SHM Speed Mentoring Enrollment HM'18

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.

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* 1. What is your Name?

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* 2. Who is your employer?

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* 3. What is your e-mail address?

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* 4. What is your phone number?

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

Instructor

Assistant Professor

Associate Professor

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

<1 year

1-2 years

2-3 years

>3 years

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* 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.

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