Cardiology Structural Heart Imaging Survey

American College of Cardiology Imaging Council Structural Heart Disease Workgroup Imaging Survey

This survey is a large scale effort to characterize the current state of individuals involved in structural heart disease procedures, their backgrounds, practice patterns, training backgrounds and challenges. All answers will only be reported in aggregate with no individual or institutional information. We do ask for your name and institution to avoid duplicate entries of data. This survey should take approximately 15 minutes to complete.

2.What is your training background?

Cardiology

Radiology

Anesthesiology

Other (please specify)

3.What best describes your practice setting?

University affiliated hospital / medical system

Non-university affiliated hospital / medical system

Single specialty group practice

Multispecialty group practice

Government practice (VA/military)

Other (please specify)

4.If you do practice SHD TEE, please select the amount of dedicated training you had for this modality.

5.If you do practice SHD CT, please select the amount of dedicated training you had for this modality.

8.Which statement best characterizes the makeup of those who perform intraprocedural interventional TEE services at your institution?

Cardiology

Anesthesia

Combination of both

9.Which statement best characterizes the makeup of those who perform structural heart CT at your institution?

Cardiology

Radiology

Combination of both

11.Approximately how many of each type of transcatheter structural interventions were performed in the past year at your practice/institution?

16.What is your role in echocardiography for structural heart imaging? Select all that apply.

TTE (review/interpret pre-procedural studies)

TTE (review/interpret post-procedural/follow-up studies)

TEE (perform/interpret pre-procedural studies)

TEE (perform/interpret intra-procedural studies)

I am not involved in echocardiography for SHD imaging

17.What is the role of sonographers in your structural heart imaging program? Select all that apply.

Scan our pre and post-procedural TTEs

Perform intraprocedural TTEs

Operate the machine in our pre and post procedural TEE

Manipulate the probe in our intraprocedural TEE

Operate the machine in our intraprocedural TEE

None

18.What is the role of computed tomography 3D techs in your structural heart imaging program? Select all that apply.

Performance of preliminary pre-procedural measurements (ie. annular sizing for TAVR, vascular access sizing, etc)

Performance of preliminary 3D visualizations (ie. volume rendered images for c-arm deployment, valve lines, etc)

Scan our pre and post-procedural CTA’s

Independently request ECG editing on CTA datasets

Independently performed ECG editing on CTA datasets

Our institution does not utilize dedicated techs for pre-procedural CTA processing

I am not familiar with institutional CT processing protocols

19.What is your role in CT for structural heart disease? Select all that apply.

SHD Cardiac CT (review/interpret pre-procedural studies)

SHD Cardiac CT (review/interpret post-procedural studies)

I am not involved in CTA for SHD imaging

20.What is your formal training/background in echocardiography?

COCATS Level 1 trained in echocardiography (or equivalent)

COCATS Level 2 trained in echocardiography (or equivalent)

COCATS Level 3 trained in echocardiography (or equivalent)

No COCATS level (Cardiologist with grandfathered competence in echocardiography)

No COCATS level (Not a Cardiologist)

I am not involved in echocardiography

21.What statement best characterizes your training in interventional TEE?

I obtained competence in interventional TEE during a general cardiology fellowship.

I obtained competence in interventional TEE during a general advanced TEE fellowship.

I obtained competence in interventional TEE in a fellowship dedicated to learning interventional TEE skills.

I obtained competence in interventional TEE during a multimodality advanced imaging fellowship.

I obtained competence in interventional TEE on the job after completing fellowship training.

I do not perform interventional TEE

22.What is your training/background in cardiac CT?

COCATS Level 1 trained in cardiac CT (or equivalent)

COCATS Level 2 trained in cardiac CT (or equivalent)

COCATS Level 3 trained in cardiac CT (or equivalent)

No COCATS level (Cardiologist with grandfathered competence in cardiac CT)

No COCATS level (Not a Cardiologist)

I am not involved in cardiac CT

23.What statement best characterizes your training in CT for structural heart disease?

I obtained competence in structural heart CT during a general cardiology fellowship.

I obtained competence in structural heart CT during a general advanced CT fellowship.

I obtained competence in structural heart CT during a multimodality advanced imaging fellowship.

I obtained competence in structural heart CT in a fellowship dedicated to learning structural CT skills.

I obtained competence in structural heart CT on the job after completing fellowship training.

I do not perform structural heart CT

24.How well integrated are you into the rest of the structural heart disease team?

Extremely. I am present at the majority of our group meetings (>76%)

I am moderately present at our group meetings (51-75%)

I sometimes am present at some of our group meetings (26-50%)

I rarely participate in the group meetings. (<25%)

Not at all. I do not participate in these meetings (0%)

28.How many hours per week do you spend on intraprocedural structural echo (TTE or TEE)?

29.How many hours per week do you spend on structural heart CT?

32.How are interventional TEE duties divided in your group?

Responsibilities shared by a large group of individuals

A small group of individuals who focus on these cases

Interventional TEE cases not performed at institution

I am not sure how these duties are organized

Please write the number of individuals who actively participate in interventional TEE duties

33.Is there a dedicated structural heart imaging team for Cardiac CT at your practice/institution?

Responsibilities shared by a large group of individuals

A small group of individuals who focus on these cases

Interventional Cardiac CT cases not performed at institution

I am not sure how these duties are organized.

Please write the number of individuals who actively participate in structural heart CT duties.

34.How would you best describe your current compensation model for structural heart imaging in echocardiography? Select all that apply

Primarily salaried income without RVU offset for SHD imaging time

Primarily salaried income with RVU offset for SHD imaging time

Primarily productivity without RVU offset for SHD imaging time

Primarily productivity with RVU offset for SHD imaging time

I am not involved in SHD cardiography

Other (please specify)

35.How would you best describe your current compensation model for the interpretation and 3D processing of cardiac CTA for Structural Heart Disease Case Planning? Select all that apply

Primarily salaried income without RVU offset for SHD imaging time

Primarily salaried income with RVU offset for SHD imaging time

Primarily productivity without RVU offset for SHD imaging time

Primarily productivity with RVU offset for SHD imaging time

I am not involved in SHD CT

Other (please specify)

36.Is your current compensation periodically adjusted/reviewed for increased/decreased efforts spent in structural imaging?

Yes

Other (please specify)

39. Please detail additional areas of concern that you feel are facing imagers specializing in structural heart disease.

40.Please provide your name, institution and email address to help us ensure that we do not have any duplication in our responses.

Name

Institution

Email Address

41.Are you interested in having your name, institution and email included in an internal database to use for networking, SHD related advocacy efforts and education? (No survey information will be stored in this database).

Yes

Current Progress,

0 of 41 answered