Medical Education Longform Data
Hello! My name is Veronica Salib and I'm an associate site editor at Xtelligent Healthcare Media. I work primarily on our Life Sciences and Pharma sites (check out the links for an idea of the content we cover). 

I'm working on a longer piece that focuses on the medical education system and how it impacts mental health and burnout. As part of this story I want to get some insight and anecdotal evidence from people on their experiences and opinions!

Please feel free to fill out as much or as little of it as you would like. I can also be contacted at vsalib@xtelligentmedia.com for any follow-up questions or concerns! Once the article is complete, I will be sharing it on social media!
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Are you willing to be quoted in my article? *
Please enter your first and last name. (If you asked for your name to be redacted, it will be. I just need this info to ensure there are no duplicates) *
Please enter your institution, title, and institutional email 
(Again, this is for internal use only if you requested redaction.)
 *
Is it ok if I contact you via email to confirm information, quotes, or schedule a follow up interview? *
Please indicate your gender identity.  *
Please indicate your sexual orientation. *
Please indicate your racial identification. (Note: these categories are based on the categories used by the CDC, with the addition of a multiracial category) 
 *
Where are you in your medical education? *
What year did you complete medical school? (if applicable)
On a scale of 1-10 how stressful was the medical school application process?
Not stressful at all
Too stressful to handle
Clear selection
What was the most difficult part of the application process?
Provide some adjectives to describe your mental health during the application process. 
Rate your mental health during the application process.
Experienced significant mental health challenges (Had to seek new or added care)
Great! Everything was smooth!
Clear selection
How do you think the medical education system impacts burnout rates? Provide details/anecdotes if possible.
Have you noticed any differences in burnout rates across specialties? How is that impacted by the educational requirements for that specialty?
Have you ever experienced mistreatment or discrimination as a medical student or resident? 
Can you describe the situation? 
Did you report it? Why or why not?
How was it handled (if it was handled)?
How did it impact your trajectory?
What mental health resources are available for students and professionals at your institution?
Would you use mental health resources offered by your institution?
Clear selection
Why or why not?
Do you feel like there is a stigma around seeking mental health services as a medical professional? 
Clear selection
How much do you think politics impacts physician burnout and mental health?
Not at all.
Physician mental health is heavily impacted by politics
Clear selection
What do you think of the current residency application system? Can you provide thoughts on the new OB/GYN residency application system?
What role does AAMC play in ensuring medical students' emotional and mental well-being?
Is it effective?
Not at all
Very effective
Clear selection
Do you feel like medical school is accessible for low and middle income individuals?
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How racially diverse is your institution?
Not at all.
Extremely diverse
Clear selection
With regard to gender, how diverse is your institution?
Not at all.
Extremely diverse
Clear selection
Does your institution teach courses on cultural sensitivity and diversity?
Clear selection
What role do disparities in the medical education system play in research disparities? Clinical outcomes? Medication adherence? Etc.? 
Do any of these questions spark additional thoughts or opinions? Please include them below! *
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