Perceived Benefits and Barriers of Physician Volunteerism in Free Clinics and Possible Policy Options
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Create a unique identifier. Last 2 digits of the year you were born:
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Create a unique identifier. Last 2 letters of mother’s maiden name:
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Gender:
2. Race/Ethnicity:
3. Medical Specialty (choose the one best category or explain in other):
Religion (choose the one best category or explain in other):
Practice Setting (select all the apply):
Years out of residency or fellowship:
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Hours worked/week:
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Please check the one best approximation of the following categories:
Annually or less
Bi-annually
Monthly
Weekly
How often did you volunteer (in any setting) during your medical school years?
How often did you volunteer (in any setting) during your residency years?
How often do you currently volunteer at free medical clinics?
How often do you currently volunteer (in any setting)?
Please check to what extent the following factors keep you from volunteering at free medical clinics:
Agree
Neutral
Disagree
Time away from family.
Time away from job.
The need to increase profit.
Worry about getting sued.
Feeling like no amount of time or resources will be enough to make a real difference.
Desire to pursue other hobbies.
Driving distance to free clinic.
Feeling the poor or uninsured should take more responsibility for their own health.
Feeling it is the government’s responsibility to address issues such as caring for the uninsured.
Please check to what extent the following factors motivate you to volunteer at free medical clinics:
Agree
Neutral
Disagree
I feel good about myself when I volunteer.
Altruism is just intrinsically something I value.
I desire to give back to the community.
Volunteering is a pat of my identity.
Volunteering is a good way to network/build relationships.
Volunteering is a good way to get to know people that can help you achieve your future goals.
Please respond to what extent you think the following incentives would encourage you to volunteer at free medical clinics. (Benefits would be proportional to time served.)
Agree
Neutral
Disagree
Loan repayment programs.
If the government contributed toward paying the malpractice insurance of your private practice.
A tax refund or tax credits.
CME credits.
Please give any other thoughts or comment you may have below:
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