NASPAG Mentorship Program - Career Development Mentor

Mentor Questionnaire

1. Demographic information:
2. Specialty:
3. Practice setting:
4. Percentage of PAG in your practice:
5. Surgical volume:
6. Interest in research:
7. Desire to host international member:
8. Number of mentees:
9. Please explain what goals you would like to achieve with your mentee:
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