Welcome to My Survey

Informed Consent

Mount St. Joseph University, Department of Department of Physician Assistant Studies

TITLE OF PROJECT: Medical documentation trends and attitudes among practicing Physician Assistants

PRINCIPAL INVESTIGATOR: Name:   Phillip T. Smith  Phone number: 513-244-4533


The purpose of this project is to investigate medical documentation trends among practicing health care providers to determine: 1) distribution of documentation styles across patient care environments, regional areas, and practice size,  2)  extent and type of technologies used to facilitate document creation, and 3) measure provider satisfaction with medical documentation they create with respect to accuracy and readability.

Participants will be asked to complete a 25 question online survey that takes approximately 10 minutes to complete. The survey will quantify styles and attitudes towards documentation across three specific patient care environments (Inpatient, Outpatient, and Emergency Department).
NOTE: Participation in this study is voluntary.  Refusal to participate or discontinuation of participation will involve no penalty or loss of benefits to which you are otherwise entitled.

            I consent to participate as a subject in this research investigation to be performed by or under the supervision of Phillip T. Smith.  The nature and general purpose of the research procedure and the known risks involved have been explained to me in the recruitment email and in this consent form.  I understand that I may withdraw from this research without prejudice at any time I so desire. I understand that my identity will not be revealed in any publication or document resulting from this research. No confidential information will be obtained or retained as part of this investigation. The survey will be accessed through a secure SSL encrypted connection. No IP addresses will stored.


            Finally, I understand that it is not possible to identify all of the potential risks in an experimental procedure, and I believe that reasonable safeguards have been taken to minimize both the known and the potential but unknown risks.  If I have any questions regarding this research or my participation in this research, I may contact the Principal Investigator listed above.



By proceeding to the survey, you agree to the parameters described within this informed consent.

Question Title

* 1. Do you understand and agree with parameters of informed consent, and wish to continue with the survey?