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MDS-AOS Fellowship Program Survey
1.
Your country:
2.
Your institution:
3.
How many staff/faculty are at your institute? Please indicate their subspecialties:
Psychology
Psychiatry
Gerontology
Neuroimaging
Neuropharmacology
Neurosurgery
Neurology
Neuroscience
Nursing
Nutrition/Dietetics
Physical Therapy
Social Work
Speech/Swallowing Therapy
Other
4.
If you indicated other subspecialties above, please list them here:
5.
Fellowship training information
How many years has your institution had a movement disorders fellowship training program?
How many positions are available?
Length of fellowship training (years):
6.
Please provide a brief curriculum of the current fellowship program at your institution.
7.
At your site, do you offer specific training in...
Yes
No
Botulinum toxin injections?
Yes
No
Electrophysiology in movement disorders?
Yes
No
Deep brain stimulation?
Yes
No
8.
Who is the contact person for this program?
Contact name:
Contact email:
Program website:
9.
Additional comments: