DIO conducted an alumni resident and fellow survey relative to international activities. As of May 10, 2010, 36 people responded out of 335, resulting in a response rate of 11%. Thirty of the 36 respondents had been involved in clinical (patient care) activities; three had done research, and eleven had participated in education. The dates of the international activities ranged from the late 1950’s to 2010 with engagement in over 34 countries.