Name *

Your real name is preferred but not necessary. Joe or Jane Doe will work

First Name

Last Name

Community *

Select below the closest description of the community you serve in now.

Rural / small town

Medium size town - 30-50,000

Large town - 50-80,000

Small city - 80-150,000

Medium city 150-250,000

Suburb of medium city

Large city - 250-500,000

Suburb of large city

Major metro area - > 1 million

Suburb of major metro area

Business Education *

What kind of business training do you currently have? Check all that apply.

Employer / Affiliate provided training - specific job related (e.g. Horty Springer; Peer Review; Risk Management / Compliance; Quality; Planning)

Employer / Affiliate provided training - general in nature (e.g. - Finance; Leadership; Accounting; Marketing)

AAPL / ACPE; ACHE; Local/Regional College courses - general business in nature

Working on completion of defined program - CPE, MBA, MMM, MPH, etc

Completed program of study - CPE, MBA, MMM, MPH, etc

Reasons for Change *

What issues / concerns / forces led you to take on your first managerial role? (Check all that apply)

Dissatisfied with clinical medicine

Opportunity to "do more" in leadership

Greater financial reward

Organization's need / no one else to do it

Doubted clinically skills / knowledge now or in future

Fascinated by initial leader training

Disappointed by non-clinical leaders - felt I could do better

Reasons for Current Job *

What issues led you to shift to full-time effort in management? (Check all that apply)

Dissatisfied with clinical medicine

Opportunity to "do more" in leadership

Greater financial reward

Organization's need / no one else to do it

Doubted clinical skills / knowledge at that time or later in career

Encouraged by initial successes

Disappointed by non-clinical leaders - felt I could do better

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?

None

No / little opportunity in current organization, required moving family

Not sure I was good at it - too new in current position

Love of patient care

Commitment to patients / staff / coworkers

Fear the loss of clinical skills / makes move permanent

Eventual loss of Board Certification / makes move permanent

Financially less rewarding than patient care

Loss of mobility due to loss of Certification +/or license

Loss of credibility with practicing physicians