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Fertility Institute of the Mid-South
Research and Education in Reproductive Endocrinology and Surgery

 

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Dr. Dan C. Martin's
Clinical Practice is at:
UT Medical Group, Inc.
7945 Wolf River Blvd
Suite 320
Germantown,
TN 38138
Phone (901) 347-8331
Fax (901) 347-8188
    

 

 

june07survey work file

 

If you would like a reply, please fill in the 3rd and 4th sections on name and e-mail address.  If you want to be on a mailing list, but do not want your name on the test, please send a request on the "Comments to the survey team" note below.

Zip Code

Year residency completed

or to be completed

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Please re-enter your address (optoional):

E-mail

 

If you are in a program that is keeping track of scores separately, please add the name of the program, director and location below

Name of program

if applicable

Director and Location

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Put a, b, c, d, or e in the box and add comments if you want.

For yes / no answers, y or n is adequate.

Case 1:

a. Endometriosis

b. Endosalpingiosis

c. Psammoma Bodies

d. Low malignant potential tumor

e. Other

Answer

Do you need a biopsy (yes or no)?

Comments (optional):

Case 2:

Case 1:

a. Endometriosis

b. Endosalpingiosis

c. Psammoma Bodies

d. Low malignant potential tumor

e. Other

Answer

Do you need a biopsy (yes or no)?

Comments (optional):

 

 

Comments to the survey team:

 
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Last modified: November 03, 2007