ESGE Mentoring Programme – Mentor Application

ESGE Mentoring Programme - Mentor Application

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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 not the sole or primary purpose of this programme. Rather it is a programme designed at addressing core career needs in a personal way and mentorship can make all the difference in making progress for the mentee.

The call for mentors is for ESGE individual members who have the experience and motivation to support and guide other endoscopy colleagues on their career path.

1. Personal and contact information

This section collects the personal and contact information required for administration of the mentoring programme, communication with applicants, and mentor–mentee matching.

Salutation(Required)

Name(Required)

First name Surname (family name)

Email(Required)

ESGE Member's ID Number(Required)

Telephone number (with country code)(Required)

Date of birth(Required)

Gender(Required)

Please 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.

If English is not your primary language, please describe your proficiency in English by selecting one of the available options(Required)

Place of residence(Required)

City Country

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")
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Interactive Time Zone Map

Please enter a number from -13 to 14.

2. Medical and professional background

This section provides information about your medical training, specialty, current professional position and clinical practice, helping us assess your professional background and eligibility for the mentor role.

Medical degree(Required)

Other

Please specify(Required)

Your primary medical specialty(Required)

Please 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

What is your current clinical position? Please select one(Required)

What is your current status regarding endoscopy training?(Required)

How long have you been practicing endoscopy since completing your endoscopy training?(Required)

How frequently do you currently perform endoscopy?(Required)

Do you currently perform interventional/therapeutic endoscopy?(Required)

Yes

3. Endoscopy expertise and clinical activity

This section helps us understand your areas of endoscopic expertise and current procedural activity, which will support appropriate mentor–mentee matching.
This section is particularly important for the matching process, as the information you provide about your endoscopic expertise and clinical activity will be used to identify mentees whose interests and development needs align with your experience. Please consider your responses carefully and indicate the areas in which you have the relevant expertise and experience to provide guidance.

What is your primary area of expertise in endoscopy? (please select one)(Required)

Please specify(Required)

What is your secondary area of expertise in endoscopy? (please select one)(Required)

Please specify(Required)

Approximately how many of the following procedures do you personally perform in an average month?

Please enter the approximate number of procedures you personally perform. If you do not perform a particular procedure, please enter 0.

1. Diagnostic upper GI endoscopy (gastroscopy)(Required)