CSHP BC Pharmacy Professional Mentorship Program

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CSHP BC Pharmacy Professional Mentorship Program - Mentor Sign-up

The aim of the Pharmacy Professional Mentorship Program is to connect pharmacy professionals from diverse areas of practice and in various career stages to share experiences, develop professional skills, and expand their network.

1. First Name *

2. Last Name *

3. Email Address *

4. Please indicate your profession. *

Pharmacist

Pharmacy Technician

Other:

5. How many years have you been practicing? *

6. Where is your current practice site and role or job title? *

7. What is your motivation for participating in the CSHP BC Mentorship Program, and what do you hope to gain from your experience? *

For Question 8, examples of areas to provide mentorship in may include:

- A specific clinical specialty or practice setting (may indicate more than one)

- Leadership

- Research (e.g. how to develop a feasible research project to answer your research question; how to develop a study protocol and obtain ethics approval; important considerations when conducting a research study; how to obtain necessary funding to conduct the research study, etc.)

- Precepting and teaching

- New practitioner career development (<1 to 5 years of practice)

- Early practitioner career development (≥ 5 years of practice)

8. What area(s) are you able to provide mentorship in? Please select all that apply and rank them based on your preference. *

1. Most preferable

6. Least preferable

Clinical practice

Leadership

Research

Precepting and teaching

New practitioner career development (<1 to 5 years of practice)

Early practitioner career development (≥ 5 years of practice)

9. If there is another area that you are able to provide mentorship in, please describe it here and where you would rank it.

10. If you ranked clinical practice in Question 8 and want to indicate area(s) of preference, please select all that apply and rank them based on your preference.

1. Most preferable

7. Least preferable

Medicine

Cardiology

Critical Care

Infectious Diseases

Nephrology

Mental Health

Transplant

Clear selection

11. If there is another practice area you would like to rank in Question 10, please indicate the area and where you would rank it here.

12. Would you prefer a mentee who is more seasoned, or one who works/has worked in a particular role?

I would prefer a mentee who has practiced for at least 5 years

I would prefer a mentee who has practiced for at least 10 years

I would prefer a mentee who has practiced for at least 20 years

I would prefer someone who has at least practiced longer than I have

I would prefer a mentee who works/has worked in a particular role (regardless of how long they have been practicing)

I have no preference

Other:

Clear selection

12. Would you prefer to be matched with a mentee who works in the same geographical area as yourself?

Yes

No preference

Clear selection

13. Do you have any additional comments or questions?

Submit

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