Appendix B: Department of Internal Medicine Mentoring Survey

School of Medicine
Virginia Commonwealth University
Medical College of Virginia Campus

TO: All Assistant Professors in Department of Internal Medicine

FROM: Richard P. Wenzel, M.D., M.Sc.
            William Branch Porter Professor and Chair
            Department of Internal Medicine

RE: Mentoring

SUBJECT: In the interest of assessing the quality and accessibility of mentoring in the department, I ask your help in completing a brief questionnaire. Thank you very much.

Mentoring

1. Do you have an assigned mentor?
   ____ yes     ____ no

2. How often do you meet with your mentor?
   ____ < 1x/wk     ____ 1-3 x/wk     ____ > 4x/wk

3. How often do you have lunch or dinner with your mentor?
   ____ < 1x/mo     ____1-3 x/mo     ____ >4x/mo

4. How often has your mentor reviewed a grant or a manuscript of yours?
   ____ < 1x/yr     ____ 1-3 x/yr     ____ > 4x/yr

5. How often has your mentor helped you get on a national committee or a prominent journal editorial board?
   ____ < 1x/yr     ____ 1-3x/yr     ____ > 4x/yr

6. How often has your mentor helped you get an opportunity to present a paper or review at a national meeting?
   ____ < 1x/yr     ____ 1-3 x/yr     ____ > 4x/yr

7. Has your mentor advised you regarding Promotion &Tenure in the last year?
   ____ yes     ____ no

8. Has your mentor advised you regarding networking in the last year?
   ____ yes     ____ no

9. Has your mentor advised you regarding your teaching skills in the last year?
   ____ yes     ____ no

10. Rate the quality of your mentor. (0 low to 100 high)
    ____________ (score)

_____________________________________________
Signature (optional)

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