4.Please indicate if you have a preference for the training and experience level of the mentees you would like to mentor (check all that apply):
5.Please indicate what you expect and/or are looking for in a mentee?
6.Please indicate your preferred method(s) of mentoring (check all that apply):(Required.)
7.What is the maximum number of mentees you would prefer to mentor at any one time?(Required.)
8.How much time are you willing to devote to mentoring a mentee?(Required.)
9.Availability - days/times when you are typically available for mentoring (check all that apply):(Required.)
10.What is your current practice status?(Required.)
11.What specific goal(s) do you hope to achieve in serving as a mentor?
12.Name :(Required.)
13.Title (optional):
14.Academic affiliation (if any):
15.Email (if possible, please provide a personal email rather than an institutional email, which most often do not allow messages to get past a firewall):(Required.)
16.Phone number (including area code):(Required.)
17.Zip code, city, and/or area of state where you practice/live:(Required.)
18.Are you an IMG?(Required.)
19.Brief bio:(Required.)
20.Please share any additional information or experiences that might be relevant to your role as a mentor: