Sonographer Survey on Fetal Anatomy Assessment at 11 to 14 weeks

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* 1. Where do you work? Please check all that apply.

Tertiary referral centre hospital

Referral centre hospital

Community hospital

Community independent health facility site

Other (please specify)

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* 2. In which province/territory do you work?

Other (please specify)

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* 3. How long have you been practicing sonography?

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* 4. How much time is dedicated to the 11 to 14 week scan at your site (including documentation time)?

Other (please specify)

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* 5. How many sonographers are in your unit?

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* 6. How many 11 to 14 week scans do you personally do per year?

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* 7. On a scale of 1 (lowest) to 10 (highest), how comfortable are you with transvaginal scanning if necessary for assessing anatomy during the 11 to 14 week ultrasound?

Clear

i We adjusted the number you entered based on the slider’s scale.

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* 8. What proportion of your scans are performed transvaginally?

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* 9. Do you routinely use a checklist?

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* 10. If you do use a checklist, which one do you use?

Other (please specify)

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* 11. Please check the box for structures that are currently routinely assessed and reported on in your practice:

Presence of Skull

Cranial Bones

Midline Falx

Choroid-plexus filled ventricles

Intracranial Translucency

Nasal Bone

Normal profile/mandible

Retronasal Triangle

Vertebrae (longitudinal and axial)

Intact overlying skin

Symmetrical lung fields

No effusions or masses

Cardiac regular activity

Cardiac axis and situs

Four symmetrical chambers

Outflow tracts

Colour doppler to assess four symmetrical heart chambers

Colour doppler to assess outflow tracts

Fetal stomach in the left upper quadrant

Abdominal situs

Fetal bladder

Fetal kidneys

Normal abdominal wall umbilical cord insertion

No abdominal wall defects

Limb assessment including presence of 3 segments for each of four limbs

Placental size and texture

3 vessel cord (colour doppler assessment of 2 arteries circling fetal bladder)

Uterine artery Doppler

Ductus venosus assessment

Tricuspid flow doppler assessment

Other (please specify)

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* 12. For multiple gestations at 11 to 14 weeks do you routinely assess chorionicity?

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* 13. Which formula does your unit use to determine dates by Crown Rump Length?

Other (please specify)

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* 14. Which criteria do you use to determine gestational age by BPD?

Other (please specify)

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* 15. Which formula do you use to calculate gestational age by abdominal circumference?

Other (please specify)

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* 16. Which formula do you use to calculate gestational age by femur length?

Other (please specify)

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* 17. What is your opinion about the time you would require to properly assess the above checklist of structures during an 11 to 14 week ultrasound study (including documentation time)?

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* 18. On a scale of 1 (No expertise/knowledge on topic) to 10 (Expert level knowledge), how would you rate your current knowledge/expertise on the literature on the 11 to 14 week fetal scan with respect to anatomy assessment?

Clear

i We adjusted the number you entered based on the slider’s scale.

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* 19. On a scale of 1 (No expertise/knowledge on topic) to 10 (Expert level knowledge), how would you rate your current knowledge/expertise on the literature on the 11 to 14 week fetal scan with respect to fetal aneuploidy assessment?

Clear

i We adjusted the number you entered based on the slider’s scale.

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* 20. On a scale of 1 (No expertise/knowledge on topic) to 10 (Expert level knowledge), how would you rate your current knowledge/expertise on the literature on the 11 to 14 week fetal scan with respect to preeclampsia screening?

Clear

i We adjusted the number you entered based on the slider’s scale.

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* 21. Which of the following do you perceive as barriers to the performance of a complete anatomy scan at the 11 to 14 week time period in your unit? Check all that apply.

time

ultrasound quality

training/education of sonographers

lack of provincial billing code that considers increased time required to obtain extra views

Other (please specify)

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* 22. On a scale of 1 (unacceptable for first trimester assessment) to 10 (excellent, high resolution equipment for first trimester scanning), how would you rate the quality of the ultrasound machines in your unit?

Clear

i We adjusted the number you entered based on the slider’s scale.

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* 23. What is your preferred format for further learning on current concepts in the 11 to 14 week scan? Check any that apply.

Online courses (e.g., ISUOG/Fetal Medicine Foundation)

In person lectures/course

On site training at your site

On site training at a training centre

Other (please specify)

Sonographer Survey on Fetal Anatomy Assessment at 11 to 14 weeks

Question Title

* 1. Where do you work? Please check all that apply.

Question Title

* 2. In which province/territory do you work?

Question Title

* 3. How long have you been practicing sonography?

Question Title

* 4. How much time is dedicated to the 11 to 14 week scan at your site (including documentation time)?

Question Title

* 5. How many sonographers are in your unit?

Question Title

* 6. How many 11 to 14 week scans do you personally do per year?

Question Title

* 7. On a scale of 1 (lowest) to 10 (highest), how comfortable are you with transvaginal scanning if necessary for assessing anatomy during the 11 to 14 week ultrasound?

Question Title

* 8. What proportion of your scans are performed transvaginally?

Question Title

* 9. Do you routinely use a checklist?

Question Title

* 10. If you do use a checklist, which one do you use?

Question Title

* 11. Please check the box for structures that are currently routinely assessed and reported on in your practice:

Question Title

* 12. For multiple gestations at 11 to 14 weeks do you routinely assess chorionicity?

Question Title

* 13. Which formula does your unit use to determine dates by Crown Rump Length?

Question Title

* 14. Which criteria do you use to determine gestational age by BPD?

Question Title

* 15. Which formula do you use to calculate gestational age by abdominal circumference?

Question Title

* 16. Which formula do you use to calculate gestational age by femur length?

Question Title

* 17. What is your opinion about the time you would require to properly assess the above checklist of structures during an 11 to 14 week ultrasound study (including documentation time)?

Question Title

* 18. On a scale of 1 (No expertise/knowledge on topic) to 10 (Expert level knowledge), how would you rate your current knowledge/expertise on the literature on the 11 to 14 week fetal scan with respect to anatomy assessment?

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* 19. On a scale of 1 (No expertise/knowledge on topic) to 10 (Expert level knowledge), how would you rate your current knowledge/expertise on the literature on the 11 to 14 week fetal scan with respect to fetal aneuploidy assessment?

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* 20. On a scale of 1 (No expertise/knowledge on topic) to 10 (Expert level knowledge), how would you rate your current knowledge/expertise on the literature on the 11 to 14 week fetal scan with respect to preeclampsia screening?

Question Title

* 21. Which of the following do you perceive as barriers to the performance of a complete anatomy scan at the 11 to 14 week time period in your unit? Check all that apply.

Question Title

* 22. On a scale of 1 (unacceptable for first trimester assessment) to 10 (excellent, high resolution equipment for first trimester scanning), how would you rate the quality of the ultrasound machines in your unit?

Question Title

* 23. What is your preferred format for further learning on current concepts in the 11 to 14 week scan? Check any that apply.

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* 24. Please share any other comments you have below: