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MATRIX MENTORSHIP
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Professional information
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Institution
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If MD/DO, Career stage
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Resident
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practicing clinician
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6-10 years
> 10 years
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If Practicing clinician:
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Other practicing clinicians (APP, Pharma D, Psych, RD…) : years in practice
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6-10 years
> 10 years
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Degree
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Gastroenterologist (MD/DO)
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Advanced Practitoner (NP,PA)
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Focus in GI : (check all that apply)
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General Adult GI
Pediatric GI
IBD
Therapeutic endoscopy
Motility Disorders
Esophageal Disease
IBS
Liver disease
Pancreatobiliary disease
Obesity medicine
Basic Science and/or Translational research
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Get involved with the Scrubs & Heels Foundation !
1- if your are interested in joining a S & H Committee and / or Faculty ( Check all that applies)
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Social media ambassador (open to residents and fellows only)
Summit ambassador (open to residents and fellows only)
Mentor for the Matrix Mentorship program (open to practicing gastroenterologists only)
Faculty at the Summit
Faculty for podcast
Writer for newsletter
Other
2- Do you give permission to Scrubs & Heels to (check all that applies)
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email you our newsletter
share your info with colleagues for networking and professional opportunities
share your info with industry partners for networking and professional opportunities
Use pictures taken during summit or other S and H event to be shared on our social media and website
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IMPORTANT NOTICE
APPLICATION FOR SCRUBS & HEELS AMBASSADORS
and
APPLICATION FOR THE BREAK THE GLASS CEILING AWARD NOW OPEN
APPLY BY AUGUST 15, 2024
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