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OFEC Mentoring Program: Mentor Application
Fill in this form to volunteer as a mentor. Please fill in the fields with asterisks and upload the requested files. If you have any questions or problems filling this form please contact Ashley Elliott.
aelliott@ophthalmologyfoundation.org
First Name
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Family Name
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Phone Number
Country
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Email Address
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What is the organization or institution that you work for?
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How would you like your mentee to contact you?
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Email
WhatsApp
Web meeting
Phone
Other
Other
Languages you can speak and can mentor in:
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Arabic
Chinese
English
French
German
Italian
Portuguese
Spanish
Other:
Other:
What areas of expertise would you like to mentor on?
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Choosing a subspecialty
Clinical research
Clinical training
Communication with colleagues
Communication with the patient
Conflict management at work
Creating lectures for meetings
Developing a successful ophthalmological residency
Emergency management
Ethical and legal issues
Finding a vocation within ophthalmology
Getting organized, organizing tasks
How to delegate
How to run an ophthalmic clinic
How to lead a surgical team
How to become a leader of an ophthalmological society
How to be an expert in the development of research works
How to position my clinic in the ophthalmic market
How to practice evidence-based medicine
How to lead a basic research team
How to lead a clinical reserch team
How to become an ophthalmologist trainer
How to motivate and empower a work team
How to become an leader in a subspecialty
How to apply to a fellowship abroad
Making personal decisions
Making professional decisions
Moving to another country
Stress management
Papers publication
Public Speaking
Surgical training
Training abroad
Working in another country
Other:
Other:
How many mentees can you take on at one time?
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1
2
3
Other
Other
If available, please provide a link to your online CV or LinkedIn profile
If you do not have an online CV or LinkedIn profile, please upload your CV here.
Would you like to be contacted to contribute with ideas and input to make this program better?
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Yes, I would like to join the discussion group on how to make the mentorship program better
No, not for now. I will write to aelliott@ophthalmologyfoundation.org if I change my mind
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