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* 1.  Please indicate your Gender

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* 2. What is your membership category in the OTA?

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* 3. What do you feel the benefits of OTA membership are? (please check all that apply)

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* 4. What extra-curricular activities are you involved in: (Check all that apply)

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* 5. Please check all that you have attended in the past 3 years:

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* 6. What type of education would you like to see to meet your needs?

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* 7. Please describe your trauma fellowship setting

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* 8. Did your fellowship adequately prepare you for practice?

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* 9. What year did you complete your fellowship?

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* 10. Was your fellowship program ACGME accredited?

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* 11. Was your fellowship program OTA accredited?

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* 12. Did OTA accreditation affect your fellowship choice? 

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* 13. Was it difficult and/or competitive to secure your first job? 

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* 14. Did you feel COVID adversely affected your job search? 

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* 15. How has the number of fellowship trained trauma surgeons in the job market affected your practice? Please rank on a scale of 1-4 with 1 (not at all affected) to 4 (affected greatly)

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* 16. Have you changed jobs since your fellowship?

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* 17. Check all that you experienced

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* 18. If yes, why?

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* 19. During Covid, I had less cases during my residency and/or fellowship.

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* 20. During Covid, My clinic experience was less valuable due to telehealth visits.

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* 21. What type of practice are you in?

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* 22. If in Academic medicine, what is your rank?

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* 23. If in Academic medicine, are you on a tenured track?

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* 24. Private Practice - Are you a partner?

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* 25. What is the duration of time to becoming a partner?

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* 26. Is your practice supported or owned by a Private Equity Firm?

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* 27. Do you operate in an Ambulatory Surgery Center (ASC)?

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* 28. If yes, is it physician owned/managed (i.e. >51%)?

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* 29. Does Your State require a Certificate of Need for an ASC?

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* 30. Which part of the country are you located?

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* 31. What is the population base your trauma center covers?

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* 32. Do you have ACS Designation and/or state designation?

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* 33. What level is your designation

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* 34. Do you have a dedicated Orthopaedic Trauma OR available to you to do cases? 

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* 35. If yes, designate all categories that apply:

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* 36. Please indicate the support staff (by checking all that apply) you have for your practice.

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* 37. How many hours a week do you work (on average)?

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* 38. What percentage of your practice is devoted to trauma (Emergency and elective)?

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* 39. Since graduating from Fellowship, Has the percentage of trauma cases you do in your practice: increased, decreased, or remained the same.

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* 40. How many nights of call do you take a month on average?

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* 41. Are you compensated for your call?

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* 42. If yes, what is your rate per night?

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* 43. How many cases do you do annually (each anesthesia= one case-realizing it might be multiple procedures)?

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* 44. What are your annual wRVU’s ?

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* 45. If more than 10,000, do you do spinal procedures?

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* 46. How many days of clinic do you have in a week?

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* 47. Is support given for indigent care service? 

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* 48. What is your annual base salary? (Not including Bonus/Incentive)

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* 49. What is your annual bonus/incentive?

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* 50. Please provide details on bonus calculation

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* 51. If total or work RVU Based, reimbursed by:

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* 52. Your Dollar Amount Per total RVU? Or per workRVU? Designate which and amount:

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* 53. Integrating Factors You are Compensated for

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* 54. What is the duration of your contract? 

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* 55. Does your contract include an annual Cost of Living/Inflation adjustment? If so, please note annual % increase:

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* 56. What % of your Salary is guaranteed?

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