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  2. 2016
  3. September
  4. A
  5. Acute Panc

Acute Panc

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Questions marked with a * are required Exit Survey
 
 
Thank you for your interest in assisting with our study.  To ensure our mix of interviewees is balanced across specialties and institutions, please provide the following information:
 
 
* Your name
   
 
 
 
* Your medical specialty:
   
 
 
 
Which of the following best describes the type of hospital where you primarily practice:
 
Academic hospital
 
Community hospital
 
 
 
The number of Acute Pancreatitis (AP) patients you typically treat each month:
   
 
 
 
The number of AP patients your hospital(s) typically treat each month:
   
 
 
 
What % of your hospital’s AP patients are transferred from another hospital?
   
 
 
 
Please suggest a couple times that are best for you to speak:
MonthDayYearHrs.Mins.AM/PM
    
 
 
 
MonthDayYearHrs.Mins.AM/PM
    
 
 
 
MonthDayYearHrs.Mins.AM/PM