Please fill out the following demographic information:
1) When are you scheduled to take, or anticipate taking, the oral exam?
-Date you are expecting to take the orals-
September, 2008
Not sure, probably in 2008
Not sure, probably in 2009
Not sure, probably in 2010
If you are not yet sure when your orals will be scheduled, you may indicate your estimated exam date in the Additional Information section below.
2a) Have you ever taken the colon-rectal orals before?
No
Yes If yes, how many prior attempts?
-Number of previous colorectal orals attempts-
1
2
3
4
5
6
2b) How many times did you take the general surgery oral boards?
-Number of times you took the general surgery orals-
1
2
3
4
5
6
If you do have prior experience, please call Dr. Argy at 877.BE READY or on his cell.
3) Please indicate the year you completed or anticipate completing training:
-Year you completed GS training-
2008
2007
2006
2005
2004
2003
2002
2001
2000
1999
1998
1997
1996
1995
1994
1993
before 1993
-Year you completed or anticipate completing CR fellowship-
2010
2009
2008
2007
2006
2005
2004
2003
2002
2001
2000
1999
4) Please give the name and locations (city-state) of your colon-rectal fellowship program and your general surgery residency program, as well as your medical school:
Colon-Rectal Fellowship Program Name/Location
General Surgery Residency Program Name/Location
Medical School Name/Location
5) Is/Was your fellowship program academically or community based?
Mostly or completely academic
Mostly or completely community
How many chiefs in your training program?
-Number of Chiefs-
1
2
3
4
5
6
7
8
9
10
6) Do you have any area(s) of additional training? Select all that apply.
7) Did you have mock orals in your colon-rectal fellowship?
No
Yes If yes, how would you rate their value? (1 is worst, 10 is best)
-Value_of_Colorectal_Mock_Orals-
1
2
3
4
5
6
7
8
9
10
Did you have mock orals in your general surgery training?
No
Yes If yes, how would you rate their value? (1 is worst, 10 is best)
-Value_of_GS_Mock_Orals-
1
2
3
4
5
6
7
8
9
10
8) How many times did you take the written colon-rectal exam?
pending
1
2
3
4
9) How old are you? Age
10) How would you describe your current status in practice?
-Current_Status-
Attending, private practice
Attending, academic practice
Attending, private/academic mix
Fellow
PGY 5 Resident
PGY 4 Resident
PGY 3 Resident
PGY 2 Resident
PGY 1 Resident
11) How did you hear about Odyssey? Select all that apply.