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Graduate Follow-Up Survey 2009
1. Default Section
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1
. In what year did you graduate?
In what year did you graduate?
*
2
. What is your gender?
What is your gender?
Female
Male
3
. Are you board certified or re-certified?
Are you board certified or re-certified?
Yes
No
4
. Which Board or CAQ?
Which Board or CAQ?
5
. Year of certification or re-certification?
Year of certification or re-certification?
6
. Did you complete a fellowship after graduation?
Did you complete a fellowship after graduation?
Yes
No
7
. If yes, what type?
If yes, what type?
8
. Did you complete another residency after graduation?
Did you complete another residency after graduation?
Yes
No
9
. If yes, what type?
If yes, what type?
10
. In what specialty do you currently practice?
In what specialty do you currently practice?
Family Medicine
Not presently in practice
Other (please specify)
11
. In what state or country are you practicing?
In what state or country are you practicing?
12
. Which of the following describes your practice setting?
(Select only one).
Which of the following describes your practice setting? (Select only one).
Community Health Center
Emergency Room
Full-time Salaried Teaching
Health Maintenance Organization
Health Manpower Shortage Area
Indian Health Service
Migrant Health Clinic
Military
National Health Service Corps
Notch Group Health Care Clinic
Other Salaried Clinic (e.g., Student Health)
Private Practice
Private Practice and Part-time Salaried Teaching
Rural Health Clinic
Urgent Care Center
Other (please specify)
13
. Which of the following describes your practice organization?
(Please check only one).
Which of the following describes your practice organization? (Please check only one).
Solo
Partnership(two physician practice)
Single-specialty group (three or more physicians)
Multi-specialty group (three or more physicians)
Training program
14
. If you are in a partnership or group practice, what are the specialties of the other physicians?
If you are in a partnership or group practice, what are the specialties of the other physicians?
Family Medicine
General Internal Medicine
Pediatrics
Obstetric/Gynecology
Other (please specify)
15
. Which best describes the community in which you practice?
(Please select only one).
Which best describes the community in which you practice? (Please select only one).
A communnity of less the 2,500 people
A small town of 2,500 to 10,000
A medium-sized town of 10,000 to 25,000
A large town of 25,000 to 50,000
A small city of 50,000 to 100,000
A large city over 100,000
A suburb of a large city
16
. How many times per month are you on call?
How many times per month are you on call?
17
. Does your primary hospital have a clinical Family Medicine Department?
Does your primary hospital have a clinical Family Medicine Department?
Yes
No
18
. Is documentation required for privileges in your hospital?
Is documentation required for privileges in your hospital?
Yes
No
19
. Are you currently practicing obstetrics?
Are you currently practicing obstetrics?
Yes
No
If no, why not?
20
. If yes, approximately how many:
If yes, approximately how many:
Vaginal deliveries per year?
C-sections assists per year?
C-sections as primary per year?
21
. Do you provide prenatal care only?
Do you provide prenatal care only?
Yes
No
22
. How satisfied are you with each of the following aspects of your life?
Very Dissatisfied
Somewhat Dissatisfied
Neutral
Somewhat Satisfied
Very Satisfied
Chosen Specialty
How satisfied are you with each of the following aspects of your life? Chosen Specialty Very Dissatisfied
Somewhat Dissatisfied
Neutral
Somewhat Satisfied
Very Satisfied
Professional Life
Professional Life Very Dissatisfied
Somewhat Dissatisfied
Neutral
Somewhat Satisfied
Very Satisfied
Practice Arrangement
Practice Arrangement Very Dissatisfied
Somewhat Dissatisfied
Neutral
Somewhat Satisfied
Very Satisfied
Income
Income Very Dissatisfied
Somewhat Dissatisfied
Neutral
Somewhat Satisfied
Very Satisfied
Personal Life
Personal Life Very Dissatisfied
Somewhat Dissatisfied
Neutral
Somewhat Satisfied
Very Satisfied
Community Life
Community Life Very Dissatisfied
Somewhat Dissatisfied
Neutral
Somewhat Satisfied
Very Satisfied
23
. How easy or difficult has it been for you to maintain a balance between your personal life and your professional life?
How easy or difficult has it been for you to maintain a balance between your personal life and your professional life?
Extremely easy
Fairly easy
Neither easy or difficult
Fairly difficult
Extremely difficult
24
. If you had it to do all over, would you still choose to complete The University of Arizona's Family Medicine residency?
If you had it to do all over, would you still choose to complete The University of Arizona's Family Medicine residency?
Definitely Not
Probably Not
Uncertain
Probably Would
Definitely Would
25
. Would you still choose a career in Family Medicine?
Would you still choose a career in Family Medicine?
Definitely Not
Probably Not
Uncertain
Probably Would
Definitely Would
26
. Any specific suggestions or comments for improving the residency?
Any specific suggestions or comments for improving the residency?
27
. Optional. Please provide your email address.
Optional. Please provide your email address.
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