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2016
October
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KP Physician Intake
KP Physician Intake
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Hello:
The purpose of this survey is to quickly create a database of where our physicians have trained. It will be used only by Dr. Paul Abboud and our hiring committee to support recruitment.
It will take you approximately 2 minutes to complete the questionnaire.
If you have questions about the survey, please contact Dr. Paul Abboud at (510) 882-6013.
Thank you for your time.
Please start with the survey now by clicking on the Continue button below.
Contact Information
*
First Name
:
*
Last Name
:
*
What is the name of the medical school you attended?
*
What year did you graduate medical school?
*
What is the name of the residency program you attended?
*
What year did you graduate from your residency program?
*
Did you complete a fellowship training?
-- Select --
Yes
No
If you answered "yes" to the previous question, please give the name of the institution where you did your fellowship training.
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