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Thanks for taking a few minutes to tell us a little bit about yourself and your interest.  These questions should take no more than 10 minutes to answer.  We'll reply to you quickly with details about the island and the work.
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First name *
Last name *
City & State *
Email address (please double check) *
Mobile phone number *
Number of years in practice *
Available start date *
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In which state(s) do you hold an active US medical license? *
What interests you in this position? *
Tell us briefly about your medical and surgical skills/experience. *
How many patients do you see in a typical four hour (half-day) clinic? *
Please tell us about any clinical cases or surgical procedures you are not comfortable managing. *
Describe how you fulfill the personal qualities this job requires. *
Have you done medical missions or had other international experience? *
If yes, please describe
Tell us anything else you think might be helpful.
We'll get back to you with details about the island and the practice.  Do you have any particular questions that we might not routinely address?
Please email a copy of your CV to davidkhorram@gmail.com
Thank you!  We'll get back to you quickly.
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