2018 EAST Mentoring Program - Mentee Application

Thank you for your interest as a Mentee in the EAST Mentoring Program.  The goal of the Mentoring Program is promotion of academic and personal growth of the young acute care surgeon by providing extramural mentorship over a 1-year period.  We expect pairs to develop and submit an annual strategic plan, communicate with each other consistently, meet each other annually, and hopefully develop a long-term relationship.

Mentee Requirements:

  1. You must be an EAST member (Active, Associate, Provisional, Fellow-in-Training, Medical Student) in good standing and membership dues paid in full by May 1, 2018.

  2. Physicians must be must be currently in training, or within five years of completion.

  3. Complete the below online application and email your curriculum vitae (CV) for matching purposes to rdixon@east.org by May 1, 2018.
  4. Letter of Recommendation must be received by your Department Chair or Supervisor by May 1, 2018.  EAST Management will email the recommender to request the letter, coordinate communications to Department Chair or Supervisor, and collect all Letters of Recommendation.

The EAST Mentoring Committee will match Mentees to Mentors by early June.

Mentee Information

Include full name and degrees/credentials
Active or Provisional or Associate or Fellow

Personal Statement

Mentorship Information

List any additional information that you feel is relevant to your mentorship

Letter of Recommendation

Name of Department Chair or Supervisor. Include full name and degrees/credentials.

Mentor Request (not required)

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Eastern Association for the Surgery of Trauma

633 N. Saint Clair Street, Suite 2400 Chicago, IL 60611-3295 (312) 202-5508 phone (312) 202-5064 fax managementoffice@east.org
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