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* 1. Are you based in the United States?

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* 2. Which of the following best describes your professional status?

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* 3. How many years have your been in practice?

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* 4. Please indicate which of the following clinical and non-clinical topics would enhance your clinical or professional practice: (Check all that apply)

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* 5. What types of live education do you find most valuable? (Check all that apply)

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* 6. Please indicate the following formats for live, didactic education that you find interesting (1=not at all interesting, 5=very interesting):

  Not at all interesting Somewhat not interesting Interesting Somewhat interesting Very interesting
Video case review/discussion
video demonstration of technique/skill
Self-assessment through audience response
Gamification (point scoring, competition with others)
Debate formats
Reverse/flipped classroom
Expert roundtable or panel discussions
Patient simulations/demonstrations
Lectures with Q&A
Small group discussions

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* 7. How important is each of the following to your decision to attend an educational course? (1=not at all important, 5=very important)

  Not at all important Somewhat not important Important Somewhat important Very important
Learning new clinical techniques or skills
Exposure to new or upgraded devices/equipment
Documentation of performance/achievement in a new skill
Updates on the latest research/evidence
Immediate application in practice
Quality of faculty
Networking with other physiatrists
Registration fee
Proximity to home
Schedule/time away from practice
CME credit
Meeting MOC requirements
Understanding regulatory requirements

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* 8. Which of the following forms of online or distance learning do you find valuable? (Check all that apply)

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* 9. What types of devices do  you use for distance learning? (Check all that apply)

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* 10. Which of the following general educational areas present the most challenging situations in your department or practice? (Rank from 1=least challenging to 4=most challenging)

  Least challenging Not very challenging Somewhat challenging Most challenging
Clinical/direct patient care (with or without residents/students)
Education (teaching duties, may include teaching in the context of patient care)
Research
Administration/career development/leadership

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* 11. Are you a member of the AAP?

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* 12. Does your country have a national physiatry society?  If yes, please provide the name.

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