To which program(s) did you apply? Check all that apply. |
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How old will you be on match day this year? |
○ Younger than 30
○ 30–35 years
○ 36–40 years
○ Older than 40
○ Prefer not to respond
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What is your gender? |
○ Female
○ Male
○ Prefer not to respond
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What is your race/ethnic origin? |
□ Black
□ American Indian/Alaskan Native
□ White
□ Asian
□ Native Hawaiian/Pacific Islander
□ Multiracial
□ Other/unknown
□ Ethnic Origin Hispanic (A person of Hispanic ethnicity may be of any race.)
□ Prefer not to respond
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What is your highest USMLE step 1 score? |
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7. On which of the following social media platforms do you have an account? Check all that apply. |
□ Facebook
□ Yammer
□ Twitter
□ Instagram
□ Snapchat
□ LinkedIn
□ Doximity
□ Tumblr
□ Google+
□ Research Gate
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Which internet resources did you use to research prospective residency programs? |
□ Basic internet search (e.g. Google)
□ Searching social media sites
□ A combination of the above
□ I don't research prospective programs online
□ Other
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