Evaluation of Residencies in Europe Survey

Your answers will be kept ANONYMOUS.
ALL ANSWERS are required.

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1. What's your COUNTRY ?

What's your COUNTRY ? Armenia Austria Belarus Belgium Bosnia Bulgaria Croatia Czech Republic Denmark Finland France Georgia	Germany Greece Hungary Ireland Italy Kosovo Latvia Lithuania Netherlands Norway Poland Portugal	Romania Russia Serbia Slovakia Slovenia Spain Sweden Switzerland Turkey UK Ukraine
Other (please specify)

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2. What's your CITY ? (don't specify which suburb)

What's your CITY ? (don't specify which suburb)

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3. What's the name of your HOSPITAL ?

What's the name of your HOSPITAL ?

4. What's the name of your HEAD/DIRECTOR OF DEPARTMENT

What's the name of your HEAD/DIRECTOR OF DEPARTMENT

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5. How long have you BEEN IN THIS DEPARTMENT ?

How long have you BEEN IN THIS DEPARTMENT ? 1 month

2 months

3 months

6 months

9 months

1 year

1,5 year

2 years

3 years

4 years

5 years

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6. How would you EVALUATE YOURSELF as a resident ?

	1 (Very bad)	2	3	4	5 (Very good)
GLOBAL	*How would you EVALUATE YOURSELF as a resident ? GLOBAL 1 (Very bad)	GLOBAL 2	GLOBAL 3	GLOBAL 4	GLOBAL 5 (Very good)
SURGERY, IN GENERAL	SURGERY, IN GENERAL 1 (Very bad)	SURGERY, IN GENERAL 2	SURGERY, IN GENERAL 3	SURGERY, IN GENERAL 4	SURGERY, IN GENERAL 5 (Very good)
......Open surgery	......Open surgery 1 (Very bad)	......Open surgery 2	......Open surgery 3	......Open surgery 4	......Open surgery 5 (Very good)
......Endoscopy	......Endoscopy 1 (Very bad)	......Endoscopy 2	......Endoscopy 3	......Endoscopy 4	......Endoscopy 5 (Very good)
......Laparoscopy/Robotics	......Laparoscopy/Robotics 1 (Very bad)	......Laparoscopy/Robotics 2	......Laparoscopy/Robotics 3	......Laparoscopy/Robotics 4	......Laparoscopy/Robotics 5 (Very good)
CLINICS, IN GENERAL	CLINICS, IN GENERAL 1 (Very bad)	CLINICS, IN GENERAL 2	CLINICS, IN GENERAL 3	CLINICS, IN GENERAL 4	CLINICS, IN GENERAL 5 (Very good)
......Daily rounds in dep.	......Daily rounds in dep. 1 (Very bad)	......Daily rounds in dep. 2	......Daily rounds in dep. 3	......Daily rounds in dep. 4	......Daily rounds in dep. 5 (Very good)
......Emergencies	......Emergencies 1 (Very bad)	......Emergencies 2	......Emergencies 3	......Emergencies 4	......Emergencies 5 (Very good)
SCIENCE, IN GENERAL	SCIENCE, IN GENERAL 1 (Very bad)	SCIENCE, IN GENERAL 2	SCIENCE, IN GENERAL 3	SCIENCE, IN GENERAL 4	SCIENCE, IN GENERAL 5 (Very good)
......Reading articles	......Reading articles 1 (Very bad)	......Reading articles 2	......Reading articles 3	......Reading articles 4	......Reading articles 5 (Very good)
......Writing articles	......Writing articles 1 (Very bad)	......Writing articles 2	......Writing articles 3	......Writing articles 4	......Writing articles 5 (Very good)
......Basic research	......Basic research 1 (Very bad)	......Basic research 2	......Basic research 3	......Basic research 4	......Basic research 5 (Very good)
......Clinical research	......Clinical research 1 (Very bad)	......Clinical research 2	......Clinical research 3	......Clinical research 4	......Clinical research 5 (Very good)
COMMUNICATION, IN GENERAL	COMMUNICATION, IN GENERAL 1 (Very bad)	COMMUNICATION, IN GENERAL 2	COMMUNICATION, IN GENERAL 3	COMMUNICATION, IN GENERAL 4	COMMUNICATION, IN GENERAL 5 (Very good)
......With patients	......With patients 1 (Very bad)	......With patients 2	......With patients 3	......With patients 4	......With patients 5 (Very good)
......At staff meetings	......At staff meetings 1 (Very bad)	......At staff meetings 2	......At staff meetings 3	......At staff meetings 4	......At staff meetings 5 (Very good)
......English knowledge	......English knowledge 1 (Very bad)	......English knowledge 2	......English knowledge 3	......English knowledge 4	......English knowledge 5 (Very good)

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7. What is your favorite topic in urology ?

What is your favorite topic in urology ? Prostate Cancer Kidney Cancer Bladder Cancer Transplantation	Lithiasis Female urology Neurourology Andrology	Pediatrics General urology
Other (please specify)

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8. Do you plan to (or did you) go abroad for an exchange program ?

Do you plan to (or did you) go abroad for an exchange program ? Yes

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9. What's your GENDER ?

What's your GENDER ? Male

Female

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10. Personal status :

	Yes	No
Are you engaged / married ?	*Personal status : Are you engaged / married ? Yes	Are you engaged / married ? No
Divorced ?	Divorced ? Yes	Divorced ? No
Do you have child(ren) ?	Do you have child(ren) ? Yes	Do you have child(ren) ? No

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11. What year was it ?

What year was it ? Your YEAR OF BIRTH ?
Year of RESIDENCY START ?

12. (If applicable), how old were you ?

(If applicable), how old were you ? When you ENGAGED / MARRIED ?
Had your FIRST CHILD ?

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13. Do you think that your specialization in urology :

	Yes	No
affects your affective life ?	*Do you think that your specialization in urology : affects your affective life ? Yes	affects your affective life ? No
affects (will affect) your fathership / mothership ?	affects (will affect) your fathership / mothership ? Yes	affects (will affect) your fathership / mothership ? No
Delayes(d) time you have(d) your first child ?	Delayes(d) time you have(d) your first child ? Yes	Delayes(d) time you have(d) your first child ? No
Do you regret your choice of Urology ?	Do you regret your choice of Urology ? Yes	Do you regret your choice of Urology ? No

Can you illustrate with a personal example

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14. Do you think that your sex (male or female) gives you FACILITATIONS or LIMITATIONS :

	Facilitations	No effect	Limitations
In career ?	*Do you think that your sex (male or female) gives you FACILITATIONS or LIMITATIONS : In career ? Facilitations	In career ? No effect	In career ? Limitations
With patients ?	With patients ? Facilitations	With patients ? No effect	With patients ? Limitations
With nurses ?	With nurses ? Facilitations	With nurses ? No effect	With nurses ? Limitations
With senior urologists ?	With senior urologists ? Facilitations	With senior urologists ? No effect	With senior urologists ? Limitations
With colleagues ?	With colleagues ? Facilitations	With colleagues ? No effect	With colleagues ? Limitations
In medical urology ?	In medical urology ? Facilitations	In medical urology ? No effect	In medical urology ? Limitations
In surgery ?	In surgery ? Facilitations	In surgery ? No effect	In surgery ? Limitations
In research ?	In research ? Facilitations	In research ? No effect	In research ? Limitations

Can you illustrate your answers with personal examples ?

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15. Have you ever experienced sexual harassment at work ?

Have you ever experienced sexual harassment at work ? Yes

Evaluation of Residencies in Europe

1. About YOU :

*1. What's your COUNTRY ?

*2. What's your CITY ? (don't specify which suburb)

*3. What's the name of your HOSPITAL ?

4. What's the name of your HEAD/DIRECTOR OF DEPARTMENT

*5. How long have you BEEN IN THIS DEPARTMENT ?

*6. How would you EVALUATE YOURSELF as a resident ?

*7. What is your favorite topic in urology ?

*8. Do you plan to (or did you) go abroad for an exchange program ?

*9. What's your GENDER ?

*10. Personal status :

*11. What year was it ?