AUPN Chair-to-Chair Coaching Pairing (Coach) | Association for University Professors of Neurology

AUPN Chair-to-Chair Coaching Pairing (Coach)

Name (First & Last) *
Institution *
Email *
Phone *
What is your institution type? (Hold Ctrl to select multiple) *
Is your primary hospital owned by the University? *

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Is your healthcare system fully academic, or a mix of private practice and academic? *

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How many full-time academic faculty in your dept. at your institution (Numerical answer only) *
Does the Department include Child Neurology? *

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Do you have Vice Chairs in your department? *

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What is your residency size? *

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How many years have you been a Chair? *

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Were you the inaugural Chair for the Department? *

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Were you mentored when you took on your current role? *

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On what issues/areas do you feel you can provide mentoring? (Please list in order of importance. Example: Research Growth, Clinical Expansion, Funds Flow, etc.) *
(Maximum characters: 2000)
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What challenges do you face? *
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Please name any individuals would you prefer not to have as a mentee.
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Additional Comments (optional)



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