memb-inq

Home
Our Member Coaches
Our Leadership Team
Members only
Contact
Events

If you are interested in becoming a member coach of the Canadian Physician Coaches Network, please complete and submit the form below. One of our membership committee volunteers will get in touch within a few days.

CPCN Membership Inquiry

* Indicates required field

Name *

First

Last

Email *

Phone *

Web page *

Are you currently credentialed by a recognized coaching organization *

Yes No

Please identify the organization(s) with which you are credentialed (select all that apply) *

ICF EMCC IAC NBHWC Other (please enter in box below)

Other Credentialing Body *

Do you have experience coaching physicians? *

Yes No

3. Which areas interest you in contributing to the health of our Network? Please check all that apply: *

Finance Marketing/Website/Social Media Membership Strategic Planning Community of Learning Research Mentorship/Supervision Teaching and Presenting Journal Club Other (please enter in box below)

Other Area of Interest *

4. Please upload a short bio which includes your coaching style, experience and specific areas of physician coaching in which you would like to practice (e.g. resilience, health and wellness, leadership, communication, other) *

Max file size: 20MB

Submit

admin@coach4md.org

• career development • leadership • managing teams• professionalism • coping with conflict • finding wellness and joy • preventing or escaping physician burnout • phasing to retirement • anything where you need to leave your comfort zone

Home
Our Member Coaches
Our Leadership Team
Members only
Contact
Events