Thank you for your interest in the Association of Medicine and Psychiatry’s mentorship program!  This template is designed to collect the information of those individuals who are SEEKING A MENTOR to discuss stages of career, development, advantages of combined training or practice.

          
What type of training program are you interested/enrolled in?
If you are a medical student, what is your medical school?
If you are a resident, what program are you in?
If you are an ECP, what kind of practice do you currently have?
I prefer my mentor have a practice in...
I prefer a mentor trained in...