Workplace Mentor

Sign up here if you would be willing to mentor a junior doctor in their patient safety project.

Personal Details

Form Help

As a workplace mentor you will be able to access all the details of projects carried out or being carried out in your workplace and offer advice by posting comments.

Name: This will be used as your screen name

Workplace: Where do you currently practice?

Email: Please use your most relevant email address. We promise to never spam you

ID: GMC, Pharmacy or Nursing Number

Screen Name: This will automatically be set as your first name and second name. You are able to change your screen name here if you would prefer?

Password: Please use a secure and memorable password for this site