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[]
[null,"平成２４年度臨床研修指導医養成講習会に関するニーズ調査票"]
[]
[null,"　下記設問についてご協力をお願い致します。"]
[]
[null,"　（１）平成２４年度「臨床研修指導医養成講習会」（以下「指導医講習会」）に、現時点で参加を希望する医師数（予定）を、\n　　　 ご記入下さい。\n　　　※ニーズ調査の集計結果によって、平成２４年度の開催回数を決定することとしておりますので、貴病院・施設の業務\n　　　　 の都合等をご検討の上、参加希望人数をご記入下さい。\n　　　"]
[{"$nulls":5},"（　　　　　　　　）名"]
[]
[null,"　（２）その他、ご意見・ご要望がございましたら、ご記入下さい。"]
[]
[]
[null,null,"病院・施設名"]
[null,null,"記入担当者","所属部署"]
[null,null,null,"氏 名"]