Become a Physician Mentor with ABPA

Please select the mentorship you're interested in providing below:

Clinical Shadowing Program Mentor

Scholarship Program Mentor

I am interested in both!

If interested in the Clinical Shadowing Program, please select all to confirm your interest.

Get matched with an undergraduate Junior or Senior with strong interest in medicine;

Respond to email or texts by ABPA coordinator and/or assigned student for scheduling arrangement;s

Maintain an active medical license during the preceptorship;

Complete pre- and post-experience surveys for program evaluation;

Commit to 4 weeks shadowing experience;

Agree to standard code of ethics;

If you did not select all in item #1, please explain:

Clinic Location

Medical Specialty

Shadowing availability - Days

Shadowing availability - Times

Preferred phone number to receive texts

Clinic phone number

Name of contact person (If different from physician listed above)

Become a Physician Mentor with ABPA!