The responses to the survey questions will be used as the foundation of the conversation.

Question Title

* 1. Please enter in your information below. Thank you!

Question Title

* 2. Thinking of the operative hysteroscopy procedures you personally conducted during the past three months, what percentage were conducted in an office setting (as opposed to the OR or ASC)? (0-100%)

0% 50% 100%
Clear
i We adjusted the number you entered based on the slider’s scale.

Question Title

* 3. What percentage of your operative hysteroscopy procedures do you anticipate you will perform in an office setting (as opposed to the OR or ASC) one year from now? (0-100%)

0% 50% 100%
Clear
i We adjusted the number you entered based on the slider’s scale.

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* 4. Considering all of your office-based hysteroscopy procedures, what percentage fall into each of the following categories? (Must sum to 100%)

  10% 20% 30% 40% 50% 60% 70% 80% 90% 100%
Scheduled for an office visit only, but a diagnostic (and/or operative) hysteroscopy procedure was then performed
Scheduled for diagnostic hysteroscopy only, and only a diagnostic hysteroscopy performed
Scheduled for diagnostic hysteroscopy, but a surgical intervention is performed as well based on diagnosis
Scheduled for operative hysteroscopy, and a surgical intervention is performed as planned
Other

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* 5. Why do you prefer to perform operative hysteroscopy procedures for certain patients in the office? What is unique about those patients?

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* 6. Please describe what factors you believe would exclude a patient from receiving operative hysteroscopy in an OFFICE setting versus and ASC/OR?

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* 7. What steps do you follow to ensure that patients receiving an operative hysteroscopy in an office setting do not have one or more of these exclusionary factors?

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* 8. To what extent do you agree or disagree with each of the following statements? (1 – Strongly Disagree, 7 Strongly Agree)

1 2 3 4 5 6 7
I anticipate the proportion of Operative Hysteroscopy (Polypectomy) procedures I perform in an office setting (as opposed to the OR) will increase over the next five years
I would personally desire to perform a greater proportion of my Operative Hysteroscopy (Polypectomy) procedures in an office setting (as opposed to the OR)
The hand instrumentation that I use for performing polypectomies using operative hysteroscopy in an office setting are perfectly suited for that care setting
Clinical guidelines and evidence are clear as to what hand instruments to use during polypectomies using operative hysteroscopy in an office-setting
The hand instruments I use for polypectomy in an office-setting are the same ones I use in a hospital or ASC
Patients are more likely to object to having an Operative Hysteroscopy (Polypectomy) performed in an office setting than in the OR or ambulatory surgery center

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* 9. How would you assess the available evidence and clinical guidelines supporting the use of each of the following types of techniques for performing polypectomy in an office-setting?

  1-Evidence extremely strong AGAINST technique 2 3 4-No evidence positive or negative 5 6 7 – Evidence extremely strong SUPPORTING technique)
Scissors & Forceps
Curette
Hysteroscopic Mechanical Tissue Removal System (such as TruClear)
Manually actuated tissue removal systems (such as Resectr)
Other (Please Specify)

Question Title

* 10. How would you assess the available evidence and clinical guidelines supporting the use of each of the following types of techniques for performing endometrial biopsy in an office-setting?

  1-Evidence extremely strong AGAINST technique 2 3 4-No evidence positive or negative 5 6 7 – Evidence extremely strong SUPPORTING technique
Scissors & Forceps
Curette
Pipelle
Hysteroscopic Mechanical Tissue Removal System (such as TruClear)
Manually actuated tissue removal systems (such as Resectr)
Other (Please Specify)

Question Title

* 11. Considering all polypectomies you perform in an OFFICE-setting, in what percentage of cases do you primarily use each of the following hand instruments to perform the procedure?  (Must sum to 100%)

  10% 20% 30% 40% 50% 60% 70% 80% 90% 100%
Scissors & Forceps
Curette
Hysteroscopic Mechanical Tissue Removal System (such as TruClear)
Manually actuated tissue removal systems (such as Resectr)
Other (Please Specify)

Question Title

* 12. Considering all polypectomies you perform in a HOSPITAL or ASC-setting, in what percentage of cases do you primarily use each of the following hand instruments to perform the procedure?  (Must sum to 100%)

  10% 20% 30% 40% 50% 60% 70% 80% 90% 100%
Scissors & Forceps
Curette
Hysteroscopic Mechanical Tissue Removal System (such as TruClear)
Manually actuated tissue removal systems (such as Resectr)
Other (Please Specify)

Question Title

* 13. Considering all endometrial biopsies you perform in an OFFICE-setting, in what percentage of cases do you primarily use each of the following hand instruments to perform the procedure?  (Must sum to 100%)

  10% 20% 30% 40% 50% 60% 70% 80% 90% 100%
Scissors & Forceps
Curette
Hysteroscopic Mechanical Tissue Removal System (such as TruClear)
Manually actuated tissue removal systems (such as Resectr)
Pipelle
Other (Please Specify)

Question Title

* 14. Considering all endometrial biopsies you perform in a HOSPITAL or ASC-setting, in what percentage of cases do you primarily use each of the following hand instruments to perform the procedure?  (Must sum to 100%)

  10% 20% 30% 40% 50% 60% 70% 80% 90% 100%
Scissors & Forceps
Curette
Hysteroscopic Mechanical Tissue Removal System (such as TruClear)
Manually actuated tissue removal systems (such as Resectr)
Pipelle
Other (Please Specify)

Question Title

* 15. (If SCISSORS & FORCEPS used) What is the primary reason why you use a scissors and forceps technique for polyp removal or biopsy in-office? Please score on a scale of 1 (Not a Consideration at All) to 5 (Extremely Important Consideration).

  1 2 3 4 5 N/A
Number of polyps
Size of largest polyp
Total combined volume of polyp(s)
Location of polyp(s)
Consideration of other intrauterine tissues, e.g. fibroids, adhesions, etc.
Age of patient
Cancer risk
Pre/Peri/Post-menopausal
Cost
Clinical efficacy
Patient preference
Saves time
I was trained this way
Ease of use/ set-up
Nurses ability to support procedure
Dilation needed
Pain Management
Other (Please specify)

Question Title

* 16. (If CURETTE (“Blind D&C”)  used) What is the primary reason why you use a “Blind D&C” curettage technique for polyp removal or biopsy in-office? Please score on a scale of 1 (Not a Consideration at All) to 5 (Extremely Important Consideration).

  1 2 3 4 5 N/A
Number of polyps
Size of largest polyp
Total combined volume of polyp(s)
Location of polyp(s)
Consideration of other intrauterine tissues, e.g. fibroids, adhesions, etc.
Age of patient
Cancer risk
Pre/Peri/Post-menopausal
Cost
Clinical efficacy
Patient preference
Saves time
I was trained this way
Ease of use/ set-up
Nurses ability to support procedure
Dilation needed
Pain Management
Other (Please specify)

Question Title

* 17. (If HYSTEROSCOPIC MECHANICAL TISSUE REMOVAL SYSTEM  used) What is the primary reason why you use a hysteroscopic mechanical tissue removal (hMTR) system, such as TruClear, for polyp removal or biopsy in-office? Please score on a scale of 1 (Not a Consideration at All) to 5 (Extremely Important Consideration).

  1 2 3 4 5 N/A
Number of polyps
Size of largest polyp
Total combined volume of polyp(s)
Location of polyp(s)
Consideration of other intrauterine tissues, e.g. fibroids, adhesions, etc.
Age of patient
Cancer risk
Pre/Peri/Post-menopausal
Cost
Clinical efficacy
Patient preference
Saves time
I was trained this way
Ease of use/ set-up
Nurses ability to support procedure
Dilation needed
Pain Management
Other (Please specify)

Question Title

* 18. (If MANUALLY ACTUATED TISSUE REMOVAL SYSTEM used) What is the primary reason why you use a manually actuated tissue removal system, such as Resectr, for polyp removal or biopsy in-office? Please score on a scale of 1 (Not a Consideration at All) to 5 (Extremely Important Consideration).

  1 2 3 4 5 N/A
Number of polyps
Size of largest polyp
Total combined volume of polyp(s)
Location of polyp(s)
Consideration of other intrauterine tissues, e.g. fibroids, adhesions, etc.
Age of patient
Cancer risk
Pre/Peri/Post-menopausal
Cost
Clinical efficacy
Patient preference
Saves time
I was trained this way
Ease of use/ set-up
Nurses ability to support procedure
Dilation needed
Pain Management
Other (Please specify)

Question Title

* 19. (If PIPELLE used) What is the primary reason why you use a pipelle technique for endometrial biopsy or biopsy in-office? Please score on a scale of 1 (Not a Consideration at All) to 5 (Extremely Important Consideration).

  1 2 3 4 5 N/A
Number of polyps
Size of largest polyp
Total combined volume of polyp(s)
Location of polyp(s)
Consideration of other intrauterine tissues, e.g. fibroids, adhesions, etc.
Age of patient
Cancer risk
Pre/Peri/Post-menopausal
Cost
Clinical efficacy
Patient preference
Saves time
I was trained this way
Ease of use/ set-up
Nurses ability to support procedure
Dilation needed
Pain Management
Other (Please specify)

Question Title

* 20. (If OTHER  used) What is the primary reason why you use this additional technique for polypectomy and/or endometrial biopsy or biopsy in-office? Please score on a scale of 1 (Not a Consideration at All) to 5 (Extremely Important Consideration).

  1 2 3 4 5 N/A
Number of polyps
Size of largest polyp
Total combined volume of polyp(s)
Location of polyp(s)
Consideration of other intrauterine tissues, e.g. fibroids, adhesions, etc.
Age of patient
Cancer risk
Pre/Peri/Post-menopausal
Cost
Clinical efficacy
Patient preference
Saves time
I was trained this way
Ease of use/ set-up
Nurses ability to support procedure
Dilation needed
Pain Management
Other (Please specify)
Thank you for your feedback! We look forward to seeing you!

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