Community Family Medicine Residency Alumni Survey 2011

1. 1. How many years ago did you graduate from the Community Family Medicine Residency Program?
2. Please enter the year of your most recent ABFM recertification.
3. Please tell us about your current primary practice site. (Check all that apply.) Please read through ALL choices.
4. Please tell us about your current primary practice site. (Check all that apply.) Please read through ALL choices.
5. Please tell us about your current primary practice site. (Check all that apply.) Please read through ALL choices.
*
6. Please tell us about the current composition of your primary practice site. (Check all that apply.)
7. Please estimate the percentage of each insurance carrier of the patients under your care.
0-10%10-20%20-40%40-60%60-80%80-100%
Medicare
Medicaid
PPO/POS
HMO
Self Pay
8. Which of the following do you currently do in your role? (Check all that apply.)
9. Please identify areas in which you feel the Residency adequately prepared you for private practice. (Check all that apply.)
10. Please identify procedures that you perform in your office or hospital. (Check all that apply.)
11. How satisfied are you with your overall Residency training?
12. OPTIONAL: Personal Demographics & Information. (Check all that apply.)
 100% 
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