The Society of Hospital Medicine will hold a "Speed Mentorship Activity" for academic hospitalists at SHM's HM'18 annual meeting on Monday, April 9, from 12:00-1:00 pm. It is open to the first 25 people who complete this survey. You will receive a confirmation email with more details in the coming weeks.

* 1. What is your Name?

* 2. Who is your employer?

* 3. What is your e-mail address?

* 4. What is your phone number?

* 5. Please select the title that is closest to yours

* 6. How many years have you been in your current role?

* 7. Please provide 2 specific questions that you would like to have addressed through this session.  This will greatly enhance the value of your conversation with your mentor.  If you are a researcher seeking mentorship on a research project, please include a statement of research aims or goals.

* 8. Please copy and past a brief bio or CV in the space below.