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Black Physicians of Canada
Thank you for your interest in learning about the Black Physicians of Canada initiative. Collectively, we can work to combat systemic anti-Black racism in the Canadian medical profession and health care system.
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Email
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Your email
Full Name
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Your answer
Gender
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Male
Female
Prefer not to disclose
Other:
Current Status
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Medical Student
Resident
Fellow
Attending Physician
Retired Physician
Other:
Specialty
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Your answer
If you are a medical student, resident or fellow, what year of training are you in?
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Your answer
If you are an attending physician, what year of practice are you in?
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Your answer
University
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Your answer
City
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Your answer
Province
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Your answer
Which of the following social media platform(s) do you routinely use?
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Facebook
Twitter
Instagram
WhatsApp
Other:
Required
Do you have any specific concerns, comments, questions, or initiatives you would like to address specifically regarding anti-Black racism within medical education?
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Your answer
Do you identify as Black?
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No
Yes
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