Justice, Equity, Diversity and Inclusion
Thank you for taking the time to complete this survey. The Wisconsin Medical Society (WisMed) seeks to better understand the discriminations and barriers that prevent physicians and trainees in Wisconsin from reaching their full potential and greatest possible professional fulfillment. Your input is hugely valuable to us as we work to make WisMed and our profession more just, equitable, diverse, inclusive and welcoming for all.
We want to know:
Whether members and nonmembers face discrimination, both in their interactions with WisMed and in the profession of medicine, and what kind of discrimination they face. Whether respondents feel supported by WisMed, and relatedly, whether respondents feel they have access to mentorship through WisMed. Whether respondents feel represented in WisMed. Suggestions for how WisMed can do better. The demographics of WisMed membership.
Feel free to answer as many or as few questions as you feel comfortable. Your responses are anonymous.
A full report will be made available once the survey is completed and analyzed. Thank you again for your help and participation.
Back
Next
Section 1: Your Experience with the Wisconsin Medical Society (WisMed)
Your responses are anonymous.
In your personal experience with WisMed, how supported do you feel?
Not supported at all
1
2
3
4
Very well supported
5
1 is Not supported at all, 5 is Very well supported
In your experience with WisMed, have you personally EXPERIENCED discrimination or mistreatment based on any of the following? [Choose all that apply.]
Race or ethnicity
Gender or gender identity
Sexual identity
Disability status
Status as an International Medical Graduate
I have not experienced discrimination
Other
In your experience with WisMed, have you personally WITNESSED discrimination or mistreatment based on any of the following? [Choose all that apply.]
Race or ethnicity
Gender or gender identity
Sexual identity
Disability status
Status as an International Medical Graduate
I have not experienced discrimination
Other
Please elaborate on these experiences:
Back
Next
Section 2: Your experience in medical practice and/or training
Your responses are anonymous.
In your experience in medical practice or in training, how supported do you feel?
Not supported at all
1
2
3
4
Very well supported
5
1 is Not supported at all, 5 is Very well supported
In your experience in medical practice or in training, have you personally EXPERIENCED discrimination or mistreatment based on any of the following? [Choose all that apply.]
Race or ethnicity
Gender or gender identity
Sexual orientation
Disability status
Status as an International Medical Graduate
I have not experienced discrimination
Other
In your experience in medical practice or in training, have you personally WITNESSED discrimination or mistreatment based on any of the following? [Choose all that apply.]
Race or ethnicity
Gender or gender identity
Sexual orientation
Disability status
Status as an International Medical Graduate
I have not experienced discrimination
Other
Please elaborate on these experiences including to what extent they have impacted your ability to advance in your career or training:
Back
Next
Section 3: Avenues of support
Your responses are anonymous.
When you are experiencing challenges or hardship, who do you turn to for help and support? [Choose all that apply.]
Peers or colleagues within WisMed
Peers or colleagues outside of WisMed
Mentors within WisMed
Mentors outside WisMed
Connections from within WisMed
Student groups or extracurricular groups
Non-medically-related groups
Professional support
Other
Do you feel you have adequate mentorship from within WisMed?
Yes
No
Unsure
Other
Please elaborate on these experiences:
Do you see yourself represented within WisMed?
Yes
No
Unsure
Other
Please elaborate on these experiences:
Do you feel WisMed is doing enough to address racism and its effects on patients and physicians?
Rows
Not Satisfied
Somewhat Satisfied
Satisfied
Very Satisfied
Patients
Physicians
Do you have any ideas for changes we can make within WisMed to better recruit/retain/support diverse, traditionally underrepresented or minoritized physicians and students?
Do you have suggestions for how WisMed can move towards being an antiracist organization?
Back
Next
Final Questions - Your responses are anonymous
We are gathering the following data to help us better understand how to use the information from the survey in order to be able to take relevant action and make meaningful change. This information will not be used to try to identify any respondents, which will remain confidential.
Are you a member of WisMed?
Yes
No
Unsure
How do you define your race and/or ethnicity? [Choose all that apply.]
American Indian or Alaska Native
Asian
Hispanic, Latinx or of Spanish origin
Black or African American
Native Hawaiian or other Pacific Islander
White or Caucasian
Prefer not to answer
Other
Do you identify as a member of one or more of the following protected classes?[Choose all that apply.]
Disabled
Immigrant
Religious Minority
Other
Do you identify as:
Male
Female
Gender non-binary
Prefer not to answer
Other
Do you identify as transgender?
Yes
No
Prefer not to answer
Other
What is your sexual orientation?
At what stage is your career?
Medical Student
Resident/Fellow
Practicing Physician
Retired Physician
Other
Please verify that you are human
*
Submit
Should be Empty: