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Duration of position Full Time    Locum Tenens    Part Time    PRN    Fellowship   
Employment Status:
W-2 (Employee) or
1099 (Independent Contractor)
W-2
1099
???
Start Date
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Is this a Definite Job
or a Pending Job?

Pending refers to the position not the candidate.

Definite Job = Position Fully Funded at the Start Date, No Contingencies

Pending Job = Position NOT Fully Funded or Contingent on contract signature, etc.
Definite Job
Pending Job
Unknown
Call Frequency
Available (double click items below to select)
Selected (double click items below to unselect)
Indicate how often the Anesthesiologist will be doing each of the types of cases including, "Never."
Chronic Pain Management
     
Always    Usually    Sometimes    Rarely    Never    Negotiable    Unknown   
Cardiac Anesthesia
     
Always    Usually    Sometimes    Rarely    Never    Negotiable    Unknown   
Thoracic Anesthesia
     
Always    Usually    Sometimes    Rarely    Never    Negotiable    Unknown   
Major Vascular Anesthesia
     
Always    Usually    Sometimes    Rarely    Never    Negotiable    Unknown   
Obstetric Anesthesia
     
Always    Usually    Sometimes    Rarely    Never    Negotiable    Unknown   
Pediatric Anesthesia
     
Always    Usually    Sometimes    Rarely    Never    Negotiable    Unknown   
Neuroanesthesia
     
Always    Usually    Sometimes    Rarely    Never    Negotiable    Unknown   
Trauma Anesthesia
     
Always    Usually    Sometimes    Rarely    Never    Negotiable    Unknown   
Critical Care Medicine
     
Always    Usually    Sometimes    Rarely    Never    Negotiable    Unknown   
Anesthesia for outpatient surgery
     
Always    Usually    Sometimes    Rarely    Never    Negotiable    Unknown   
Office based Anesthesia
     
Always    Usually    Sometimes    Rarely    Never    Negotiable    Unknown   
Administrative/ Leadership Duties
     
Always    Usually    Sometimes    Rarely    Never    Negotiable    Unknown   
Other
Describe
Will anesthesiologist be Medically Directing CRNAs or AAs?
Always
Usually
Sometimes
Rarely
Never
Negotiable
Job located in Medically Underserved Area (MUA)
No
Yes
Don't Know
Is there an Approved Physician residency program?
No
Yes
Number of licensed beds
Available (double click items below to select)
Selected (double click items below to unselect)
Number of surgical cases per year
Available (double click items below to select)
Selected (double click items below to unselect)
City Population
Available (double click items below to select)
Selected (double click items below to unselect)
State License Required
Available (double click items below to select)
Selected (double click items below to unselect)
New Graduates Acceptable?
No
Yes
Negotiable
Conditional
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