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	Your Credentials Title Title   Your Medical Specialties / Healthcare Expertise Primary Specialty Specialty Sub-specialty Sub-specialty What year did you qualify in your Primary specialty ? Year < 1950 1950 1951 1952 1953 1954 1955 1956 1957 1958 1959 1960 1961 1962 1963 1964 1965 1966 1967 1968 1969 1970 1971 1972 1973 1974 1975 1976 1977 1978 1979 1980 1981 1982 1983 1984 1985 1986 1987 1988 1989 1990 1991 1992 1993 1994 1995 1996 1997 1998 1999 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 What is your Main Mode of Practice? What is your Main Mode of Practice? Do you have any field or expertise or special interest in your specialty ?   Your activity What percentage of your activity is dedicated to public /  % Public private practice? (total must sum to 100%)  % Private How many patients do you see on average each week for ALL disorders and conditions ? (if you don't see any, report '0') Have you ever published scientific articles related to your specialty / field of expertise ? Yes    No How many scientific articles have you published so far ? ; How many scientific articles 1-2 3-5 6-10 11-20 More than 20 When was the last time that you published a scientific article ? ; When was the last time 2010 2009 2008 2007 2006 2005 2004 2003 2002 2001 2000 1999 1998 1997 1996 1995 1994 1993 1992 1991 1990 before 1990 Are you a member of American Medical Association ( AMA ) ? Yes    No Please enter your Medical Education Number