Medical Association of Southeast Louisiana
Member Engagement Survey
The Medical Association of Southeast Louisiana welcomes your involvement! By getting involved, you will reap professional rewards! Please note your interest in below. Thanks!
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1.
Name
2.
Preferred Email Address:
3.
Preferred Phone:
4.
Please indicate your interest in being involved in any of the following ad hoc committees:
Women in Medicine
Early Career (8 years or less in practice)
Private Practice
Employed Physicians
Medical Education & Academic Physicians & Physicians-in-Training
Legislative & Regulatory
Education
Stakeholder Relations
Public Health & EMS Committee
Physician Wellbeing
5.
If you are interested in peer groups, please note areas of interest:
6.
If you are interested in mentoring opportunities, note your areas of expertise:
7.
Would you be interested in leadership opportunities within MASELA?
Yes
No
8.
If so, please describe your previous leadership experience (personal and/or professional):
Current Progress,
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