ESGE Mentoring Programme – Mentor Application

ESGE Mentoring Programme - Mentor Application

This is a one-year supporting programme directed to GI endoscopist who would like to receive mentorship in their professional career development and/or research and academic development. The programme aims to trigger diversity in our community and will try to help specially the endoscopists who have had difficulties in findings mentors and/or role models in their close community and/or encounter difficulties related to their personal and/or economic or social conditions. The mentorship will help other/younger endoscopists to achieve progress in different fields.
After meeting each other at ESGE Days 2025 or online, the mentor and the mentee will write an agreement where they will state the (realistic) goals they want to achieve during the year. They will then establish their plan and will follow up with online periodical interviews. At the end of the programme (ESGE Days 2026), the mentor and mentee will write a short report summarizing their experience and will respond to a short survey.

By entering in the programme, the mentor commits him/herself to have follow up interviews with the mentee at least one time every 2 months (6 per year) and to write the final report and answer to the survey.
Final report and survey are a prerequisite for receiving an ESGE official letter of completion of the programme as a mentor.

Personal details

Title(Required)

Name(Required)

First name Family name

Email(Required)

ESGE Member's ID Number(Required)

Telephone number (with country code)(Required)

e.g.+49 788 778976765

Date of birth(Required)

Gender(Required)

Disability(Required)

Please specify and provide the percentage of your disability [%]

Languages(Required)

Please indicate your primary language What other languages do you speak fluently?

Place of residence(Required)

City Country

Education

Where did you complete your medical education?(Required)

University / Institution name City Country

Do you have a PhD?(Required)

Specialty(Required)

Please specify(Required)

Work

Years in clinical practice(Required)

How long have you been practicing following completion of your endoscopy training?

Current place of work(Required)

Institution City Country

Characteristic of your main place of work

Your institution's type(Required)

Is it academic hospital/center?(Required)

Your practice's type(Required)

Position(Required)

Please specify(Required)

Percentage of your weekly schedule devoted to endoscopy(Required)

Percentage of the above devoted to interventional endoscopy(Required)

Main field of expertise if dedicated time to endoscopy is < 50%

Main field of expertise if dedicated time to endoscopy is > 50%

Professional acquaintances

Do you work at the university or have any other teaching responsibility?(Required)

Have you ever participated in extracurricular programme(s) or activities?(Required)

Do you do research?(Required)

Do you usually do hands-on teaching?(Required)

Do you have fellows and/or trainees under your supervision?(Required)

Do you have any previous experience as a mentor?(Required)

Are/were you actively involved in sceintific societies?(Required)

Please select three the most important arreas, you would like to support the mentee with?

Rank 1 - The most important(Required)

Rank 2 - Less important(Required)

Rank 3 - The least important(Required)

Would you prefer to be matched to a mentee from the same country of residence?(Required)

Documentation (upload)

All submitted documents must be in English and applicant must be fluent in the English language

CV (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.

Cover letter(Required)

Please include your cover letter (1 file, maximum 1 page, PDF format, maximum file size: 1 MB)

Accepted file types: pdf, Max. file size: 1 MB.

Please briefy write in your cover letter what motivates you to participate in the program?
You may also include a few sentences, about yourself (family situation, hobbies, personality…). This information will help us to do a better matching.

Photo of Applicant(Required)

Please include your photo (1 file, jpg, gif, png format, maximum file size: 2 MB)

Accepted file types: jpg, gif, png, Max. file size: 2 MB.

Terms and conditions

Do you allow us to use your data anonymously for future improvement of this programme?(Required)