Mentor ProgramArchivist PHA2022-08-19T11:32:02-04:00

PHA Professional Mentorship Program

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The Pulmonary Hypertension Association (PHA) Professional Mentor Program is for clinicians and researchers who care for people with pulmonary hypertension. It connects physicians, nurses, pharmacists, social workers, other allied health professionals and researchers with qualified professional mentors.

Mentors must be available to answer questions and provide support for mentees on a variety of subjects, including:

Clinical practice experiences.
Clinician responsibilities in PH centers, such as medication approval and monitoring.
Research activities.
Allied health professional’s role in a collaborative practice.
Managing work-related stress.
Role of an active member of PHPN/PHCR.
PH Care Center accreditation, including regional and comprehensive care centers.

How to Apply

Fill out an application, and submit a photo and CV. Applicants must be current PHPN or PHCR members. PHA staff will review applications on a rolling basis and present recommendations to the PHA Professional Education Committee for approval.

Mentees can request specific mentors after viewing mentor profiles, and PHA staff will do its best to accommodate the request. If an applicant doesn’t request a specific mentor, the committee will select the match.

Apply to be a mentor/mentee

PHA Professional Mentorship Program: Mentor/Mentee Application

Name *

First

Last

Email *

Cell/Personal Phone

Work Phone

What is your primary role?

You selected OTHER as your primary role. Please specify your role

Please select a secondary role (if applicable)

You selected OTHER as your secondary role. Please specify your role.

I am a member of *

PHCR (PH Clinicians and Researchers)
PHPN (PH Professional Network)
Unsure/don't know

Are you applying to be a mentor or mentee? *

Mentor
Mentee
Both

Please check all of the areas in which you want to be mentored

Basic Science Research
Data/Outcomes Management
Developing Patient Education Materials
Garnering Institutional Support for Program Building
Lung Transplant and Referral
Managing Hospitalized PH Patients (including Hospital Policy and Procedures)
Managing IV and SQ Therapies
Navigating REMS Criteria
Obtaining coverage for PH Medications, including use of Patient Assistance Programs
PA/APN Work-up and Management of PH patients
Palliative Care and/or Hospice
Patient support group activities
Patient/Family Counseling (Insurance and Psychosocial)
Pediatrics
PHCC Accreditation - CCC
PHCC Accreditation - RCP
PH Clinic Nursing duties
PH Educational Opportunities for Health Professionals
PH Program Development and Evaluation
PH Research
PH Coordinator Roles and Responsibilities
Pregnancy and Women's Issues
Publishing
Pulmonary Rehab
Risk Assessment
RV Imaging
Work/Life Issues for the Health Professional
Working as part of a Multidisciplinary team
Other

You selected OTHER as one of the areas in which you would like to be mentored. Please provide details.

Please check all of your areas of expertise

Basic Science Research
Data/Outcomes Management
Developing Patient Education Materials
Garnering Institutional Support for Program Building
Lung Transplant and Referral
Managing Hospitalized PH Patients (including Hospital Policy and Procedures)
Managing IV and SQ Therapies
Navigating REMS Criteria
Obtaining coverage for PH Medications, including use of Patient Assistance Programs
PA/APN Work-up and Management of PH patients
Palliative Care and/or Hospice
Patient support group activities
Patient/Family Counseling (Insurance and Psychosocial)
Pediatrics
PHCC Accreditation - CCC
PHCC Accreditation - RCP
PH Clinic Nursing duties
PH Educational Opportunities for Health Professionals
PH Program Development and Evaluation
PH Research
PH Coordinator Roles and Responsibilities
Pregnancy and Women's Issues
Publishing
Pulmonary Rehab
Risk Assessment
RV Imaging
Work/Life Issues for the Health Professional
Working as part of a Multidisciplinary team
Other

You selected OTHER as one your areas of expertise. Please provide details. (copy)

Do you have any specific expertise, such as a certain patient population?

Is there is a specific mentor you would like to work with?

Professional degree(s) you hold

Place of Employment

City

State

Is your place of employment a PHCC accredited center or program?

If you are unsure, you can check using the following link: https://phassociation.org/phcarecenters/accredited-centers

What medical specialties do the physicians you work with represent? *

Pulmonary
Cardiology
Rheumatology
Pediatrics
Other

Select all that apply

You selected OTHER as one of the medical specialties. Please provide details.

How many years have you been working in PH?

Please describe your current or past involvement with PHA

Your area of focus is in

Clinical Care
Research
Both

Have you previously participated in the PHA mentoring program in the past as a mentor or mentee?

Yes, as a mentor
Yes, as a mentee
No, I have not participated in the PHA mentoring program before.

How would you prefer to communicate with a potential mentee?

Email
Phone
Video Conferencing
Personal Visit
No preference

How would you prefer to communicate with a potential mentor?

Email
Phone
Video Conferencing
Personal Visit
No preference

Please upload a photo of yourself

Click or drag a file to this area to upload.

Please upload your CV, resume, or brief biographical statement

Click or drag a file to this area to upload.

Is there any additional information you would like to share with us?

Connecting mentees and mentors

PHA staff will contact mentors and mentees to set up introductory calls. The call will include an overview of the program and discuss the pair’s preferred mode of communication. After the call, a mentee can contact their mentor as needed or through a schedule determined on the initial call. The mentor must agree to be available to one mentee for up to six months.

View mentor profiles>>

Documentation

Mentees and mentors must submit brief evaluations after one, three and six months. The evaluations will collect information about frequency of contact, general experience and any issues. PHA staff periodically will review the data with names removed to identify challenges new PH professionals face and opportunities to improve the program.

Length of commitment

Mentors can decide to continue the mentorship or end it after six months. If a mentor decides to end their service, the mentee can request a new mentor if they want to continue in the program. The six-month period is in place to make mentors available to future mentees. Mentors aren’t bound to a set term and can discontinue if professional or personal obligations prevent them from fulfilling their mentor responsibilities.

Questions?

If you have questions about the program or the status of your application, email us or call 301-565-3004 x744.

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