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| CRNA's Name (Preferred Name in parenthesis if desired) |
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| Contact Name |
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| Contact State |
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| Contact Country |
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| Preferred Contact Method |
| Brief Description of Candidate |
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| States where clinician wants to work |
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| Check any Position Durations you would consider: |
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| Does CRNA want a Chief CRNA position? |
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| Does CRNA want a job that leads to partnership? |
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| How often the CRNA wants to do the following: |
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| Does the CRNA want to be Medically Directed by an Anesthesiologist? |
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| What is the CRNA's preference regarding CRNAs in a job situation doing Operative Cases that are not Medically Directed by an Anesthesiologist? |
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| Does the CRNA want a job where there is an Approved Physician Anesthesia residency program? |
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| Does the CRNA want a job where there is Anesthesia training for Physician house staff? |
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| Does the CRNA want a job where there is a CRNA training program? |
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| Does the CRNA want a job where there is an Anesthesiologist's Assistant training program? |
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| What practice setting(s) does the CRNA have experience? |
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If Locum Tenens, what is the CRNA's minimum daily charge? |
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| Does the CRNA want a Salary income from anesthesia group? |
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| Does the CRNA want a Percentage income from anesthesia group? |
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| Does the CRNA want an Income from Fee-for-service individual practice? |
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| Does the CRNA want a Salary from Hospital as an employee? |
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| Does the CRNA want Other income as a Hospital employee? |
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| How often Does the CRNA want to be on call? |
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| Does the CRNA want to have the Day off after call? |
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| States where CRNA is licensed |
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| CRNA's Degree |
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| Is CRNA Certified by the NBCRNA? NBCRNA = National Board on Certification and Recertification of Nurse Anesthetists |
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| Year of Primary Certification |
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| Check which Life Support cards you currently have: |
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| Is CRNA a New Graduate? |
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| Indicate any other comments you may have |
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| Date Posted | 06/06/10 09:40am |
| Last Updated | 09/06/10 07:56pm |
| Posted By | tawisuri@gmail.com |
| Reference # | 111294 |
| Priority | General Posting |
| Section | CRNA |
| Form Type | CV |
| User Type | Individual: CRNA |
