MDS-AOS Fellowship Program Survey

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* 1. Your country:

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* 2. Your institution:

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* 3. How many staff/faculty are at your institute? Please indicate their subspecialties:

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* 4. If you indicated other subspecialties above, please list them here:

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* 5. Fellowship training information

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* 6. Please provide a brief curriculum of the current fellowship program at your institution.

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* 7. At your site, do you offer specific training in...

  Yes No
Botulinum toxin injections?
Electrophysiology in movement disorders?
Deep brain stimulation?

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* 8. Who is the contact person for this program?

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* 9. Additional comments:

T