Human Resources Survey

1.Facility Name:

2.Please indicate the number of non-radiology physicians you have in your facility in each specialty shown below.

None

1-4

5-10

>10

Anesthesiology

None

1-4

5-10

>10

Allergy & Immunology

None

1-4

5-10

>10

Breast surgery

None

1-4

5-10

>10

Cardiology

None

1-4

5-10

>10

Cardiothorac Surgery

None

1-4

5-10

>10

Dermatology

None

1-4

5-10

>10

Emergency Medicine

None

1-4

5-10

>10

Endocrinology

None

1-4

5-10

>10

Gastroenterology

None

1-4

5-10

>10

General Internal Medicine

None

1-4

5-10

>10

General Surgery

None

1-4

5-10

>10

Gynecology (non-obstetrical)

None

1-4

5-10

>10

Hematology

None

1-4

5-10

>10

Infectious Diseases

None

1-4

5-10

>10

Intensive Care/ICU

None

1-4

5-10

>10

Mastology

None

1-4

5-10

>10

Maxillofacial surgery

None

1-4

5-10

>10

Neonatology/NICU

None

1-4

5-10

>10

Nephrology

None

1-4

5-10

>10

Neurology

None

1-4

5-10

>10

Neurological Surgery

None

1-4

5-10

>10

Obstetrics

None

1-4

5-10

>10

Oncology, Medical

None

1-4

5-10

>10

Oncology, Surgical

None

1-4

5-10

>10

Ophthalmology

None

1-4

5-10

>10

Orthopedic Surgery

None

1-4

5-10

>10

Otorhinolaryngology (ENT)

None

1-4

5-10

>10

Pathology

None

1-4

5-10

>10

Pediatrics

None

1-4

5-10

>10

Physical Medicine & Rehabilitation

None

1-4

5-10

>10

Plastic Surgery

None

1-4

5-10

>10

Podiatric Medicine

None

1-4

5-10

>10

Psychiatry

None

1-4

5-10

>10

Pulmonology

None

1-4

5-10

>10

Urology

None

1-4

5-10

>10

Radiation therapy

None

1-4

5-10

>10

Rheumatology

None

1-4

5-10

>10

Vascular Surgery

None

1-4

5-10

>10

3.Please indicate the number of radiology personnel you have in your facility in each category shown below

None

1-4

5-10

>10

Radiologists (all)

None

1-4

5-10

>10

Specialty/Fellowship trained radiologists (please list in comments section)

None

1-4

5-10

>10

Technicians/Technologists

None

1-4

5-10

>10

Medical Physicists

None

1-4

5-10

>10

Please list radiology specialties here (if any)

4.Please indicate the number of non-physician staff you have in your facility in each category shown below.

None

1-4

5-10

>10

Nurses

None

1-4

5-10

>10

Midwives

None

1-4

5-10

>10

Health Extension Worker, Medical Assistant, or other ancillary clinical personnel

None

1-4

5-10

>10

Pharmacists/pharmacy technicians

None

1-4

5-10

>10

Information technology personnel, Computer technicians

None

1-4

5-10

>10

Non-radiology Lab Technicians

None

1-4

5-10

>10

Administrators, bookkeepers, accountants, and other managerial or business staff

None

1-4

5-10

>10

5.What types of personnel work at your facility? Select all that apply.

Full-time or part-time employees

Volunteers

Resident or fellowship physicians who are in training (just out of medical school)

Medical students

6.Is your facility currently under-staffed in any of the above positions? If so, select "Yes" and please describe below in "Comments".

Yes

Comments

7.Does you facility have high employee turnover in any of the above positions? If so, select "Yes" and please describe below in "Comments".

Human Resources

2.Human Resources