Physician Demographics

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* 1. Physician Name

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* 2. Gender

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* 3. Primary Contacts

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* 4. Primary Community of Practice (e.g. St. John's)

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* 5. Medical School Attended

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* 6. Year of Medical School Graduation

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* 7. Years of Family Practice

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* 8. Are you a member of the College of Family Physicians of Canada?

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* 9. Year of birth 

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* 10. Workload

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* 11. How many hours do you work on average per week (Range acceptable, e.g. 40-50)?

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* 12. How many patients do you see on average in a full-day clinic (Range acceptable, e.g. 20-30)?

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* 13. What is/are your method(s) of reimbursement?

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* 14. Do you practice full scope family practice? 

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* 15. Do you have special areas of interest in your practice? 

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* 17. Do you have a Certificate of Added Competency in any of the following areas? 

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* 18. Do you complete house calls? 

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* 19. Do you cover nursing or long-term care homes? 

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* 20. Do you teach or supervise medical students?

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* 21. Do you teach or supervise residents?

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* 22. Do you teach or supervise International Medical Graduates (IMGs)? 

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* 23. If you answered 'No' to questions 20-22, are you interested in teaching medical students and/or residents in the future?

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* 24. If you answered 'Yes' to any of questions 20-22, would you like to do more teaching with medical students and/or residents in the future?

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* 25. Do you have a University Appointment? 

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* 26. Do you plan to retire or leave Newfoundland and Labrador in the next 5 years?

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