Internal Medicine Mentorship Program Resident Mentorship Questionnaire Form to capture their interests, goals, etc., to best match mentee to mentor. Name(Required) First Last Email(Required) Phone(Required)Which year of residency are you in?(Required)PGY1PGY2PGY3What are your goals? Both short and long term.(Required)What are your expectations of this program?(Required)Tell us about your future career plan?(Required)What obstacles do you see in your path on the way to achieving your goals?(Required)PhoneThis field is for validation purposes and should be left unchanged.