ITEM 12 . Identify the one type of medical career listed below to which you may wish to devote the majority ofyour professional efforts:
Primary Care Other Specialty Care
Research and/or Teaching Undecided
b. Indicate the character of medical practice you presently contemplate:
Individual Partnership Private Group Hospital-based Group
Academic-based Group Public Health Industrial Undecided
c. What percent of your professional time do you anticipate devoting to:
Administration %
Teaching %
Patient care %
Research %
d. In which size community do you think you would like to practice?
Large metropolitan (100,000 people or more)
Small city (50,000 - 99,999) Large town (10,000 - 49,999) Small town, rural area, reservation (1,000 - 9,999) Undecided
Briefly, explain the reasons for your selections in item #12: