MDS-AOS Fellowship Program Survey

* 1. Your country:

* 2. Your institution:

* 3. How many staff/faculty are at your institute? Please indicate their subspecialties:

* 4. If you indicated other subspecialties above, please list them here:

* 5. Fellowship training information

* 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?
Electrophysiology in movement disorders?
Deep brain stimulation?

* 8. Who is the contact person for this program?

* 9. Additional comments: