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| Facility Street |
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| Facility Zip Code |
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| Facility Web Site |
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| Duration of position |
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| Brief Description |
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| Full Description |
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| Employment Status: W-2 (Employee) or 1099 (Independent Contractor) |
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| Start Date |
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| Definite Job or a Pending Job: |
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| How often will AA be on call? |
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| Day off after call? |
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| How often the AA will be doing each of the following: |
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| Number of AAs needed? |
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| Number of AAs |
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| Number of Anesthesia technicians |
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| Number of Full-time anesthesiologists |
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| Number of Part-time anesthesiologists |
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| Number of Full-time CRNAs |
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| Number of Part-time CRNAs |
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| Will AA insert Central Venous catheters? |
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| Will AA insert arterial catheters? |
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| Will AA insert lumbar epidural catheters? |
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| Will AA administer spinal anesthesia? |
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| Will AA administer Axillary Brachial Plexus Blocks? |
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| Will AA administer other regional anesthesia blocks? |
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| Will AA be a hospital employee? |
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| Will AA be an Anesthesia Group employee? |
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| Subspecialty Fellowship Required? |
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| Is a current ACLS card required? |
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| Is a current PALS card required? |
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| Amount of Sign-on Bonus |
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| Sign-on Bonus commitment |
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| Does this job provide Salary Income? |
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| Does this job provide time and 1/2 pay for hours greater than 40 in a week? |
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| Weeks Paid Educational Leave |
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| Weeks Paid Vacation |
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| Medical Insurance Paid |
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| Disability Insurance Paid |
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| Retirement Plan Paid |
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| Interview Expenses Paid |
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| Does this job provide Percentage Income? |
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| Does this job provide Income as a Full Partner in a group practice? |
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| Does this job provide Other Income from Hospital as an employee? |
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| Anesthesia Group Name |
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| Anesthesia Group Web Site |
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| Does Anesthesia Group have an exclusive contract? |
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| Name of Anesthesiologist who is the Medical Director and years with group |
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| Name of Anesthesiologist Assistant(s) |
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| Name of Surgeon who works with group |
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| Why is the group needing more AAs? |
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| Is practice limited to one hospital or involves several hospitals? |
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| Practice involves a Surgery Center |
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| Practice involves Office Based Anesthesia? |
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| Is there a CRNA training program? |
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| Is there an Anesthesiologist Assistant training program? |
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| Average daily census of hospital |
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| Number of licensed beds |
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| Number of surgical cases per year |
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| Number of OB deliveries per year |
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| City Population |
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| Catchment area for the Hospital |
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| City Web Site |
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| Public School Web site |
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| Private School Web site |
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| Name of a reference person |
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| Reference's email |
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| Reference's phone |
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| Company Name |
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| Contact Name |
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| Contact Street Address 1 |
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| Contact Street Address 2 |
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| Contact City |
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| Contact State |
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| Contact Zip Code |
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| Contact Country |
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| Contact Voice Phone |
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| Contact Fax |
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| Contact Web Site |
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| Preferred Contact Method |
| Date Posted | 05/19/08 05:05pm |
| Last Updated | 07/01/08 09:08pm |
| Posted By | PANSTINE@SALUD.UNM.EDU (John Wills, MD, MBA) |
| Reference # | 87773 |
| Priority | General Posting |
| Section | Anesthesiologist Assistants |
| Form Type | Job |
| User Type | Group: Academic |
