• Question 1 What specialty are you recruiting for? Select one... Allergy/Immunology Anesthesiology Cardiology, Electrophysiology Cardiology, Invasive Cardiology, Invasive-Interventional Cardiology, Noninvasive CMO (Chief Medical Officer) Critical Care, Intensivist CRNA Dentistry Dermatology Dermatology, Mohs Surgery Emergency Medicine Endocrinology Family Practice (with OB) Family Practice (without OB) Family Practice: Ambulatory Only (No Inpatient Work) Gastroenterology Geriatrics Gynecology (Only) Hematology/Oncology Hematology/Oncology, Oncology (Only) Hospitalist, Family Practice Hospitalist, Internal Medicine Hospitalist, Laborist Infectious Disease Internal Medicine Internal Medicine, Pediatric Neonatal Medicine Nephrology Neurology Nurse Practitioner, Primary Care Nurse Practitioner, Psychiatry Obstetrics/Gynecology Occupational Medicine Ophthalmology Orthopedic Surgery, Foot & Ankle Orthopedic Surgery, General Orthopedic Surgery, Hand Orthopedic Surgery, Hip & Joint Orthopedic Surgery, Spine Orthopedic Surgery, Sports Medicine Otorhinolaryngology Pediatrics Physiatry (PM & R) Physical Therapy Physician Assistant Psychiatry, Child & Adolescent Psychiatry, General Pulmonary Medicine: Critical Care Pulmonary Medicine: General Pulmonary Medicine: General & Critical Care Radiation Oncology Radiology, Diagnostic Radiology, Interventional Rheumatology Sleep Medicine Surgery, Bariatric Surgery, General Surgery, Neurological Surgery, Oncology Surgery, Oral Surgery, Thoracic Surgery, Trauma Surgery, Vascular Urgent Care Urology Next »
• Question 2 Where are you located? City is optional for score. State is not. Select one... Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming Washington DC Next »
• Question 3 What is the population size of your community or immediate metropolitan area?
  Less than 10,000
  10,000 - 25,000
  25,000 - 50,000
  50,000 - 100,000
  100,000 - 250,000
  250,000 - 500,000
  500,000 - 1 million
  More than 1 million
  Next »
• Question 4 What type of organization are you recruiting for?
  Hospital or Foundation Employed
  Private Practice Employed
  Private Practice w/ Partnership Track
  FQHC Facility
  Behavioral Health Clinic/Facility
  Critical Access Hospital
  Academic Facility
  Government Facility
  Next »
• Question 5 How would you best state your base financial package?
  Less than 80% of median
  80% median - 90% median
  90% median - median
  Median - 115% median
  More than 115% of median
  Next »
• Question 6 How would you describe the career opportunities for a spouse or significant other with a professional degree in your community?
  Slim
  Moderate
  Plenty
  Next »
• Question 7 How close are you to a metropolitan area with an international airport? Select one... Local or less than 30 minutes away 30 minutes - 1 hour away 1 hour - 1½ hours away More than 1½ hours away Next »
• Question 8 What outdoor amenities are available in your community?
  Beach or Coastline Not within a reasonable driving distance Drive of 30 Minutes or Less Drive of 1 hour or less Drive of 3 hours or less
  Mountains Not within a reasonable driving distance Drive of 30 Minutes or Less Drive of 1 hour or less Drive of 3 hours or less
  Rivers Not within a reasonable driving distance Drive of 30 Minutes or Less Drive of 1 hour or less Drive of 3 hours or less
  Lakes Not within a reasonable driving distance Drive of 30 Minutes or Less Drive of 1 hour or less Drive of 3 hours or less
  Snow skiing Not within a reasonable driving distance Drive of 30 Minutes or Less Drive of 1 hour or less Drive of 3 hours or less
  Next »
• Question 9 After an interview has taken place, how much time do you need to gather feedback from your organization and present an offer letter?
  1 - 2 days
  3 - 4 days
  5 or more days
  Next »
• Question 10 What will be the required call schedule for the incoming physician?
  1:3 or less
  1:4 - 1:6
  1:7 - 1:9
  1:10 or better
  No call
  Next »
• Question 11 Do you offer student loan reimbursement?
  Yes
  No
  Next »
• Question 12 What other financial perks do you offer?
  Call Pay
  RVU Based Production Incentives
  Non-RVU Based Production Incentives
  CME Allowance
  Retention Bonus
  Sign-on or Commencement Bonus
  Quality Based Incentives
  Relocation Allowance or Reimbursement
  Partnership Track
  Ancillary Ownership Opportunity
  ASC Ownership Opportunity
  Directorship Stipend
  Next »
• Question 13 Do you require the candidate to have their spouse or significant other accompany them on the interview?
  Yes
  No
  Next »
• Question 14 What is the reputation of the school district(s) in your area?
  Poor
  Average
  Above average
  Excellent
  Next »
• Question 15 What are the professional perks of the position?
  4-day work week or less
  No Inpatient or Hospital Rounding
  User-Friendly EMR
  Physician Extenders
  Personal/Private office for provider
  Employer paid provider health benefits
  Employer paid full family health benefits
  Retirement Benefits
  No call requirements at all
  Consultative call requirements only
  ER Coverage not required
  At least 4-weeks of vacation
  Latest specialty specific equipment
  Sub-Specialists on permanent staff
  Next »
• Question 16 After being presented with a qualified candidate’s CV, what is the typical response time of your medical staff and administration to move forward with an onsite visit?
  1 - 2 days
  3 - 4 days
  5 or more days
  Next »
• Question 17 How would you rank the cost of living in your area?
  Below national average
  Near national average
  Higher than national average
  Next »
• Question 18 Do you have private schools available in your area?
  Yes
  No
  Next »
• Question 19 What specific parameters will you require for candidates?
  AMG only
  MD only (DO not considered)
  Board certified only
  Board Certified or Board Eligible
  Only providers who are early in their career
  Last year residents will not be considered
  Must be already licensed in your state
  All candidates considered on case by case basis
  Next »
• Question 20 How long have you been recruiting for this position?
  Just started
  6 months - 1 year
  1 year - 2 years
  2 years or more
  Next »
• Question 21 Are you open minded to partnering with an outside firm for help with your recruitment efforts?
  Yes
  No
  Next »
• Question 22 Please select from the list below what Facility Type best describes your organization Select one... Hospital-System Affiliated Hospital-Unaffiliated Independent Single Specialty Group Multi-Specialty Group FQHC/Community Health Center Behavioral Health Facility Indian Health Academic VA/Government Other Next »

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