Community Family Medicine Residency Alumni Survey 2010 Question Title * 1. 1. How many years ago did you graduate from the Community Family Medicine Residency Program? 1 year 5 years 10 years 15 years 20 years 25 years 30 years 35 or more years Question Title * 2. Please enter the year of your initial and most recent ABFM recertification. 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 Other (which year?) Question Title * 3. Please tell us about your present practice. (Check all that apply.) Urban Metropolitan Suburban Rural Solo practice Small group (2-6) Large group (>6) Academic Individual/self-owned practice Group-owned/partnership practice Hospital-owned practice Fed Qual Health Ctr (FQHC); CHC; MUA/HSPA Concierge practice Electronic Medical Records are used in my ofice Paper charts are used in my office I am not currently practicing medicine Question Title * 4. Please estimate the percentage of each insurance carrier in your current patient panel. 0-10% 10-20% 20-40% 40-60% 60-80% 80-100% Medicare Medicare 0-10% Medicare 10-20% Medicare 20-40% Medicare 40-60% Medicare 60-80% Medicare 80-100% Medicaid Medicaid 0-10% Medicaid 10-20% Medicaid 20-40% Medicaid 40-60% Medicaid 60-80% Medicaid 80-100% PPO/POS PPO/POS 0-10% PPO/POS 10-20% PPO/POS 20-40% PPO/POS 40-60% PPO/POS 60-80% PPO/POS 80-100% HMO HMO 0-10% HMO 10-20% HMO 20-40% HMO 40-60% HMO 60-80% HMO 80-100% Self Pay Self Pay 0-10% Self Pay 10-20% Self Pay 20-40% Self Pay 40-60% Self Pay 60-80% Self Pay 80-100% Question Title * 5. Which of the following do you do in your practice? (Check all that apply.) Outpatient care of children Outpatient care of adults Inpatient care of children Inpatient care of adults Prenatal Care Vaginal deliveries Newborn nursery rounds Home visits Nursing Home visits Question Title * 6. Please identify areas in which you feel the Residency adequately prepared you for private practice. (Check all that apply.) Pain management Behavioral sciences Practice management Alternative and complementary medicine Chronic disease management Evidence based medicine New Model family medicine practice Question Title * 7. Please identify procedures that you perform in your office or hospital. (Check all that apply.) Pap Smear Wet Mount/KOH Colposcopy Endometrial biopsy LEEP Cryosurgery cervix IUD placement Flexible sigmoidoscopy Colonoscopy Upper endoscopy Nasopharyngoscopy Audiometry Tympanometry Exercise stress testing Spirometry Vasectomy Incision of drainage of abscess Punch biopsy Simple lesion removal Laceration repair Cryotherapy of benign skin lesions Joint aspiration/injection Trigger point injection Toenail removal Casting Arterial line Central line Intubation Neonatal resuscitation Circumcision Question Title * 8. How satisfied are you with your overall Residency training? Very satisfied Somewhat satisfied Somewhat dissatisfied Very dissatisfied Question Title * 9. OPTIONAL: Personal Demographics & Information. (Check all that apply.) Male Female I work full-time I work part-time (3-4 days per week or less) I practice within CPI I practice in Indiana I practice in Midwest (not Indiana) I practice in Northeastern U.S. I practice in Southern U.S. I practice in Western U.S. I practice outside United States 100% of survey complete. Submit