1. Please describe the type of residency program associated with your department?
2. In what state is your department located?
3. What is the approximate size of the community in which your department is located?
4. In what year did your department begin to train residents?
5. How many years have you served as Department Chair?
6. How many fulltime faculty does your department have?
7. What is your gender?
8. How old are you?
Demographics
Universitybased n
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Communitybased, Universityaffiliated n
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Military n
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Other (please specify)
Less than 30,000 n
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30,000 to 75,000 n
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75,001 to 150,000 n
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150,001 to 500,000 n
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500,001 to 1 million n
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More than 1 million n
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Male n m l k j
Female n
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<50 years old n
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5160 years old n
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9. What percentage of your time do you spend in the following areas (must total 100):
10. I personally provide the following types of care in my practice: (please select all that apply)
Direct Patient Care Research
Administration Teaching
outpatient / ambulatory care g
f e d c
inpatient / hospital care g
f e d c
obstetrical deliveries g
f e d c
prenatal care g
f e d c
women’s health g
f e d c
newborn care (outpatient or nursery) g
f e d c
care of children g
f e d c
adult medicine g
f e d c
geriatrics g
f e d c
nursing home care g
f e d c
home visits g
f e d c
mental health care g
f e d c
officebased procedures g
f e d c
musculoskeletal problems g
f e d c
pain management g
f e d c
preoperative care g
f e d c
postoperative care g
f e d c
Please rate all of the following from 15 (1 = Strongly Disagree, 5 = Strongly Agree)
11. Residency graduates of programs where individual faculty role model a broad scope of practice will be more likely to have a broad scope of practice after graduation
12. Role modeling the full scope of family medicine will positively influence more students to consider family medicine as a career
13. It is important for individual family medicine faculty to role model full scope practice to their learners
14. Increasing clinical demands are leading to more referrals for care that family physicians would normally be able to deliver
15. The scope of practice of family medicine is too broad for physicians to keep up to date in all areas
16. Requiring family medicine residents to learn maternity care is not relevant to their practice after graduation
17. Payment issues make broad scope of practice impractical
18. Work/life balance concerns are causing family physicians to restrict the scope of their practice
19. Increasing the length of family medicine residency training will result in graduates providing a broader scope of practice
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scope
21. Family physicians are often unable to practice a broad scope due to credentialing and privileging issues
22. Employment with large health systems restricts the scope of practice of family physicians
23. Employment in large groups or systems allows comprehensive care to be provided collectively without an individual physician maintaining a broad scope of practice 24. The increasing use of nurse practitioners will reduce the scope of family physicians
25. The use of nurse practitioners permits family physicians to deliver a broader scope of care
26. Changes to the health system due to the Affordable Care Act will necessitate that family physicians provide a broad scope of practice
27. Clinical decision tools and electronic health records enable family physicians to provide a broader scope of practice
28. Over the next decade, health system changes will require family physicians to reduce their scope of practice
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Please rate how important the following items are in relation to family physicians providing a full scope of practice: (1 = Very Unimportant, 5 = Very Important)
29. Electronic Health Records 30. SelfEmployment
31. OB competency training in residency
32. Use of other providers (nurse practitioners, physician assistants, etc.) to deliver care
33. Use of additional staff (mental health providers, nutritionists, health coaches, etc.) to deliver care
34. Local credentialing/privileging practices
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