Academy Member Engagement Survey

We value your feedback as we plan for 2023 Academy programming and benefits for members. Please indicate your level of interest in the categories below.

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* 1. Social Opportunities Through the Academy

	Very interested	Somewhat interested	Not interested
Physician/Peer Networking events	Physician/Peer Networking events Very interested	Physician/Peer Networking events Somewhat interested	Physician/Peer Networking events Not interested
Peer mentorship opportunities: Being a Mentor	Peer mentorship opportunities: Being a Mentor Very interested	Peer mentorship opportunities: Being a Mentor Somewhat interested	Peer mentorship opportunities: Being a Mentor Not interested
Peer mentorship opportunities: Being a Mentee	Peer mentorship opportunities: Being a Mentee Very interested	Peer mentorship opportunities: Being a Mentee Somewhat interested	Peer mentorship opportunities: Being a Mentee Not interested
Member meetings to share best practices and common challenges	Member meetings to share best practices and common challenges Very interested	Member meetings to share best practices and common challenges Somewhat interested	Member meetings to share best practices and common challenges Not interested
Family Social Outings	Family Social Outings Very interested	Family Social Outings Somewhat interested	Family Social Outings Not interested
Group Volunteer Opportunities	Group Volunteer Opportunities Very interested	Group Volunteer Opportunities Somewhat interested	Group Volunteer Opportunities Not interested
Annual Golf Outing	Annual Golf Outing Very interested	Annual Golf Outing Somewhat interested	Annual Golf Outing Not interested
Monthly "Meet Up" Calendar with Rotating Activities (i.e. Wine Tasting, TopGolf, FC Game, etc)	Monthly "Meet Up" Calendar with Rotating Activities (i.e. Wine Tasting, TopGolf, FC Game, etc) Very interested	Monthly "Meet Up" Calendar with Rotating Activities (i.e. Wine Tasting, TopGolf, FC Game, etc) Somewhat interested	Monthly "Meet Up" Calendar with Rotating Activities (i.e. Wine Tasting, TopGolf, FC Game, etc) Not interested
Private virtual platform for member/physician discussions	Private virtual platform for member/physician discussions Very interested	Private virtual platform for member/physician discussions Somewhat interested	Private virtual platform for member/physician discussions Not interested
Young Physicians Group	Young Physicians Group Very interested	Young Physicians Group Somewhat interested	Young Physicians Group Not interested
Retired Physicians Group	Retired Physicians Group Very interested	Retired Physicians Group Somewhat interested	Retired Physicians Group Not interested
Women in Medicine Group	Women in Medicine Group Very interested	Women in Medicine Group Somewhat interested	Women in Medicine Group Not interested

Other social opportunities (please specify)

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* 2. Educational Opportunities: Please select ALL Formats of interest

In person Course

Social gathering with educational agenda included

Lunch and Learn

Live Virtual Webinars

On Demand content: webinars, articles

Discussion Groups/Roundtables

Panel Sessions

Other (please specify)

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* 3. Educational Topics: Areas of Interest

	Very interested	Somewhat interested	Not at all interested
Contract Negotiation	Contract Negotiation Very interested	Contract Negotiation Somewhat interested	Contract Negotiation Not at all interested
Telehealth	Telehealth Very interested	Telehealth Somewhat interested	Telehealth Not at all interested
Leadership Training	Leadership Training Very interested	Leadership Training Somewhat interested	Leadership Training Not at all interested
Diversity, Equity, and Inclusion	Diversity, Equity, and Inclusion Very interested	Diversity, Equity, and Inclusion Somewhat interested	Diversity, Equity, and Inclusion Not at all interested
Financial Planning	Financial Planning Very interested	Financial Planning Somewhat interested	Financial Planning Not at all interested
Opening a Practice/Practice Management Toolkit	Opening a Practice/Practice Management Toolkit Very interested	Opening a Practice/Practice Management Toolkit Somewhat interested	Opening a Practice/Practice Management Toolkit Not at all interested
Time Management	Time Management Very interested	Time Management Somewhat interested	Time Management Not at all interested
Asset/Wealth Management	Asset/Wealth Management Very interested	Asset/Wealth Management Somewhat interested	Asset/Wealth Management Not at all interested
Legal Trends in Healthcare	Legal Trends in Healthcare Very interested	Legal Trends in Healthcare Somewhat interested	Legal Trends in Healthcare Not at all interested
Career Planning	Career Planning Very interested	Career Planning Somewhat interested	Career Planning Not at all interested
Insurance	Insurance Very interested	Insurance Somewhat interested	Insurance Not at all interested
Economic Forecast	Economic Forecast Very interested	Economic Forecast Somewhat interested	Economic Forecast Not at all interested

Other (please specify)

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* 4. Advocacy Efforts for Local Physicians through the Academy

	Very interested	Somewhat interested	Not at all interested
Updates on Local, State, and Federal legislative issues	Updates on Local, State, and Federal legislative issues Very interested	Updates on Local, State, and Federal legislative issues Somewhat interested	Updates on Local, State, and Federal legislative issues Not at all interested
Presentations from local and state representatives	Presentations from local and state representatives Very interested	Presentations from local and state representatives Somewhat interested	Presentations from local and state representatives Not at all interested
Participating in Advocacy Committee or Task Force	Participating in Advocacy Committee or Task Force Very interested	Participating in Advocacy Committee or Task Force Somewhat interested	Participating in Advocacy Committee or Task Force Not at all interested
"Town Hall" style forums for discussion of local physician/practice challenges	"Town Hall" style forums for discussion of local physician/practice challenges Very interested	"Town Hall" style forums for discussion of local physician/practice challenges Somewhat interested	"Town Hall" style forums for discussion of local physician/practice challenges Not at all interested
Members only/private forum for discussion of local physician/practice challenges	Members only/private forum for discussion of local physician/practice challenges Very interested	Members only/private forum for discussion of local physician/practice challenges Somewhat interested	Members only/private forum for discussion of local physician/practice challenges Not at all interested
Academy sponsored survey of area physicians on current challenges and needs with findings published	Academy sponsored survey of area physicians on current challenges and needs with findings published Very interested	Academy sponsored survey of area physicians on current challenges and needs with findings published Somewhat interested	Academy sponsored survey of area physicians on current challenges and needs with findings published Not at all interested
Formation of PAC through the Academy	Formation of PAC through the Academy Very interested	Formation of PAC through the Academy Somewhat interested	Formation of PAC through the Academy Not at all interested

Other (please specify)

Question Title

* 5. Physician Well-Being Initiatives through the Academy

	Very Interested	Somewhat Interested	Not at all Interested
On Demand educational content: webinars, articles promoting well-being strategies	On Demand educational content: webinars, articles promoting well-being strategies Very Interested	On Demand educational content: webinars, articles promoting well-being strategies Somewhat Interested	On Demand educational content: webinars, articles promoting well-being strategies Not at all Interested
Resources for confidential assistance for self or colleague	Resources for confidential assistance for self or colleague Very Interested	Resources for confidential assistance for self or colleague Somewhat Interested	Resources for confidential assistance for self or colleague Not at all Interested
Well-being Class/Social offerings: Yoga, Running Club, Mindfulness/Meditation	Well-being Class/Social offerings: Yoga, Running Club, Mindfulness/Meditation Very Interested	Well-being Class/Social offerings: Yoga, Running Club, Mindfulness/Meditation Somewhat Interested	Well-being Class/Social offerings: Yoga, Running Club, Mindfulness/Meditation Not at all Interested
Discussion Group/Forum on Well-Being, Sources of Burnout	Discussion Group/Forum on Well-Being, Sources of Burnout Very Interested	Discussion Group/Forum on Well-Being, Sources of Burnout Somewhat Interested	Discussion Group/Forum on Well-Being, Sources of Burnout Not at all Interested

Other (please specify)

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* 6. Other Benefits Through the Academy

	Very Important	Somewhat Important	Not at all Important
"Find a Physician" Public Member Profile/Directory	"Find a Physician" Public Member Profile/Directory Very Important	"Find a Physician" Public Member Profile/Directory Somewhat Important	"Find a Physician" Public Member Profile/Directory Not at all Important
Academy of Medicine patient referral service by phone	Academy of Medicine patient referral service by phone Very Important	Academy of Medicine patient referral service by phone Somewhat Important	Academy of Medicine patient referral service by phone Not at all Important
Discounts on Professional Services: Practice Management services, IT Support, Medical Staffing	Discounts on Professional Services: Practice Management services, IT Support, Medical Staffing Very Important	Discounts on Professional Services: Practice Management services, IT Support, Medical Staffing Somewhat Important	Discounts on Professional Services: Practice Management services, IT Support, Medical Staffing Not at all Important
Discounts on Personal Services: Insurance, Concierge services, Retail	Discounts on Personal Services: Insurance, Concierge services, Retail Very Important	Discounts on Personal Services: Insurance, Concierge services, Retail Somewhat Important	Discounts on Personal Services: Insurance, Concierge services, Retail Not at all Important
Discounts on Arts/Entertainment: Dining, Tickets to Local Attractions	Discounts on Arts/Entertainment: Dining, Tickets to Local Attractions Very Important	Discounts on Arts/Entertainment: Dining, Tickets to Local Attractions Somewhat Important	Discounts on Arts/Entertainment: Dining, Tickets to Local Attractions Not at all Important

Other (please specify)

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* 7. If there were 2-3 pressing issues or needs you have as a physician that the Academy could help address, what would those be?

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* 8. Are you active on any of the following social media platforms? Please select all that apply.

Facebook

Twitter

Instagram

TikTok

Other (please specify)

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* 9. Your Email Address

Email Address