Skip to content
2025 ASCRS Mentor Survey
Please complete this survey if you are interested in participating in any of the 3 ASCRS mentorship programs. Commitment times vary based on the program.
Not sure which program is right for you? Explore your options
here.
OK
*
1.
Full Name
(Required.)
*
2.
Email
(Required.)
*
3.
I have been in practice for:
(Required.)
Less than 7 years
7 - 10 years
11 - 15 years
16 - 20 years
More than 20 years
*
4.
Practice Type
(Required.)
Academic
Academic Affiliated Community Hospital
Community Practice
Hospital Based Practice
Private Practice
Military
Other (please specify)
*
5.
Which topics do you feel capable of providing mentorship or have experience assisting mentees with? (Select all that apply):
(Required.)
Application process for colorectal surgery fellowship
Building a research career
Colorectal surgery as a career
Getting involved in ASCRS
Leadership
Surgical education
The business of surgery / How to build a practice
Work-life balance
Diversity, under-represented minorities (URM), gender
Other (please specify)
*
6.
I am interested in participating as a MENTOR for the following events (Select all that apply):
(Required.)
Mentorship Program for General Surgery Residents (July 2025–July 2026)
This is a full year commitment.
1:1 Mentorship Program (May 2025–May 2026)
This is a full year commitment.
Annual Scientific Meeting Speed Mentoring In-Person Event.
This is a 2 hr commitment with some prep prior to the meeting.
Other opportunities if they should arise
Current Progress,
0 of 11 answered
