CSNS Medicolegal Committee: Survey on Malpractice and Medical Liability

1.How many years of experience post-residency/fellowship do you have?

2.What is your work setting?

Academic: Employed by academic institution

Academic: Privately employed with full time academic appointment

Academic: Privately employed with part time academic appointment

Office based single specialty group practice(non-academic appointment)

Office based solo practice (non-academic appointment)

Office based multispecialty group practice (non-academic appointment)

VA/non-military governmental

Military

Outpatient clinic

Other (please specify)

3.What region of the country do you practice?

South (Delaware, Florida, Georgia, Maryland, North Carolina, South Carolina, Virginia, District of Columbia, West Virginia, Alabama, Kentucky, Mississippi, Tennessee, Arkansas, Louisiana, Oklahoma, Texas)

Northeast (Connecticut, Maine, Massachusetts, New Hampshire, Rhode Island, Vermont, New Jersey, New York, Pennsylvania)

Midwest (Illinois, Indiana, Michigan, Ohio, Wisconsin, Iowa, Kansas, Minnesota, Missouri, Nebraska, North Dakota, South Dakota)

West (Arizona, Colorado, Idaho, Montana, Nevada, New Mexico, Utah, Wyoming, Alaska, California, Hawaii, Oregon, Washington

U.S. Territory (American Samoa, Guam, Northern Mariana Islands, Puerto Rico, U.S. Virgin Island)