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* 1. Name

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* 2. Title / Position

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* 3. Highest degree obtained:

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* 4. Location where you work:

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* 5. Institution where you work (If you work at more than one institution, please only list your primary institution):

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* 6. Is your institution in a rural or urban environment?

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* 7. Is your institution public or private?

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* 8. Are you:

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* 9. Answer the following for your institution:

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* 10. Does your institution have a subspecialty training program for qualified pathologists (i.e. fellowship training)?

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