Resident & Fellow Retention Data
Please complete this form to help us assess the employment needs of our trainees more accurately. This information will help us continue to offer competitive and comprehensive job opportunities.
Residency or Fellowship Program Location (drill down)
*
Resident or Fellow Name
*
First Name
Last Name
Post graduation employment type (select one)
*
What type of training (ie fellowship but want to return for employment, pursuing teaching fellowship, etc)
*
Hired position and employer
*
Location and specialty of employer
*
Primary reason for selected post-residency/fellowship position
*
Desired scope of practice
Compensation, benefits, or incentives
Flexible and/or alternative work schedule
Mission alignment
Faculty and/or teaching opportunities
Desired job location outside of Providence footprint
other
Are you moving out of the United States?
Please Select
Yes
No
Please comment why you selected "Other"
*
Secondary reason for selected post-residency/fellowship position (if applicable)
Desired scope of practice
Compensation, benefits, or incentives
Flexible and/or alternative work schedule
Mission alignment
Faculty and/or teaching opportunities
Desired job location outside of Providence footprint
other
Are you moving out of the United States?
Please Select
Yes
No
Please comment why you selected "Other"
*
Please provide any additional information you are comfortable sharing.
Issues with this form? Contact Lindsey Dittoe
lindsey.dittoe@providence.org
Submit
Should be Empty: