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The following questions were presented to and completed by physicians (family physicians and all other specialists) in Canada in 2010.
Anesthesiologists (Anest), Critical Care (CritCare), Dermatologists (Derm), Diagnostic Radiologists (DiagRad), Emergentologists (Emerg), Medical Geneticists (Medgen), Neurologists (Neuro), Nuclear Medicine Specialists (NucMed), Occupational Medicine Specialists (OccupMed), Pediatricians (Peds), Public Health and Preventive Medicine Specialists (PhPm), Physicial Medicine / Rehabilitation Specialists (Phys), Psychiatrists (Psych), Radiation Oncologists (RadOnc).
Community Medicine specialty name has been changed to Public Health and Preventive Medicine.
| Medical Specialists Demographics |
| Current Status | ||
| Q1: Which of these best describes you? | ||
| Q2: Age. | ||
| Q3: Sex. | ||
| Q4a: The following is a list of work settings. Check the category(ies) which best describe(s) the setting(s). | ||
| Q4b: Please indicate which of the above settings is your MAIN patient care setting (i.e. the setting where you spend the most time providing patient care). | ||
| Q5: In which province(s)/territory(ies) do you currently work? |
| Q7: Do you provide patient care? | ||
| Q8: What languages do you speak with your patients? | ||
| Q9: What percentage of your gross professional income goes towards running your pratice (e.g. part-time or full-time staff, leases/rent/mortgage, equipment leasing/rental, personal benefits, vehicle costs, professional fees, malpractice dues, other overhead expenses)? | ||
| Q10a: Please indicate how your MAIN patient care setting is organized. | ||
| Q10b: Are you incorporated? | ||
| Q11: Please indicate with whom you REGULARLY REFER or HAVE COLLABORATIVE CARE ARRANGEMENTS: Other FPs/ Other Specialists | ||
| Q11: Please indicate with whom you REGULARLY REFER or HAVE COLLABORATIVE CARE ARRANGEMENTS: Other Health Care Providers | ||
| Q12: Are there any barriers that currently exist to prevent you from engaging a Physician / Clinical Assistant in your practice? | ||
| Q12: Are there any barriers that currently exist to prevent you from engaging a Nurse Practitioner in your practice? |
| Q13: Please rate your accessibility to the following on behalf of your patients. | ||
| Q14a: Typically, if a patient contacts your office or is referred to you, how long would that patientwait until the first available appointment WITH YOU OR YOUR PRACTICE? | ||
| Q14b: To what extent is your practice accepting new patients into your MAIN patient care setting? |
| Q15a: Are you practicing within the the main areas of the specialty as broadly taught during your residency? | ||
| Q15b: If your practice extends beyond what you were taught during residency, what extra training did you pursue? | ||
| Q15c: Considering the generally accepted domain of practice of your specialty, please describe the main focus of your practice. | ||
| Q16: Please indicate if you care for the following: |
| Q17a: Do you do call? | ||
| Q17b: Please estimate your average number of on-call work hours PER MONTH: | ||
| Q17c: Please estimate how many of your on-call hours each month are actually spent in direct patient care (e.g., phone, email, face-to-face): | ||
| Q17d: Do you ever spend continuous 24-hour periods of on-call time in direct patient care? | ||
| Q17e: Please estimate the number of patients you SEE on-call per month: | ||
| Q18: EXCLUDING ON-CALL ACTIVITIES, how many HOURS IN AN AVERAGE WEEK do you usually spend on the following activities? | ||
| Q19a: In the last year, have you used any locum tenens? | ||
| Q19b: In the last year, have you personally provided locum tenens services for another physician? | ||
| Q20a&b: Do you regularly work as a visiting physician? | ||
| Q21a: Please indicate the frequency of use and impact on your practice of the following. | ||
| Q21b: Please rate how significantly each of the following has served as a barrier to your participation in CME/CPD. |
| Q22: In the last year, approximately what proportion of your professsional income did you receive from each of the following payment methods? |
| Q23: Please indicate which of the following factors are increasing the demand for your time at work. | ||
| Q24: With reference to the LAST 2 YEARS, please check all of the following changes you have already made. | ||
| Q24: With reference to the NEXT 2 YEARS, please check all of the following changes that you are planning to make. | ||
| Q25: If you plan to retire in the near future, which of the following might entice you to practice longer? |
| Q26a: Do you have a practice Web site? If yes, can patients contact your office to request an appointment through it? | ||
| Q26b: Do you refer your patients to any websites? If yes, for what purpose? | ||
| Q26c: Do you use email IN ANY SETTING to communicate wit: | ||
| Q27: Thinking about your MAIN patient care setting, which of these describes your record keeping system? | ||
| Q28a: Where do you access electronic records for your patients? | ||
| Q28b: In which setting do you use electronic records most often? | ||
| Q28c: If you access electronic records in various locations, are the records in these locations electronically connected to each other to allow for access of the same electronic record from different settings? | ||
| Q29: Please indicate which of the following you use, or plan to use, in the care of your patients. |
| Q30: Please rate your satisfaction with each of the following: | ||
| Q31a: Do the referral documents you receive contain sufficient information? | ||
| Q31b: If not satisfactory, which are the most important elements that could be enhanced in the referral documents you currently receive? | ||
| Q32a: Do the consultation reports you receive contain sufficient information? | ||
| Q32b: If not satisfactory, which are the most important elements that could be enhanced in the consultation reports you currently receive? |
| Q33: Where were you born? | ||
| Q34a: Year of your undergraduate graduation: | ||
| Q34a: Year of completion of your MOST RECENT post-graduate medical training (i.e. residency/internship): | ||
| Q34b: Please indicate where you completed your undergraduate medical training. | ||
| Q34b: Please indicate where you completed your most recent post-graduate medical training. | ||
| Q35: Current medical specialty certification/attestation. | ||
| Q36: In what year did you become licensed to practice medicine in Canada for the first time? | ||
| Q37a: Do you have children? If yes, what is the age of the youngest and how many hours per week do you have primary responsibility of these children? | ||
| Q37b: Do you have any other dependents for whom you personally provide care (grandchildren/elderly/disabled)? if yes, how many and how many hours per week do you spend caring for them? |