ESGE Mentoring Programme - Mentee Application FacebookThis field is for validation purposes and should be left unchanged.This is a one-year support programme designed for GI endoscopists who wish to be supported by a mentor in their professional development and/or in their research and academic development.The programme aims to promote diversity in the ESGE community and to support endoscopists who have had difficulty finding mentors and/or role models in their immediate community or who have been hindered in their professional development due to their personal, economic, or social situation. The mentoring programme is not a fellowship grant programme and improvement of endoscopy skills is not the sole or primary purpose of it. Rather it is a programme designed at addressing core career needs in a personal way and mentoring can make all the difference in making progress for the mentee. The call for mentees is for ESGE individual members who would like to be supported on their career path. 1. Personal and contact information This section collects personal and contact information required for administration of the mentoring programme, communication with applicants, and mentor–mentee matching.Salutation(Required)DrProfessorMrMsName(Required) First name Surname (family name) Email(Required) ESGE Member's ID Number(Required)Telephone number (with country code)(Required)Date of birth(Required)DayDay12345678910111213141516171819202122232425262728293031MonthMonth123456789101112YearYear202720262025202420232022202120202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920Gender(Required)FemaleMalePrefer not to disclosePlease indicate your primary language(Required)What other languages do you speak fluently?(Required)Enter one language per line. To enter more than one, please use the "+" at the end of a line to add a new row. Add RemoveIf English is not your primary language, please describe your proficiency in English by selecting one of the available options(Required)Basic: Simple words and short phrasesConversational: Can carry on basic chats but lacks deep vocabularyFluent / Professional: Comfortable working in the language and handling complex discussionsNative / Bilingual: Complete mastery identical to a first languagePlace of residence(Required) City Country AfghanistanÅland IslandsAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongoCongo, Democratic Republic of theCook IslandsCosta RicaCôte d'IvoireCroatiaCubaCuraçaoCyprusCzechiaDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatiniEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKorea, Democratic People's Republic ofKorea, Republic ofKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacaoMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth MacedoniaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRéunionRomaniaRussian FederationRwandaSaint BarthélemySaint Helena, Ascension and Tristan da CunhaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwedenSwitzerlandSyria Arab RepublicTaiwanTajikistanTanzania, the United Republic ofThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTürkiyeTurkmenistanTurks and Caicos IslandsTuvaluUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUS Minor Outlying IslandsUzbekistanVanuatuVenezuelaViet NamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabwe Time Zone you are usually based in. Please indicate your Time Zone's offset (difference in +/- hours ) from UTC.(Required)e.g. if you are in Central Europe, your UTC offset is: +1; if you are in Brazil, your UTC offset is "-3") Check Interactive Time Zone Map Please enter a number from -12 to 14.2. Medical and professional background This section provides information about your medical specialty, professional position and current stage of medical training.Medical degree(Required) MD Other Please specify(Required)Your primary medical specialty(Required)GastroenterologySurgeryHepatologyOther specialtyPlease specify(Required)What best describes your current professional position?(Required) I am currently in specialist medical training (e.g. residency, fellowship or equivalent) I have completed my specialist medical training I am the head/chief of a department Other Please specify(Required)What year/stage of medical training are you currently in?(Required)3. Endoscopy training, expertise and interest This section helps us understand your current endoscopy training, experience and areas of interest, and will support appropriate mentor–mentee matching.. This section is particularly important for the matching process, as your responses will be used to identify a mentor with relevant expertise. Please consider your responses carefully and select the two areas of endoscopy that best reflect your current goals and development needs.What is your current status regarding endoscopy training?(Required)I have not yet started endoscopy trainingI am currently undertaking endoscopy trainingI have completed my endoscopy trainingHow long have you been practicing endoscopy since completing your endoscopy training?(Required)Less than 1 year1–5 years6–10 years11–20 yearsMore than 20 yearsHow frequently do you currently perform endoscopy?(Required)DailySeveral times a weekOnce a weekLess than once a weekI do not currently perform endoscopyWhat is your primary area of interest in endoscopy? (please select one)(Required)Diagnostic upper GI endoscopy (gastroscopy)Diagnostic lower GI endoscopy (colonoscopy)Therapeutic/interventional upper GI endoscopy (e.g. haemostasis, dilation, variceal therapy, RFA)IBD endoscopyEMRESDPOEMEUSERCPCapsule endoscopySmall-bowel enteroscopyOtherPlease specify(Required)What is your secondary area of interest in endoscopy? (please select one)(Required)Diagnostic upper GI endoscopy (gastroscopy)Diagnostic lower GI endoscopy (colonoscopy)Therapeutic/interventional upper GI endoscopy (e.g. haemostasis, dilation, variceal therapy, RFA)IBD endoscopyEMRESDPOEMEUSERCPCapsule endoscopySmall-bowel enteroscopyOtherPlease specify(Required)4. Current workplace This section collects information about your current clinical working environment, which may be relevant to mentor–mentee matching.What is your current place of work(Required) Institution name Department City Country AfghanistanÅland IslandsAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongoCongo, Democratic Republic of theCook IslandsCosta RicaCôte d'IvoireCroatiaCubaCuraçaoCyprusCzechiaDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatiniEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKorea, Democratic People's Republic ofKorea, Republic ofKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacaoMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth MacedoniaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRéunionRomaniaRussian FederationRwandaSaint BarthélemySaint Helena, Ascension and Tristan da CunhaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwedenSwitzerlandSyria Arab RepublicTaiwanTajikistanTanzania, the United Republic ofThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTürkiyeTurkmenistanTurks and Caicos IslandsTuvaluUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUS Minor Outlying IslandsUzbekistanVanuatuVenezuelaViet NamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabwe Characteristic of your main place of workYour institution's type(Required)PublicPrivateIs it academic hospital/center?(Required)YesNo5. Academic and research experience This section provides information about your academic, teaching and research experience. This information is collected to help us understand your background and mentoring needs and to facilitate mentor–mentee matching. Academic experience or research interest is not a selection criterion and will not give an applicant an advantage.Do you have a PhD?(Required) Yes No What is your current academic position?(Required) No academic appointment Assistant Professor Associate Professor Professor Other academic appointment/title Please specify(Required)Do you have teaching responsibilities?(Required) Yes No Are you currently actively involved in research?(Required) Yes No Would you be interested in developing your research experience or skills through the mentoring programme?(Required) Yes No Would you be interested in developing your skills and experience in endoscopy-related research?(Required) Yes No 6. Mentoring experience and goals This section provides information about your previous experience with mentoring and your goals and priorities for participating in the mentoring programme.Have you previously participated in the ESGE Mentoring Programme?(Required) Yes No Have you previously participated in a structured mentoring or professional development programme organised by another professional society?(Required) Yes No Please specify(Required)What would be your main priority for the mentoring programme?(Required)Practical tips for solving daily clinical problemsAdvice and mentoring to develop endoscopy skills and expertiseAdvice and support on implementation good quality clinical practice locallyAdvice on training courses/opportunitiesCombining work, research and familyAdvice on career planningNetworking and contact with key opinion leadersNetworking for research and innovationSupport and advice for study design and / or paper publicationAdvice and support for progressing in academia / teachingAdvice on developing leadership and management skillsWhat would be your secondary priority for the mentoring programme?(Required)Please select one option, other than your primary choice.Practical tips for solving daily clinical problemsAdvice and mentoring to develop endoscopy skills and expertiseAdvice and support on implementation good quality clinical practice locallyAdvice on training courses/opportunitiesCombining work, research and familyAdvice on career planningNetworking and contact with key opinion leadersNetworking for research and innovationSupport and advice for study design and / or paper publicationAdvice and support for progressing in academia / teachingAdvice on developing leadership and management skills7. Matching preferences This section collects preferences and practical considerations that may be taken into account when matching you with a mentor.Would you prefer to be matched to a mentor from the same country of residence?(Required)Yes, I would prefer a mentor from the same countryNo, I would prefer a mentor from a different countryI have no preferenceDo you have a preference for the country in which your mentor is based?(Required)No particular preferenceYesPlease specify country/countries(Required)Would you require a visa or other special permission to travel to an EU country for the purposes of the mentoring programme?(Required)YesNoPlease specify country/countries(Required)Would you require a visa or other special permission to travel to a non-EU country for the purposes of the mentoring programme?(Required)NoYesPlease specify country/countries(Required)8. Documentation (upload) All submitted documents must be in English and applicant must be fluent in the English languageCV (Resume)(Required)Please include your brief CV (1 file, maximum 1 page, PDF format, maximum file size: 1 MB) Accepted file types: pdf, Max. file size: 1 MB. Motivation letter(Required)Please upload a motivation letter of maximum 2 pages explaining why you would like to participate in the ESGE Mentoring Programme and what you hope to gain from the mentoring experience. Please describe your current professional situation, your career aspirations and the areas of endoscopy in which you would like to develop. We would also like to understand any challenges or opportunities that have influenced your career development and how you believe mentorship could support you. Please describe what you would value in a mentor and what you would hope to achieve through the mentoring relationship. You may also tell us something about yourself beyond your professional background, such as your interests, hobbies or activities that are important to you. Your motivation letter should help the selection committee gain a better understanding of your motivation, aspirations, individual circumstances and expectations from the programme. Applicants are encouraged to write the motivation letter in their own words and to use their own experiences, motivations and aspirations as the basis for their application. We encourage applicants not to use AI tools to generate or substantially write their motivation letter. Accepted file types: pdf, Max. file size: 1 MB. Terms and conditionsESGE Privacy Policy(Required) I have read the ESGE Privacy Policy and agree to its terms & conditions.