4.19.2023 Board Book

19) If you are a physician, in which field did you complete your residency/fellowship? (Add a free text area here) Did you complete additional sub-specialty fellowship training in a medicine sub specialty? (Including both ABMS and non-ABMS fellowship programs)?

o Yes o No o Not Applicable

20) If applicable, in what field did you complete sub-specialty fellowship training? (Add a free text area here)

21) Are you a diplomate of the American Board of Obesity Medicine (ABOM)? o Yes o No o Not Applicable 22) If you are an NP or PA by discipline, do you hold the NP/PA Certificate of Advanced Education offered by the OMA?

o Yes o No o Not Applicable

23) Do you work in a federal government (i.e., Veterans Affairs) medical center? o Yes o No

24) In a typical week (e.g., last week), what percent of your time is dedicated to the following? (The following answers should add up to 100%)  Direct patient care, treating obesity (add a free text field for percentage)  Direct patient care, non-obesity care (add a free text field for percentage)  Research (basic, clinical) (add a free text field for percentage)  Education/teaching (add a free text field for percentage)  Administrative (add a free text field for percentage)  Other (add a free text field for percentage)

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