Helpful Instructions:
NOTE: Please make sure only ONE survey is completed per program.

1. If you do not have one of the positions named (Associate Director, Behavioral Faculty, etc.), enter a zero (0). This data will be extracted and will not skew the results.
2. For answers that require numerical data, please enter whole numbers. Do not use symbols, commas, or decimal points unless the directions instruct you to do so.
3. Salary amounts should be "per position," not a sum of multiple salaries.
4. If you have a partial FTE (e.g. behavioral health faculty), calculate what that salary would be for a 1.0 FTE.
5.  Please use 2018 figures for all salary data (this addresses any antitrust concerns).

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* 1. What is your program type?

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* 2. In which state are you located?

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* 3. Describe your program sponsor:

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* 4. Total number of residents in your program:

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* 5. Total number of FTE family medicine core faculty in your program as defined by the RC-FM and reported in Web ADS:

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* 6. Total Number of FTE family medicine faculty in your program:

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* 7. Total number of paid part-time family medicine faculty in your program - not volunteers who precept on rotations or in the office:

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* 8. Total number of paid part-time family medicine faculty in your program - not volunteers who precept on rotations or in the office:

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* 9. Enter the number of FTEs for each specialty who are hired as faculty in your program, defined as paid by your department. Enter your answer as a decimal, e.g. 1.0, .5, etc. (This does not include those hired for call/shift converage).

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* 10. If "Other" for the previous question (# of FTEs/specialty), please define here:

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* 11. Do you have community FPs guest precept in your office?

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* 12. In 2018, what hourly rate did you pay a family medicine guest attending to precept in your office?

What do you pay outside physicians for call coverage? (Fill in all below that apply.)

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* 13. Maternity call coverage (other than core faculty):

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* 14. Hospital call coverage (other than core faculty):

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