Consortium of Academic Global Surgery Survey
If you or your organization participates in any aspect of Global Surgery endeavors, please let us know by completing the survey.
Email address *
Full Name
Your answer
Institution of Employment
Your answer
Department
Your answer
Primary Speciality
Your answer
Degrees (Select all that apply)
Gender
Country of Residence
Affiliated Organization
Your answer
Geographic Region of Global Work
Local Region or City of Global Work (You may list multiple regions and/or cities)
Your answer
Type of Work (Select all that apply)
Do you have a formal rotation for fellows? (Select all that apply).
Yes
No
Clinical
Research
Advocacy/Policy
Other (Please explain below)
Please describe any other form of rotation offered to fellows.
Your answer
Do you have a formal rotation for residents? (Select all that apply)
Yes
No
Clinical
Research
Advocacy/Policy
Other (Please explain below)
Please describe any other form of rotation offered to residents.
Your answer
Do you have a formal rotation for medical students? (Select all that apply)
Yes
No
Clinical
Research
Advocacy/Policy
Other (Please explain below)
Please describe any other form of rotation offered to medical students.
Your answer
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