Pediatric Emergency Medicine Mentorship Program Sign-Up
This mentorship program is designed to connect medical students, residents and fellows with faculty mentors in pediatric emergency medicine for guidance regarding training, career planning, education and research in PEM. This form will allow you to sign up as a mentor or mentee in pediatric emergency medicine.
Email address *
Full Name *
Your answer
What is your current institution and location? *
Your answer
What year will you graduate? (if applicable)
Your answer
Are you a interested in becoming a mentor or mentee? *
Are you a student, resident, fellow, or attending? *
What are your interests related to pediatric emergency medicine?
Your answer
What are you looking to gain from this mentorship program?
Your answer
Are you planning on applying for fellowship?
Thank you for your participation in our mentorship program!
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