2010 Diversity Awareness in Patient Care Survey
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The Diversity Committee is interested in developing patient education materials, business plans, and Committee actions for diversity awareness as it relates to patient care, patient and surgeon education. Please complete the brief survey below.

Committee Charges:
•to propose guidelines for ASSH patient education materials, business plans, and Committee actions for diversity awareness as it relates to patient care, patient and surgeon education, and Society functions and reflect best practices of corporations and industry.
• to pursue available resources that facilitate diversity awareness, i.e. AAOS Diversity Advisory Board, for guidance in how to promote diversity in patient and surgeon related education.
• to develop strategies for new and existing products and services that address diversity awareness if appropriate.
• to encourage and aid our members to provide hand surgery services to diverse populations.

1. What does the representation of diversity awareness mean to you? (check all that apply)

2. Is Diversity Awareness as it relates to patient care a topic you would like to better understand (check all that apply):

3. Do you feel like members of “diverse groups” (broadly defined), have been excluded from or under-exposed to opportunities in the following categories (check all that apply):

The following questions demographic questions will remain confidential and used only for membership data for The American Society for Surgery of The Hand.

4. Please identify:

5. Age range:

6. Nationality:

7. Country of birth if other than US:

8. Are you a member who resides outside of the US?

9. If you reside outside of the US, what is your country of residence?

10. Please check all racial/ethnic identities that apply to you:

11. Do you consider yourself as having a physical impairment or disability?

12. If you have another type of disability (that is not physical), please feel free to explain what it is, if you are willing to share this information.

13. Do you consider yourself as being apart of any protected groups?
Note: Protected groups are understood to be groups of people who are distinguished, through identity or experience, by the following characteristics: race, color, ethnicity, national origin, religion, gender, sexual orientation, age, disability or veteran status.

14. Please expand on any of the above.

15. Additional suggestions and observations as it relates to the Hand Society, the workplace, other:

Thank you for answering our Diversity survey. Look for the results in an upcoming Weekly Member Update.

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