Pediatric Practice Patterns of General and Rural General Surgeons This survey should be taken by surgeons who consider themselves to be in a rural practice. OK Question Title * 1. How long have you been in the practice of general surgery? 0-5 years 6-10 years 11-15 years 16-20 years 21-25 years >25 years OK Question Title * 2. How would you best qualify your surgical practice? General Surgery Rural Surgery Other (please specify) OK Question Title * 3. In what state do you practice? Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming OK Question Title * 4. What is the population of the community where you practice? <10,000 10,001-50,000 50,001-100,000 100,001-250,000 250,001-500,000 500,001-1 million >1 million OK Question Title * 5. What is the zip code for your hospital? OK Question Title * 6. How many licensed beds are in your hospital? 6-24 25-49 50-99 100-199 200-299 300-399 400-499 >500 OK Question Title * 7. Please select the option below that represents your primary employment setting: University Group Medical Practice/Clinic Hospital employed Private Practice Locum tenens Rural Military Facility Other (please specify) OK Question Title * 8. I practice primarily in a: Regional (quaternary) referral center with all specialty services available Tertiary referral center with most specialty services available Urban or rural community hospital with limited specialty services Critical Access Hospital Veteran's Affairs Hospital Military Facility OK Question Title * 9. I would describe my employment status as: Full time Part time but more than half time Half time Less than half time Locum tenens Retired OK Question Title * 10. I am: Female Male Different identity OK Question Title * 11. Approximately how many months did you spend on the Pediatric Surgery service as a general surgery resident? 1-3 months 4-6 months 7-9 months >9 months I cannot recall OK Question Title * 12. When considering your training in general surgery, was the time spent on the pediatric surgery service: Much too short Too short Too long Much too long Right amount OK Question Title * 13. The value of this training on pediatric surgery was valuable and I use some of the skills in practice valuable but I use little of the skills in practice not valuable and added little to my overall training in general surgery Comments: OK Question Title * 14. Where did you train in General Surgery (or hospital type in which you primarily trained - community or University)? OK Question Title * 15. What age of patient do you care for in your practice (check all that apply)? 0 - <2 years 2-<5 years 5-<12 years 12-18 years My patients are all over 18-years-old OK Question Title * 16. Do you wish that you had more expertise in taking care of surgical problems in children in your current practice? Yes No OK If you do not take care of children in your practice, please skip to Question 30. Otherwise, please continue to answer all of the questions. OK Question Title * 17. Does your hospital have a NICU? Yes No OK Question Title * 18. If yes, do you provide surgical coverage for the NICU? Yes No I consult if there is a surgical emergency, but these patients are transferred out. Other (please specify) OK Question Title * 19. Exclusive of newborns, which of the following cases do you feel comfortable doing in patients under 18-years-old? Not at all comfortable Slightly comfortable Moderately comfortable Very comfortable Extremely comfortable Appendectomies Appendectomies Not at all comfortable Appendectomies Slightly comfortable Appendectomies Moderately comfortable Appendectomies Very comfortable Appendectomies Extremely comfortable Umbilical Hernia Repairs Umbilical Hernia Repairs Not at all comfortable Umbilical Hernia Repairs Slightly comfortable Umbilical Hernia Repairs Moderately comfortable Umbilical Hernia Repairs Very comfortable Umbilical Hernia Repairs Extremely comfortable Inguinal Hernia Repairs Inguinal Hernia Repairs Not at all comfortable Inguinal Hernia Repairs Slightly comfortable Inguinal Hernia Repairs Moderately comfortable Inguinal Hernia Repairs Very comfortable Inguinal Hernia Repairs Extremely comfortable Pyloric stenosis Pyloric stenosis Not at all comfortable Pyloric stenosis Slightly comfortable Pyloric stenosis Moderately comfortable Pyloric stenosis Very comfortable Pyloric stenosis Extremely comfortable Central access procedures Central access procedures Not at all comfortable Central access procedures Slightly comfortable Central access procedures Moderately comfortable Central access procedures Very comfortable Central access procedures Extremely comfortable Colorectal procedures for IBD and FP Colorectal procedures for IBD and FP Not at all comfortable Colorectal procedures for IBD and FP Slightly comfortable Colorectal procedures for IBD and FP Moderately comfortable Colorectal procedures for IBD and FP Very comfortable Colorectal procedures for IBD and FP Extremely comfortable VATS VATS Not at all comfortable VATS Slightly comfortable VATS Moderately comfortable VATS Very comfortable VATS Extremely comfortable Enterolysis for SBO Enterolysis for SBO Not at all comfortable Enterolysis for SBO Slightly comfortable Enterolysis for SBO Moderately comfortable Enterolysis for SBO Very comfortable Enterolysis for SBO Extremely comfortable Thyroglossal duct cyst excision Thyroglossal duct cyst excision Not at all comfortable Thyroglossal duct cyst excision Slightly comfortable Thyroglossal duct cyst excision Moderately comfortable Thyroglossal duct cyst excision Very comfortable Thyroglossal duct cyst excision Extremely comfortable Other (please write in) OK Question Title * 20. What are the current barriers for your ability to perform procedures on children (check all that apply)? Training Administrative support at my hospital Pediatric resources/equipment at my hospital Support from the pediatric community Rarely do the procedures so don't feel as comfortable OK Question Title * 21. Is your interest in performing any of these procedures age dependent (i.e. you do these operations in only certain age groups depending on the diagnosis)? Yes No If yes, please describe your practice. OK Question Title * 22. Who routinely anesthetizes your pediatric patients (check all that apply)? Pediatric anesthesiologist Adult anesthesiologist with special interest in children CRNA A combination of pediatric and adult anesthesiologists depending on availability A combination of CRNA and anesthesiologists depending on availability OK Question Title * 23. What is the average number of pediatric cases that you do annually? OK Question Title * 24. If you are nearing retirement age and have routinely taken care of children, do you have a succession plan (i.e., are you training another surgeon to take your place)? Yes No OK Question Title * 25. Do you have transfer agreements and protocols with a pediatric hospital for your patients who need a higher level of care? Yes No OK Question Title * 26. If yes, do you receive feedback after sending your patients to another center? Yes No OK Question Title * 27. Do you have telemedicine capabilities where you work that are used for patient care? Yes No OK Question Title * 28. If yes, do you currently use them for advice for pediatric patients? Yes No OK Question Title * 29. Do you have on-site or telehealth pediatric CME activities at your hospital? Yes No OK Question Title * 30. If yes, who provides this service? OK Question Title * 31. If no, would this be of value to you? Yes No OK Question Title * 32. In today's practice climate for a general surgeon who will practice in an environment where there is no Board Certified Pediatric Surgeon, what do you view as the most appropriate training for a surgeon who will treat some children? OK Question Title * 33. In today's practice climate for a general surgeon who will practice in an environment where there is no Board Certified Pediatric Surgeon, what do you view as the appropriate hospital resources for a surgeon who will treat some children? OK Question Title * 34. Please list any pediatric topics that you would value for Pediatric CME credit. OK DONE