Career Decision - Survey 1b

Physician Executives' Big Decision


This survey is for Physician Executives in a full-time management position. Click below if you still have patient care responsibilities.


Thank you for your time.  Be sure to click "Submit" when finished

Items with a "*" are required. Average time to complete is 5-6 minutes.

Name *
Name
Your real name is preferred but not necessary. Joe or Jane Doe will work
What year were you born?
How many people, including yourself, depend on you to maintain their standard of living? Not the IRS definition -- children adults, parents, etc.
Please list your minor children's ages.
Community *
Select below the closest description of the community you serve in now.
Why did you go into medicine?
What clinical area best fits your previous clinical focus?
What is your current clinical board status?
What year will you certify / re-certify? If your certification has expired, select the date when you were to have re-certified.
Business Education *
What kind of business training do you currently have? Check all that apply.
Please describe the organization where you work.
Enter the number of years you have been in full-time management / leadership (enter a fraction if appropriate)
Enter the number of years you worked in management / leadership part-time. If you moved directly to full-time, enter "0"
Select the range of effort that best describes the average percentage of time you spent in management / leadership before your current job.
Reasons for Change *
What issues / concerns / forces led you to take on your first managerial role? (Check all that apply)
Describe anything not included above that contributed to your decision to take on your first management role.
Reasons for Current Job *
What issues led you to shift to full-time effort in management? (Check all that apply)
Describe anything not included above that contributed to your decision to move to full-time management.
Reservations / Concerns *
When you moved to your first full-time position, what concerns / fears / reservations about your career move did you overcome in order to make the decision?
Any other reservations or concerns not listed above?