Please provide the following contact information:

Name
Title
Organization
Street Address
Address (cont.)
City
State/Province
Zip/Postal Code
Country
Work Phone
FAX
E-mail
URL

For Multiple Selections (where applicable) use the "Ctrl" key

Citizenship Info:

US      Non-US  

Visa Status (If Applicable):

Physician Specialty:

Select as Many as Apply Addiction Medicine Allergy/Immunology Ambulatory Care Anesthesiology Cardiology Cardiology - Electrophysiology Cardiology - Interventional Cardiology - Invasive Cardiology - Non-Invasive Correctional Medicine Critical Care Dermatology Emergency Medicine Emergency medicine - Pediatric Endocrinology Family Practice Family Practice with OB Gastroenterology Gastroenterology - Pediatric General Practice Geriatrics Hematology Hospitalist Infectious Disease Internal Medicine Neonatology Nephralogy Neurology Neurology - Pediatric Nuclear Medicine OB/GYN Occupational Medicine Oncology Oncology - Gynecological Oncology - Hematology Oncology - Medical Oncology - Radiation Opthalmology Otolaryngology Pain Management Pathology Pediatric Intensive Care Pediatrics Perinatology Physical Medicine and Rehab Podiatry Preventive Medicine Psychiatry Psychiatry - Child Pulmonology Pulmonology - Pediatric Pulmonology - Critical Care Radiology Radiology - Diagnostic Radiology - Interventional Radiology - Pediatric Rheumatology Sports Medicine Surgery Bariatric Surgery - Cardiothoracic Surgery - Cardiothoracic - Pediatric Surgery - Cardiovascular Surgery - Colon - Rectal Surgery - General Surgery - Maxillofacial Surgery - Neurological Surgery - Orthopedics Surgery - Orthopedics - Pediatric Surgery - Plastic Surgery - Thoracic Surgery - Trauma Surgery - Urological Surgery - Vascular Surgery - Oncology Other

Fellowship:

Certification:

Board Eligible   Board Certified  

State Licenses:

Select as Many as Apply Alaska Alabama Arkansas Arizona California Colorado Connecticut Dist of Columbia Delaware Florida Georgia Guam Hawaii Iowa Idaho Illinois Indiana Kansas Kentucky Louisiana Massachusetts Maryland Maine Michigan Minnesota Missouri Mississippi Montana North Carolina North Dakota Nebraska New Hampshire New Jersey New Mexico Nevada New York Ohio Oklahoma Oregon Pennsylvania Puerto Rico Rhode Island South Carolina South Dakota Tennessee Texas Utah Virginia Virgin Islands Vermont Washington Wisconsin West Virginia Wyoming

Type of Employment:

Select One Full-Time Part-Time Contract/Locum Tenens

Available Start Date :

-- mm/dd/yy

Experience Level:

Select Entry Level 1-3yrs 4-6yrs 7-10yrs 11-15yrs 15+

What working environment would you prefer?

Select as Many as Apply Private Practice Hospital Clinic Nursing Home Other No Preference

What type of practice/group would you prefer?

Select One Single-Specialty Group Multi-Specialty Group No Preference

What Setting would you prefer

Select One Urban Rural Other No Preference

Regional/State Preferences:

Select as Many as Apply NorthEast SouthEast MidWest NorthWest SouthWest Alaska Alabama Arkansas Arizona California Colorado Connecticut Dist of Columbia Delaware Florida Georgia Guam Hawaii Iowa Idaho Illinois Indiana Kansas Kentucky Louisiana Massachusetts Maryland Maine Michigan Minnesota Missouri Mississippi Montana North Carolina North Dakota Nebraska New Hampshire New Jersey New Mexico Nevada New York Ohio Oklahoma Oregon Pennsylvania Puerto Rico Rhode Island South Carolina South Dakota Tennessee Texas Utah Virginia Virgin Islands Vermont Washington Wisconsin West Virginia Wyoming

Any other aspects of your job skills (e.g. specialties) or your job search that we should know about? Please include any elaboration on any of the above questions you feel necessary. CV/Resume can also be copy/pasted in the area below or can be sent to us as indicated above.

We know you have options when choosing who you will work with in your job search.  We appreciate your business and look forward to working with you!  If you have any problems with the form please email us at webmaster@btbcareergroup.com .