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Physician Survey Introduction and Instructions
Thank you for agreeing to participate in this physician survey. It should take no more than 20 minutes.

Remember, your personal results are completely anonymous.

Please read the Informed Consent statement below, then enter the site by clicking:


http://www.mhsassessments.com/logon.aspx?id=1433-001-PS&psw=physician
 
   (If the link doesn't work, copy and paste the above URL into your browser)

When the survey asks for your name or ID, you may enter any letters or numbers of your choosing to maintain your confidentiality.
































INFORMED CONSENT
THE UNIVERSITY OF TAMPA


Principal Investigator - Mary Anne Watson, Ph.D.

Address & Phone:  The University of Tampa, 401 W. Kennedy Blvd., Tampa, FL 33606, 813-253-6289

Purpose of Project:  To determine the relevance of emotional intelligence dimensions to incidence of filing of malpractice suits and formal complaints

Procedures:  Participants will go to the indicated web site and complete an emotional intelligence assessment and short survey on their medical practice. Total time required should be no more than 20 minutes.

Risks/Benefits:  Risk management has become a major issue in the practice of medicine.  If it is found that there are distinct areas of emotional intelligence that relate directly to reduction of risk, then education, training, and coaching programs can be instituted to decrease the risk of suit.

Confidentiality:   Assessment and survey results are completed using an anonymous, personally selected identification.  Research results will use aggregate data.  There will be no way to identify individual participant responses.

CONDITIONS OF PARTICIPATION

Participating in this project is voluntary, and refusal to participate or withdrawing from participation at any time during the project will involve no penalty or loss of benefits to which the subject is otherwise entitled.  The principal investigator may terminate participation of a subject or the project entirely without regard to the subject's consent.  In the event of questions or difficulties of any kind during or following participation, the subject may contact the principal investigator as indicated above.

CONSENT

I have read the above information and my questions and concerns, if any, have been responded to satisfactorily by project staff.  I believe I understand the purpose, benefits, and risks, if any, of the study, and give my informed and free consent to be a participant by going to the following link:

http://www.mhsassessments.com/logon.aspx?id=1433-001-PS&psw=physician

When it asks your name or ID simply enter numbers or letters of your choice to maintain your confidentiality.