Apply to be a Mentee Connect with experienced Med-Peds physicians for mentorship and professional guidance. Personal Information Full Name * Email * Phone Location Professional Background Current Position * Training Stage * -- Select -- Recent Graduate (0-2 years post-residency) Early Career (3-5 years) Mid Career (6-10 years) Senior (10+ years) Med-Peds Program Graduation Year Mentoring Interests Brief Bio * (150-200 words) Tell us about yourself and your career goals Areas of Interest for Mentoring * What specific topics or challenges would you like mentorship on? Desired Mentoring Domains (Select all that apply) Career Development Clinical Practice Education & Training Leadership & Administration Professional Development Research & Scholarship Specialized Topics Preferred Mentoring Format Either Remote or In-Person Remote Only In-Person Preferred Mentor Preferences Browse our mentor directory and select 3-5 mentors you'd like to work with. Select Preferred Mentors (3-5) Alice Alexander - Med-Peds Program Director Ben Kinnear - Med-Peds Residency Program Director Chris Hanks - Med-Peds Section Chief, Medical Director Emery Chang - Faculty, UCLA CARE Center Jane Trinh - Chief of Med-Peds Primary Care Division Jennifer Walsh - Chief of Med-Peds Division, Vice Chair for Faculty Affairs JT Tolentino - Med-Peds Residency Program Director, President of MPPDA Kitty O'Hare - Senior Medical Director for Pediatrics Kristina Lehman - Solo Practitioner Mike Aylward - Med-Peds Residency Program Director Mike Kleinman - Associate Program Director, Assistant Dean Moises Auron - President of Medical Staff Phil Verhoef - Associate Program Director Hold Ctrl (Windows) or Cmd (Mac) to select multiple Additional Information Anything else we should know? (Optional) How did you hear about this program? -- Select -- AMPP Website AMPP Email Colleague Referral Social Media Conference/Event Other Submit Application
