ICS Mentor Application 2025 Question Title * 1. Name: Question Title * 2. Email address: Question Title * 3. Phone number: Question Title * 4. Title/Position: Question Title * 5. Institution/Hospital: Question Title * 6. City, Country: Question Title * 7. Time zone: Question Title * 8. What advice are you most comfortable giving (pick 1 and only one): Setting up a Clinical Practice Setting up a Research Career Navigating Academic Medicine Navigating Innovation and Medical Device Design Developing Clinical Skills and Reasoning Managing a Clinical Practice or Team Question Title * 9. What are your greatest strengths as a leader/mentor? (Pick 2 and only two): Giving feedback Active listening Motivating others Availability Conflict Management Being open minded Dynamic communication Being Honest Being Empathetic Question Title * 10. What is an area of weakness for you as a leader/mentor? (Pick 2 and only two): Getting frustrated easily Micromanaging Having tunnel vision Needing to be liked all the time Having unrealistic standards Lack of adaptability Being hypercritical Having a difficult time giving feedback Being overcommitted and stretched thin Question Title * 11. What values and qualities do you consider important for a mentee? (Pick 2 and only two): Having a positive attitude Taking initiative Following through on commitments Being an engaged listener and communicator Being open-minded Having good time management skills Being honest Being empathetic Question Title * 12. Would you be willing to mentor mentees outside of your field? Yes No Question Title * 13. What do you consider to be your professional areas of expertise? Question Title * 14. What are your hobbies and interests outside of your career? Done
