Association 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.
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Email *
Full Name
Institution of Employment
Department
Primary Speciality
Degrees (Select all that apply)
Untitled Title
Gender
Clear selection
Country of Residence
Affiliated Organization
Geographic Region of Global Work
Local Region or City of Global Work (You may list multiple regions and/or cities)
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)
Clear selection
Please describe any other form of rotation offered to fellows.
Do you have a formal rotation for residents? (Select all that apply)
Yes
No
Clinical
Research
Advocacy/Policy
Other (Please explain below)
Clear selection
Please describe any other form of rotation offered to residents.
Do you have a formal rotation for medical students? (Select all that apply)
Yes
No
Clinical
Research
Advocacy/Policy
Other (Please explain below)
Clear selection
Please describe any other form of rotation offered to medical students.
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