A clinical prediction rule for acute aortic dissection: a multi disciplinary survey

Demographics

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* 1. Are you:

Male

Female

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* 2. Have you seen any patients in the past year with acute aortic dissection?

Yes

No

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* 3. How many years have you been practicing medicine?

<1

1-5

5-10

>10

Other

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* 4. How many years of residency training?

3 years

5 years

>5 years

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* 5. On average how many patients do you see per week?

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* 6. In what setting do you perform MOST of your clinical activities Tick one box

Academic Teaching Hospital

Community / District General Hospital: Teaching

Community / District General Hospital: Non-Teaching

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* 7. The first 200 Respondents will receive a $5 gift card for Tim Hortons - if you wish to be included please provide an email address that we will send the gift card

Email Address