The Role of the Family Practice Provider in the Diagnosis, Management, and Referral Evaluation (ID: i764a-1) Survey

1.After participating in this activity, how confident are you in the management of patients with AS in your practice?(Required.)

2.How many years have you been in practice?(Required.)

>21

11-20

1-10

<1

4.Please select the option that best describes your practice setting.(Required.)

5.How committed are you to making changes in your practice based on your participation in this activity?(Required.)

If not committed or do not plan to make changes, please indicate reason

6.Which of the following best describes the impact of this activity on your performance?(Required.)

I gained new strategies/skills/information I can apply to my area of practice

I need more information before I can change my practice

My practice is already consistent with the information presented

This activity will not change my practice

8.What barriers do you see to making changes in your practice?(Required.)

Lack of knowledge regarding evidence-based strategies

Lack of convincing evidence to warrant change

Lack of time/resources to consider change

Insurance, reimbursement or legal issues

Conflicting guidelines or evidence

Patient compliance and/or patient resource barriers

Other (please explain)

12.As a result of your participation in this activity, what is the one change you are most likely to implement in your practice?

13.Please list any clinical issues/problems within your scope of practice you would like to see addressed in future educational activities for AS or related disease states.

14.If you indicated that you perceived commercial bias or influence, please describe.