* 1. Please fill out your information below:

* 2. Your initials and last name as you would like them to appear on PubMed (e.g. Jones A.A.):

* 3. What is your gender:

* 4. Were do you practice?

* 5. How many years have you been in independent practice?

* 6. Do you supervise surgical trainees in the operating room?

* 7. What is your specialization?

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