Lothian Peer Mentoring Programme Lothian Peer Mentoring Programme Your thoughtful answers will help us find the best match for you. Step 1 of 4 25% About youWe welcome your application to join this programme designed to guide and support the careers of doctors in NHS Lothian. Your data will be held securely in a UK based third-party system outside of NHS Lothian. See the privacy policy.Name(Required) First Last Email(Required) Mentoring role(Required) Mentor Mentee Are you applying to be a mentor or a mentee?Gender(Required)MaleFemaleOther (please specify…)Other Gender(Required) HiddenProtected CharacteristicRaceDisabilityReligion/beliefLGBTQ+SexI have a protected characteristic and I would like to be matched with someone who is aware/also identifies in this group. Leave blank to increase your chance of a matchHiddenProtected Characteristic I have a protected characteristic and would like this to be considered during matching. Your situationGroup(Required) FY1 FY2 Other Doctor in training Consultant SAS Doctor Grade(Required)CST 1CST 2Internal Medical Trainee (Core Medical Trainee) 1Internal Medical Trainee (Core Medical Trainee) 2Internal Medical Trainee (Core Medical Trainee) 3Specialty medical trainee 1Specialty medical trainee 2Specialty medical trainee 3Specialty medical trainee 4Specialty medical trainee 5Specialty medical trainee 6Specialty medical trainee 7Specialty medical trainee 8Surgical trainee 1Surgical trainee 2Surgical trainee 3Surgical trainee 4Surgical trainee 5Surgical trainee 6Surgical trainee 7Surgical trainee 8ACCS (acute common care stem) 1ACCS (acute common care stem) 2ACCS (acute common care stem) 3If currently Out of Programme for any reason (or on fellowship), select your previous gradeExperience(Required)<22–56–1011–2021+Number of years in roleHiddenPost CCT Experience(Required)SpecialtyAllergy and immunologyAnaestheticsCardiologyDermatologyEmergency medicineEndocrinology and DiabetesGastroenterologyGeneral PracticeGeriatric/Medicine of the ElderlyHistopathologyInternal medicine — generalMedical geneticsNephrologyNeurologyNuclear medicineObstetrics and gynaecologyOncologyOphthalmologyPaediatrics or NeonatologyPathologyPsychiatryPublic HealthRadiologyRespiratoryRheumatologySurgery — generalSurgery — subspecialty (please specify…)UrologyLeave blank to be matched with a suitable mentor chosen to support your development aims irrespective of their specialty. Select a specialty only if this is crucial to your aims, as this may reduce your chance of a match.Choose any future specialty preferenceSurgery — subspecialty(Required) HiddenCurrent Workplace(Required)Royal Infirmary of EdinburghRoyal Hospital for Children and Young PeopleSt Johns HospitalWestern General HospitalAstley Ainslie HospitalEast Lothian Community HospitalEdington Cottage HospitalMidlothian Community HospitalMusselburgh Primary Care CentreRoyal Edinburgh HospitalSpittal Street CentreSt Johns Short Stay ElectiveSt Michaels HospitalAllermuir Health CentreBelhaven HospitalBlackburn Partnership CentreCalareidhChalmersEllens Glen HouseFerryfield HouseFindlay HouseLauriston BuildingLeith Community Treatment CentreLiberton HospitalPennywell All Care CentreRegional Endoscopy UnitSunndachThe Princess Alexandra Eye PavilionTippethill HospitalOther (please specify)We will prefer a match with a mentor in another hospital locationOther workplace(Required) Your preferencesPreferred Gender of Mentoring PartnerNo PreferenceMaleFemaleNo preference will increase your chance of a matchHiddenProtected Characteristic I would like to be matched with someone who has a protected characteristic or is aware of this group.This will reduce the number of your potential matches Your development aimsSelect a total of between 1 and 5 of the most important areas on which you’d like to focus. Your answers are crucial to help us find you a suitable match.Your experienceSelect as many areas (and at least 4) as you feel comfortable in supporting a mentee. Your answers are crucial to help us find you a suitable match.HiddenAreas of support Exams advice Careers advice Stepping up to new role General well-being Job planning CPD/Career progression Being an International Medical Graduate Additional important aspects Less than full time (LTFT) work Time out of program (OOP) Work abroad New to Lothian (trained elsewhere) Research MedEd/UoE Work/life balance Disability/illness Support with CESR Re-entering training ExperienceA brief paragraph about yourself and your experienceCareer interestPlease mention any additional points within your development that will help us find you a suitable match Final step and submitReview your answers and submit when ready. We will send you an email of your submission for your records.Outside interestA short paragraph on your interests outside work to help us find a matchConsent(Required) I agree to the privacy policyI understand that my data will be used for this matching process and held for no longer than is necessary.EmailThis field is for validation purposes and should be left unchanged.
