Pediatric GI Fellow IBD Needs Assessment Survey Study Information Sheet
We are conducting a research study about specific pediatric gastroenterology (GI) trainee education in Inflammatory Bowel Disease (IBD). You were selected as a possible participant in this study because of your role as a trainee in a Pediatric GI fellowship program during the 2013-2014 academic year. Your participation in this research study is voluntary.
The aim of this study is to determine the current status of IBD training in terms of clinical exposure, educational activities, and confidence in knowledge base. We are also interested in assessing your interest in specializing in pediatric IBD after you complete training. Using the data accrued, we aim to help develop an IBD educational and clinical care curriculum for pediatric GI trainees including assessments for competency at the completion of a pediatric GI fellowship program.
Participation in our study should take a total of about 15 minutes.As an incentive upon completion of the survey, you will have the option to enter a drawing to win one FREE conference registration for an upcoming NASPGHAN conference.
If you have any questions, comments or concerns about the research, please feel free to contact one of the following researchers: Jennifer L. Dotson, MD, MPH ([email protected], (614) 722-3356) or Tolulope Falaiye, MD ([email protected] , (717) 5315901).
If you have questions about your rights while taking part in this study, or you have concerns or
suggestions, and you want to talk to someone other than the researchers about this study, please contact the IRB representative by calling (614) 722-2708 or writing to: Nationwide Children's Hospital
Institutional Review Board, 700 Children’s Drive, Columbus, OH 43205
*1. I have read the above text and agree to participate in the survey.
□ Yes
□ No
Introduction
We are interested in understanding the views of Pediatric GI trainees regarding current training in inflammatory bowel disease (IBD). Your participation with this questionnaire will help us understand how trainees view current training for IBD and how this may be improved.
Your participation is voluntary and will be completely confidential. Your participation will have no impact on your current or future status as a Pediatric GI fellow. Any presentation or publication of the research results will not identify you specifically, but will present aggregated results of the group of volunteers who complete the questionnaire.
We thank you in advance for your participation!
Please continue to the next page.
*2. Are you male or female?
□ Male
□ Female
*3. What was the year of your fellowship training for the 2013-2014 academic-year??
□ Year 1
□ Year 2
□ Year 3
□ Year 4 or more
□ I am not a fellow (If selected, SKIP pattern to end survey here)
□ I am a research fellow
*4. How many general GI fellows are in your training program (all years combined)?
□ Select number from drop down menu
*5. Do you consider your GI training program to have at least one full-time “IBD expert” on faculty?
□ Yes (proceed to question 6)
□ No (proceed to question 7)
6. How many full-time “IBD experts” would you consider to be on your GI training program’s teaching faculty?
□ Select number from drop down menu
7. Does your program have the following dedicated IBD staff, where “dedicated” refers to a person who is specially trained in IBD and provides services for patients with IBD (check ALL that apply):
□ Dedicated IBD Clinic
□ Dedicated IBD Nurses
□ Dedicated IBD Dietician
□ Dedicated IBD Research Coordinators
□ Other dedicated IBD personnel: (please specify)_________________
*8. Does your program have dedicated IBD specific rotations (where only IBD care is provided and/or taught) during the course of the GI fellowship?
□ IBD inpatient rotation
□ IBD outpatient rotation
□ Both IBD inpatient and outpatient rotation
□ No dedicated IBD specific rotation
□ Comment box
*9. What percentage of INPATIENT consults/patient care at your center involves IBD patients?
□ Less than 10%
□ 10-30%
□ 31-50%
□ Greater than 50%
*10. How confident are you that your level of INPATIENT IBD training is sufficient?
□ Very confident
□ Confident
□ Somewhat confident
□ Somewhat uncertain
□ Uncertain
□ Very uncertain
□ Comment box
*11. What percentage of OUTPATIENT clinical care at your center involves IBD patients?
□ Less than 10%
□ 10-30%
□ 31-50%
□ Greater than 50%
□ Comment box
*12. How confident are you that your level of OUTPATIENT IBD training is sufficient?
□ Very confident
□ Confident
□ Somewhat confident
□ Somewhat uncertain
□ Uncertain
□ Very uncertain
□ Comment box
*13. Do you provide care in a clinic where you see outpatients and follow a group of patients over time?
□ Yes (proceed to question 14)
□ No (proceed to question 15)
*14. Do you provide ongoing care on IBD patients in this clinic (with attending supervision)?
□ Yes
□ No
*15. How frequently do you have IBD centered didactic sessions in your program (e.g. journal club, grand rounds, case conference focused on an IBD topic)?
□ Weekly
□ Biweekly
□ Monthly
□ Quarterly
□ Biannually
□ Annually
□ No IBD centered didactics
□ Other
□ Comment box
*16. Please rate how often you utilize each resource for IBD clinical care. (1-Never, 2-Seldom, 3- Sometimes, 4-Often, 5-Always)
CCFA Advances in IBD Conference or Materials NASPGHAN guidelines/website
ImproveCareNow clinical guidelines Pubmed
UptoDate
Faculty/Attending Teaching
Institutional Resources (please describe) IBD Textbook
Other (please specify) ____________________
*17. Which options would MOST improve your IBD educational experience during GI training (select all that apply)
□ Increased IBD centered didactic sessions as part of the core curriculum at your institution
□ Increased interaction with regional or national "IBD experts"
□ Increased access to trainee centered IBD web resources
□ Increased exposure to IBD patients during fellowship
□ No changes needed, I am satisfied with my current level of IBD exposure during training
*18. Please indicate how confident you are with your current training in the following areas of IBD care: (Likert scale: Received no training; Inadequate training; Unsure about adequacy of training;
Mostly comfortable with training; Confident about my training) Phenotypic classification of Crohn's disease and ulcerative colitis Classifying clinical disease severity in IBD using disease activity indices Classifying endoscopic disease severity in IBD using endoscopic indices
Outpatient management of steroid dependent ulcerative colitis and Crohn’s disease Inpatient management of severe/fulminant ulcerative colitis
Medically managing J-pouch complications
Performing and identifying landmarks and findings on pouchoscopy Inpatient management of active Crohn’s disease
Medical and endoscopic management of stricturing Crohn’s disease Management of fistulizing Crohn’s disease
Management of perianal Crohn's disease
Management of an ostomy and related complications Management of extraintestinal manifestations of IBD
*19. Please indicate how confident you are with your current training in the following areas of IBD care: (Likert scale: Received no training; Inadequate training; Unsure about adequacy of training;
Mostly comfortable with training; Confident about my training) Initiating, monitoring and management of 5-ASAs
Initiating, monitoring and management of immunomodulators Initiation, monitoring and management of biologic therapy
Initiating, monitoring and management of combination therapy (immunomodulators and biologic therapy) Initiating, monitoring and management of enteral therapy for induction and maintenance therapy in Crohn’s disease
Therapeutic drug monitoring in IBD Communicating risks of therapies in IBD Recognizing indications for surgery in IBD
Tailoring therapy for prevention of postoperative recurrence in Crohn's disease
*20. Do you plan to specialize in IBD as a pediatric gastroenterologist?
□ No
□ Yes but would NOT like to pursue a career in IBD
□ Yes and would like to pursue a career in IBD in a NON-ACADEMIC setting (i.e. community based practice, non-university affiliated)
□ Yes and would like to pursue a career in IBD in an ACADEMIC setting (i.e. faculty in a teaching hospital, training program) in which I do mostly clinical work (see patients, do procedures, etc.)
□ Yes and would like to pursue a career in IBD in an ACADEMIC setting in which I do mostly RESEARCH (basic or clinical research > 50% of the time)
□ Comment box
*21. Are you interested in completing a 4th year advanced IBD fellowship?
□ No (proceed to question 20)
□ Yes (proceed to question 22)
□ Comment box
22. If you answered "YES" to question 21, please rank the following in the order of importance as reasons for pursuing an advanced IBD fellowship. (1 = most important, 5 = least important) Clinical experience
Research experience Professional mentorship Improve job prospects
Other (optional: specify in the comment box to the right) (question 23) (RANDOMIZED order of appearance of answer choices)
23. Optional: Specify “other” _________________________
24. If you answered "NO" to question 22, please choose the response that best represents your main reason for NOT pursuing an advanced IBD fellowship.
□ Not interested in pediatric IBD as a career focus
□ Not interested in extending GI fellowship by another year
□ Already have enough IBD exposure from general GI fellowship
□ Other (please specify) ______________________
*25. If you had the option of an IBD-focused elective during your GI fellowship training would you have chosen this option?
□ Most likely, yes
□ Most likely, no
*26. Have you attended any national conferences which were dedicated to IBD, or national conferences where you attended predominately IBD sessions (i.e. CCFA sponsored, Advances in IBD, NASPGHAN, DDW, etc.)?
□ Yes (proceed to 27)
□ No (proceed to 28)
27. If you answered “YES” to question 26, please list the conferences you attended
□ Comment box
28. If you answered “NO” to question 26, please check ALL that apply as reasons for not attending IBD conferences:
□ No specific interest in attending an IBD focused conference/conference sessions
□ Unaware of IBD-specific conferences/sessions
□ Lack of time available for such activities
□ Lack of funding to support conference attendance
□ Other ___________________________________
*29. Would you like additional IBD training opportunities through NASPGHAN and/or CCFA?
□ Yes (if checking this box, please use the comment box to list what types of training opportunities you would be interested in, such as didactics, workshops, or case-based discussions)
□ No
□ Comment box
30. THANK YOU FOR COMPLETING THIS SURVEY!
Please provide any comments or concerns regarding any of the questions or responses in this survey below.
You may also contact one of the following researchers directly:
Jennifer L. Dotson, MD, MPH ([email protected], (614) 722-3356) or Tolulope Falaiye, MD ([email protected], (717) 531-5901.
□ Comment box
31. Would you like to be entered into a drawing to win one FREE conference registration for an upcoming NASPGHAN conference?
(Information provided here will be used solely for contacting the prize winner--after which it will be discarded for all respondents. No contact information will be associated with survey responses.)
□ Yes (proceed to question 32)
□ No (end survey)
Upon completion, you will be redirect to the CCFA membership website where current fellows are invited to sign up for a CCFA Professional Membership at the FREE fellow member rate! See website for a description of benefits.
32. Please provide your name, phone number, and email address for notification in the event that your entry is randomly selected to receive one free NASPGHAN conference registration.
□ Comment box
