["Nuclear/PET Teleradiologist Needed | Flexible/day Time/ Part-time", "MedAtlantic Healthcare Solutions LLC"]

First Name *

Last Name *

Email Address (primary) *

Mobile Phone *

Specialty *

Fellowship

Experience since graduating residency *

Current Active Certs *

Current Work Environment *

Onsite Only
Onsite and Telemedicine Combo
Telemedicine Only

Current Case Mix(Example: 40% CT 10% MRI 20% Xrays and the rest neuro and US) *

Preferred Schedule *

Time Zone Currently *

CST
EST
MTN
PST

Hour Preferences *

Early Morning Start (3a-6a start)
Mid -Day (12p-3p start)
Mid Morning start (10am-11am)
Night (7p-9p start)
Night Hawk (10p-2a start)
Standard Day shift (7a-9a start)
Swing (4p-6p start)

Malpractice History *

1 or more "Settlement Pay outs" in my entire career as a physician
1 or more dismissed cases in my entire career as a physician
1 or more pending cases in my entire career as a physician
No malpractice settlement pay outs, no pending cases, no license actions, and no dismissed cases in my entire career as a physician

Malpractice in Detail (Please share what year the case(s) surfaced and what your dollar $ amt was, if settled)

Active State Medical Licenses *

Please share any other details describing your preferences so we can best match current/future options that may fit you well:

Have you ever lost your privileges or had any licenses revoked/suspended? *

No
Yes

What type of options are you open to considering? *

Full time options only
Part time Options Only
Open to both options pending more details

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