http://www.apma.org/Applications/Forms/FormDisplay.cfm?FormID=26411 2013 Podiatric Practice Survey Common Questions 20% of survey complete. Questions asked of all completing survey Question Title 1. In what year did you graduate from podiatric medical college? Question Title 2. In what year did you complete your residency training? If you did not do a residency, type N/A in the box below. Question Title 3. For how many years have you practiced podiatric medicine? Do not include years spent in residency or other training. Question Title 4. In which state do you primarily practice? State: -- select state -- AL AlabamaAK AlaskaAS American SamoaAZ ArizonaAR ArkansasCA CaliforniaCO ColoradoCT ConnecticutDE DelawareDC District of ColumbiaFM Federated States of MicronesiaFL FloridaGA GeorgiaGU GuamHI HawaiiID IdahoIL IllinoisIN IndianaIA IowaKS KansasKY KentuckyLA LouisianaME MaineMH Marshall IslandsMD MarylandMA MassachusettsMI MichiganMN MinnesotaMS MississippiMO MissouriMT MontanaNE NebraskaNV NevadaNH New HampshireNJ New JerseyNM New MexicoNY New YorkNC North CarolinaND North DakotaMP Northern Mariana IslandsOH OhioOK OklahomaOR OregonPW PalauPA PennsylvaniaPR Puerto RicoRI Rhode IslandSC South CarolinaSD South DakotaTN TennesseeTX TexasUT UtahVT VermontVI Virgin IslandsVA VirginiaWA WashingtonWV West VirginiaWI WisconsinWY Wyoming Question Title 5. What is your board qualified/certified status? (Check all that apply.) Board qualified ABPM Board qualified ABPS Board certified ABPM Board certified ABPS: Foot Surgery Board certified ABPS: RRA Board certified ABPS: Foot and Ankle (certified prior to 1991) No board certification or qualification Certified by other board not listed (please describe) Question Title 6. In what type of area do you practice? Urban Suburban Rural Question Title 7. What was your net income from your practice of podiatry in 2012? That is, if employed, what was your salary (including incentives and bonuses), or if an owner what was your draw or income that you took home from your practice? This number should be your taxable income from working as a podiatrist. Question Title 8. Was your net income from your practice of podiatry more, less, or about the same as in 2011? Higher than in 2011 Lower than in 2011 About the same as in 2011 Question Title 9. What do you believe was or were the primary causes for this change in net income? (Check all that apply.) My income did not change Change in patient volume Change in number of hours worked Change in reimbursement Change in mix of services provided (e.g., more orthotics, more surgery, etc.) Change in salary (if employed) Change in incentives (if employed) General effect of the economy Increased cost of doing business Not sure Other (please specify) Question Title 10. What benefits does your practice provide for you? (Check all that apply.) If you are an owner or partner, which of these benefits do you itemize as a tax deduction? Health insurance Life insurance Retirement plan contribution Company car Car expenses/mileage reimbursement Professional (membership) dues Disability insurance Malpractice insurance Professional education (CME) expenses (registration fees, etc.) Travel and lodging for professional education Cell phone Computer None Other (please specify) Question Title 11. On average, how many hours per week did you practice podiatric medicine in 2012? Question Title 12. What was your average number of patient visits per week in 2012? Average total number of patient visits per week: Average number of new patient visits per week: Question Title 13. To what extent has your practice or employer implemented an EHR or EMR system? Full ONC (Office of the National Coordinator) Meaningful Use Certified system Full system--not ONC certified Partial system (some components such as e-prescribing) No system--all paper records Question Title 14. What is your primary practice arrangement (that is, the type of practice setting in which you spend most of your time)? Owner in the practice setting Employed in the practice setting Next
