1. Take great care of the patient. ® MD AA Survey Take great care of the patient. ®

2. Year graduated from residency?

3. Take great care of the patient. ® Year graduated from residency?

4. Take great care of the patient. ® Fellowship completed?

5. Take great care of the patient. ® Fellowship completed?

6. Take great care of the patient. ® If you have completed your fellowship, what is your subspecialty?

7. Take great care of the patient. ® If you have completed your fellowship, what is your subspecialty?

8. Take great care of the patient. ® Do you participate in MOCA?

9. Take great care of the patient. ® Do you participate in MOCA?

10. Take great care of the patient. ® What is your preferred form of communication for educational programs, events and news?

11. Take great care of the patient. ® What is your preferred form of communication for educational programs, events and news?

12. Take great care of the patient. ® Where is your practice located?

13. Take great care of the patient. ® Where is your practice located?

14. Take great care of the patient. ® Have you had experience with simulation?

15. Take great care of the patient. ® Have you had experience with simulation?

16. Take great care of the patient. ® If yes, when?

17. Take great care of the patient. ® If yes, when?

18. Take great care of the patient. ® What was your view of the overall simulation experience?

19. Take great care of the patient. ® What was your view of the overall simulation experience?

20. Take great care of the patient. ® Please check your top three education program formats (with 1 being the most desirable)

21. Take great care of the patient. ® Please check your top three education program formats (with 1 being the most desirable)

22. Take great care of the patient. ® Please name three educational topics that you or your practice desire:

23. Take great care of the patient. ® Please name three educational topics that you or your practice desire:

24. Take great care of the patient. ® Please rank your interest in the following educational programs (4-6 hours – format to be determined). Please check your top three (with 1 being the most desirable)

25. Take great care of the patient. ® Please rank your interest in the following educational programs (4-6 hours – format to be determined). Please check your top three (with 1 being the most desirable)

26. Take great care of the patient. ® Are you interested in contributing educational content by taping lectures or sending educational materials for general use?

27. Take great care of the patient. ® Are you interested in contributing educational content by taping lectures or sending educational materials for general use?

28. Take great care of the patient. ® Are you interested in contributing educational content by taping lectures or sending educational materials for general use?

29. Take great care of the patient. ® Are in interested in learning to be a critical event simulation expert?

30. Take great care of the patient. ® Have you participated in Teamwork or High Reliability organization

31. Take great care of the patient. ® Have you participated in Teamwork or High Reliability organization

32. Take great care of the patient. ® If yes, where did you participate in Teamwork or High Reliability Organization training?

33. Take great care of the patient. ® If yes, where did you participate in Teamwork or High Reliability Organization training?

34. Take great care of the patient. ® Do you perceive that the training improved safety in that setting?

35. Take great care of the patient. ® Do you perceive that the training improved safety in that setting?

36. Take great care of the patient. ® Have you participated in any quality care programs?

37. Take great care of the patient. ® Have you participated in any quality care programs?

38. Take great care of the patient. ® If yes, what type of quality care program?

39. Take great care of the patient. ® If yes, what type of quality care program?

40. Take great care of the patient. ® Are you interested in participating in clinical research if the appropriate infrastructure was in place?

41. Take great care of the patient. ® Are you interested in participating in clinical research if the appropriate infrastructure was in place?

42. Take great care of the patient. ® Are in you interested in quality database research?

43. Take great care of the patient. ® Are in you interested in quality database research?

44. Take great care of the patient. ® If you have published any papers, letters to the editor, opinions, etc. in the last two years, may I compile those for listing on AA University?

45. Take great care of the patient. ® If you have published any papers, letters to the editor, opinions, etc. in the last two years, may I compile those for listing on AA University?

46. Take great care of the patient. ® Are you ACLS certified?

47. Take great care of the patient. ® Are you ACLS certified?

48. Take great care of the patient. ® If yes, are you an ACLS instructor?

49. Take great care of the patient. ® If yes, are you an ACLS instructor?

50. Take great care of the patient. ® What are the three most challenging things about practicing medicine in your setting?

51. Take great care of the patient. ® What are the three most challenging things about practicing medicine in your setting?

52. Take great care of the patient. ® May I contact you if I have questions about your answers to this survey?

53. Take great care of the patient. ® May I contact you if I have questions about your answers to this survey?