RISOPS Mentorship Program Application Name *Phone Number *Email Address *Current Medical SchoolYear In TrainingOMS-IOMS-IIOMS-IIIOMS-IVWhat Medical Specialties Are You Currently Considering?Check All That ApplyPrimary Care (Family Medicine / Internal Medicine)PediatricsObstetrics & Gynecology (OB/GYN)General Surgery / Surgical SubspecialtiesEmergency MedicineNeuromusculoskeletal Medicine / OMMOtherWhich licensing exams are you planning to take or have you completed?COMLEX onlyBoth COMLEX and USMLEAre you interested in practicing or completing residency training in Rhode Island long-term?Yes, definitelyMaybe / UndecidedNo, looking to match elsewhereWhat are your primary goals for this mentorship relationship?Please Check All That ApplySpecialty selection and career guidanceBoard exam preparation strategies (COMLEX/USMLE)Residency application strategy and interview prepResearch opportunities and academic publishingWork-life balance and wellness during medical schoolOtherAre you seeking specific opportunities to shadow a physician in their clinical practice?YesNoUnsure and open to itHow often do you ideally want to connect with your mentor?WeeklyBi-weeklyMonthlyWhat is your preferred method of communication?ZoomTelephoneEmailIs there anything else you would like to share about yourself, your background, or what you hope to get out of this program?Submit
