SOMC Alumni Table Talk Host Form

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Thank you for your interest in becoming a Table Talk Host. The tentative MD Program schedule is listed below; don't be discouraged if your specialty or field isn't listed - we still need volunteers from all backgrounds. We will be working in additional specialties, fields and topics throughout the year.

Please fill out the form below to be considered for either or both in-person and virtual sessions. Completion of the form does not guarantee participation. A follow-up conversation may be scheduled to ensure you're a beneficial resource for the students.

MD Program Schedule:

June 26-30: Family Medicine
July 24-28: OBGYN
August 28-30: Pediatrics

September 25-29: Emergency Medicine

October 23-27: Anesthesiology

November 27-30: Radiology

Name *

SOMC Grad Year *

Program of Study *

Field or Specialty *

Email *

Mobile Phone Number *

Preferred Weekday/Weekend Availability (check all that would apply) *

In-Person - Weeknights in the evening (between 5:00-8:00pm)

Virtual - Weekdays during lunch (between Noon - 2pm)

Virtual - Weeknights in the evening (between 5:00-8:00pm)

Virtual - Fridays in the afternoon (between 3:00-5:00pm)

Virtual - Sundays in the evening (between 5:00-8:00pm)

Required

MD Program Alumni: Take a glance at the schedule listed in the description. If your specialty, field or topic is listed, would sometime during that proposed week work for you to host a session?

Graduate Program Alumni: Would the last week of June, July and August work for launching your TT this summer? Which month is your preference?

Looking back on being a student, is there anything you wish you would have known about your career? Now, what would you tell your student-self?

Other than specific specialties or sectors our graduates could pursue, what other topics about your field could we make into a Table Talk? Bonus: is there a topic that you'd feel comfortable with hosting?

Please agree to the following by checking each requirement. *

I will be open and honest during my Alumni Table Talk.

I am comfortable with answering questions on personal topics such as salary, work/life balance, and unfortunate circumstances.

I understand this is a safe space for students, and issues that are discussed will remain confidential. Nothing will be recorded or transcribed.

Required

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