Promotes self-reflection 1 2 3 4 5 Comments: Never Rarely Occasionally Most of Always the Time Admin Support Assists with setting & 1 2 3 4 5 identifying potential opportunities Assists in developing new 1 2 3 4 5 skills (clinical, research, teaching, etc.) Comments: Clinical Support Assists with setting goals & 1 2 3 4 5 identifying potential opportunities Assists in developing new 1 2 3 4 5 skills (clinical, research, teaching, etc.) Comments: Teaching Support Assists with setting goals & 1 2 3 4 5 identifying potential opportunities Assists in developing new 1 2 3 4 5 skills (clinical, research, teaching, etc.) Comments: Psychosocial Support Promotes work-life balance 1 2 3 4 5 Respectful 1 2 3 4 5 Engaged and actively listens/ 1 2 3 4 5 participates Comments: Additional Questions
Promotes self-reflection 1 2 3 4 5 Comments: Never Rarely Occasionally Most of the Time Always Admin Support Assists with setting & identifying potential opportunities 1 2 3 4 5 Assists in developing new skills (clinical, research, teaching, etc.) 1 2 3 4 5 Comments: Clinical Support Assists with setting goals & identifying potential opportunities 1 2 3 4 5 Assists in developing new skills (clinical, research, teaching, etc.) 1 2 3 4 5 Comments: Teaching Support Assists with setting goals & identifying potential opportunities 1 2 3 4 5 Assists in developing new skills (clinical, research, teaching, etc.) 1 2 3 4 5 Comments: Psychosocial Support Promotes work-life balance 1 2 3 4 5 Respectful 1 2 3 4 5 Engaged and actively listens/ participates 1 2 3 4 5 Comments: Additional Questions
UW_Department_of_Pediatrics_Mentoring_Guide_February_2017.docx