Taxonomy I Part III-A (Urology)

(17 March 2006 19:20)

NATIONAL PROJECT ON THE COMMUNITY BENEFITS

OF FAMILY MEDICINE RESIDENCY PROGRAMS

CUMULATIVE QUESTIONNAIRE RESPONSES

Taxonomy Section I Part IIIA

(Urology)

SD I.13c(5.0.1) (SD I.13g (L32)) Does your residency provide specialty care?  Yes __ No __ If yes, list these services in approximate order of volume or revenue.

Second National Workshop Questionnaire Responses:

(Is vasectomy listed?)

Yes:

Mercer             (Listed after “Geriatric assessment and treatment and care of a nursing home”)

UC Irvine         (Gynecologic procedures listed first; then vasectomy/contraception)

SD I.13c(5.0.2) (SD I.13g (1) (L32)) Does your residency program provide the following kinds of specialty care?   g. Vasectomy?

Yes __ No __ Additional Info:

If yes, are these services provided during special clinics? What is the number of patients seen? What are the revenues that are generated?

Yes:

UCSD Traditional

Scripps Chula Vista

UC Irvine                     (4/wk; all during special clinics)

Riverside

OSU Tulsa

USC Univ & SG          (in family health centers)

Modesto

Indiana U Methodist     (in special clinic)

No:

UCSD St Vincent

White Memorial

Durant

Saints

SD I.13c(5.1) (SD I.13g (2) (L32)) Does your residency program provide the following kinds of specialty care?  g. Vasectomy?

Yes__ No __

Yes:

Whittier

Pomona

Arrowhead

Loma Linda

OU Tulsa

OU Oklahoma City

Decatur

Mercer

Natividad

Klamath Falls

Kaiser LA

Las Vegas

Fresno                          (performed at Sequoia FMC, not at Selma FMC)

Springfield

Lexington

OHSU Portland

No:

Stockton

Louisville

MCE Birmingham

Glendale                       (Used to do this)

Dayton Community

Miami Valley

Lehigh Valley

Mercy Toledo

Tyler

Glasgow

SD I.13c(5.2) (SD I.13g (3)) If you do perform vasectomies, are these services provided as normal family health center appointments?

Yes __ No __

Yes:

Loma Linda

Decatur

Mercer

Lexington

OHSU Portland

No:

Whittier

Pomona

Arrowhead

OU Tulsa

OU Oklahoma City

Natividad

Klamath Falls

Kaiser LA

Las Vegas

Fresno

Springfield

SD I.13c(5.3) (SD I.13g (4))  If you do perform vasectomies, are these services provided during special clinics? Yes __ No __

If yes, what is the number of patients seen?  What revenues are generated in each specialty service?

Yes:

Whittier                        (scheduled for procedures clinic or by special appointment)

Pomona

Arrowhead                   (20)

Loma Linda                  (60/yr)

OU Tulsa                     (3 patients each 1 half-day special clinic; 150/yr; revenues come from health department which refers the patients)

OU Oklahoma City

Natividad                     (A few are performed each year; very limited; negligible revenues)

Klamath Falls               (2 a month; revenues $800/mo)

Las Vegas                    (1 or 2 patients for Friday morning clinics; $350 each)

Fresno                          (8-10/mo at Family First Planned Parenthood; 2-4/mo at University Medical Center FMC; 2-4/mo at Sequoia FMC; approximately $80 revenue per patient)

Springfield                    (2/wk; $166 a vasectomy received for referrals from Planned Parenthood)

No:

Decatur

Mercer

Kaiser LA                    (residents do it in urology clinic)

Lexington

OHSU Portland

SD I.13d (L32) Does your residency provide specialty care?

SD I.13d (0) If yes, list these services in approximate order of volume or revenue.

Second National Workshop Questionnaire Responses:

(Is urology clinic listed?)

Yes:

Klamath Falls               (orthopaedic clinic listed first, followed by urology clinic, psych consult clinic and sports medicine clinic)

SD I.13d(1) (L32) Does your residency program provide the following kinds of specialty care?   d. Urology clinic Yes __ No __

Additional Info:

If yes, are these services provided during special clinics? What is the number of patients seen? What are the revenues that are generated?

Yes:

UCSD Traditional         (in family health center)

White Memorial            (in family health center)

USC Univ & SG          (in a private urologist’s office)

Modesto

No:

Scripps Chula Vista

UCSD St Vincent

UC Irvine

Riverside

Durant

OSU Tulsa

Saints

Indiana U Methodist

SD I.13d(1.1) (SD I.13d(2) (L32)) Does your residency program provide the following kinds of specialty care?  d. Urology (urologic) care?  Yes__ No __

Yes:

Whittier

Pomona

Arrowhead

Loma Linda

Stockton

Louisville

MCE Birmingham

Glendale

OU Tulsa

OU Oklahoma City

Dayton Community

Miami Valley

Decatur

Mercer

Natividad

Klamath Falls

Lehigh Valley

Mercy Toledo

Kaiser LA

Tyler

Las Vegas

Fresno

Springfield

Glasgow

Lexington

OHSU Portland

SD I.13d(1.2) (SD I.13d(3)) If you do provide urology (urologic) care, are these services provided as normal family health center appointments? Yes __ No __

Yes:

Whittier

Pomona

Loma Linda

Stockton

Louisville

MCE Birmingham

Glendale

OU Tulsa

OU Oklahoma City

Dayton Community

Miami Valley

Decatur

Mercer

Natividad

Klamath Falls

Lehigh Valley

Mercy Toledo

Kaiser LA

Tyler

Las Vegas

Fresno

Springfield

Glasgow

Lexington

OHSU Portland

No:

Arrowhead

SD I.13d(1.3) (SD I.13d(4)) If you do provide urology (urologic) care, are these services provided during special clinics? Yes __ No __

If yes, what is the number of patients seen?  What revenues are generated in each specialty service?

Yes:

Arrowhead                   (60)

Loma Linda                  (200/yr)

Stockton                      (6 per clinic)

OHSU Portland            (Clinics occur offsite; no answer as to numbers; no revenues)

No:

Whittier

Pomona

Louisville

MCE Birmingham

Glendale

OU Tulsa

OU Oklahoma City

Dayton Community

Miami Valley             (residents rotate to urologists’ offices)

Decatur

Mercer

Natividad

Klamath Falls

Lehigh Valley

Mercy Toledo

Kaiser LA

Tyler

Las Vegas

Fresno

Springfield

Glasgow

Lexington

SD I.13d(1.31) (PP) Do you diagnose and treat urinary tract infections within your family medicine center? Yes __ No __

Yes:

Las Vegas

Fresno

Springfield

Glasgow

Lexington

OHSU Portland

E-mail responses (2005 Questionnaire)

Yes:

UCSD Traditional

UCSD St Vincent

UC Irvine

White Memorial

Riverside

Modesto

Indiana U Methodist

Whittier

Arrowhead

Loma Linda

Glendale

Dayton Community

Decatur

Mercer

Klamath Falls

Lehigh Valley

Mercy Toledo

Kaiser LA

Tyler

SD I.13d(1.32) Do you diagnose and treat hypertrophy (BPH) within your family medicine center? (PP) Yes __ No __

Yes:

Las Vegas

Fresno

Springfield

Glasgow

Lexington

OHSU Portland

E-mail responses (2005 Questionnaire)

Yes:

UCSD Traditional

UCSD St Vincent

White Memorial

Modesto

Riverside

Indiana U Methodist

Whittier

Arrowhead

Loma Linda

Glendale

Dayton Community

Decatur

Mercer

Klamath Falls

Lehigh Valley

Mercy Toledo

Kaiser LA

Tyler

NPCB P1.I.13d(1.32.1) (PP) Does your residency program diagnose and treat BPH within your family medicine center?  Yes __ No __

Yes:

Sparrow

Huntsville

Ventura

Long Beach

U Penn

Crozer-Keystone

Jefferson

McKeesport

Oahu

Shadyside

Johnstown

Altoona

St Margaret

Fairfax

SD I.13d(1.33) (PP) Do you diagnose and treat sexually transmitted diseases of the genito-urinary system within the family medicine center? Yes __ No __

Yes:

Las Vegas

Fresno

Springfield

Glasgow

Lexington

OHSU Portland

E-mail responses (2005 Questionnaire)

Yes:

UCSD Traditional

UCSD St Vincent

White Memorial

Riverside

Modesto

Indiana U Methodist

Whittier

Arrowhead

Loma Linda

Glendale

Dayton Community

Decatur

Mercer

Klamath Falls

Lehigh Valley

Mercy Toledo

Kaiser LA

Tyler

SD I.13d(1.34) (PP) Do you provide non-surgical management of kidney stones within your family medicine center? Yes __ No __

Yes:

Las Vegas

Fresno

Springfield

Glasgow

Lexington

OHSU Portland

E-mail responses (2005 Questionnaire):

Yes:

UCSD Traditional

UCSD St Vincent

UC Irvine

Riverside

Modesto

Indiana U Methodist

Whittier

Arrowhead

Loma Linda

Glendale

Dayton Community

Decatur

Mercer

Klamath Falls

Lehigh Valley

Mercy Toledo

Kaiser LA

Tyler

No:

White Memorial

SD I.13d(1.35) (PP) Do you evaluate and manage bladder incontinence within your family medicine center? Yes __ No __

Yes:

Las Vegas

Fresno

Springfield

Glasgow

Lexington

OHSU Portland

E-mail responses (2005 Questionnaire)

Yes:

UCSD St Vincent

UC Irvine

White Memorial

Riverside

Modesto

Indiana U Methodist

Whittier

Arrowhead

Loma Linda

Glendale

Dayton Community

Decatur

Mercer

Klamath Falls

Lehigh Valley

Mercy Toledo

Kaiser LA

Tyler

No Response:

UCSD Traditional

NPCB P2.I.13.d(1.36) Does your residency program evaluate and treat erectile dysfunction  within the family medicine center?

Yes __ No __?

Yes:

Sparrow

Huntsville

Ventura

Long Beach

U Penn

Crozer-Keystone

Jefferson

McKeesport

Oahu

Shadyside

Johnstown

Altoona

St Margaret

Fairfax

NPCB P2.I.13.d(1.37) Does your residency program provide testosterone management within the family medicine center?

Yes __ No __?

Yes:

Sparrow

Huntsville

Ventura

Long Beach

U Penn

Crozer-Keystone

Jefferson

McKeesport

Oahu                            (We will do the workup and start patients on AndroGel; anything more complicated is referred to urologists.)

Shadyside

Johnstown

Altoona

St Margaret

Fairfax

NPCB P2.I.13.d(1.38) Does your residency program provide prostrate exams within the family medicine center? Yes __ No __?

Yes:

Sparrow

Huntsville

Ventura

Long Beach

U Penn

Crozer-Keystone

Jefferson

McKeesport

Oahu

Shadyside

Johnstown

Altoona

St Margaret

Fairfax

SD I.13d(1.4) Describe the kinds of urologic care that typically take place within the family health center (whether as normal appointments or during special clinics):

Glendale                       (UTIs, incontinence)

OU Tulsa                     (diagnose kidney stones; UTIs; prostate exams; no incontinence workups)

OU Oklahoma City      (non-surgical kidney stone management; incontinence evaluation; non-surgical impotence)

Dayton Community       (UAs; IVPs; bladder, renal ultrasound; incontinence workups, UTIs prostatitis; referred to urologist for cystoscopy)

Miami Valley                (upper and lower UTIs, stones, urinary incontinence)

Decatur                        (ED; vasectomies; UTI; stones; infections; do not do urological cancers or surgery)

Mercer                         (UTI; prostate disease; benign and malignant hematuria; erectile dysfunction; urinary incontinence; urinary retention; kidney failure; STDs; genital injuries)

Natividad                     (infections; BPH; routine UTI; kidney stones, often in collaboration with a urologist; some following of prostate cancer; urinary infection)

Klamath Falls               (assessment of incontinence; treatment of BPH; investigation, treatment of stones; UTI; STDs in males)

Lehigh Valley                (kidney stones; prostate management; bladder infections; workup for pathologies)

Mercy Toledo              (normal male-female infections; incontinence; UTI; cystitis; cancers; general urologic care)

Kaiser LA                    (stones; UTI; incontinence)

Tyler                            (UTI; BPH management; ED management; acute and chronic prostitis; urinalysis; digital rectal exams; post-void residuals; bladder catherizations; ____ microscopy; GC clamydia probes)

SD I.13d(5.1) Describe other kinds of urologic care that typically take place within the family health center (whether as normal appointments or during special clinics):

Las Vegas                    (Erectile dysfunction)

Fresno                          (none)

Springfield                    (nothing else; we send out hemoturia)

Glasgow                       (ED; low testosterone; hypergonadism; hemoturia; stones; testicular pain; epidymitis)

Lexington                     (urinary retention; bladder and kidney infections; impotence)

OHSU Portland            (urinary retention; pelvic floor disorders; circumcision)

NPCB P2.I.13d(6) For what conditions would your residency program refer patients to urologists?  What is the expected wait time before the patient is seen?

Sparrow                       (Stone management; any operative BPH; prostate surgery; wait time is 3 weeks)

Huntsville                      (Complicated, recurring UTI; elevated PSA for biopsies; any surgery problem; wait time is a week or so)

Ventura                        (Anything requiring operative intervention; kidney stones that do not pass; prostate biopsy or surgical management of BPH; TUR; prostrate cancer; surgical management of female incontinence; renal cell cancer)

Long Beach                  (If we anticipate a patient will need surgery or lithotripsy, such a s a patient who failed pharmaceutical therapy, we refer; wait is 7-14 days)

U Penn                         (Physician specific; wait time is same day to 2 or 3 months)

Crozer-Keystone          (Surgery only; patients seen within 2 weeks)

Jefferson                       (prostate cancer; prostate nodules; testicular cancer)

McKeesport                 (Surgical indications like urinary obstruction; vasectomy; urologists are seen within 2 weeks or more, depending on insurance)

Oahu                            (For “male” urologists, suspected cancers, urinary retention refractory to the management we have initiated, persistent hemoturia, initial testicular cancer treatments, ED refractory to traditional management; for “female” urologists, severe incontinence requiring surgical interventions)

Shadyside                     (Surgical urology; certain cystoscopy, stone treatments and procedures; some prostate cancer; 3-4 weeks to get routine appointments, a couple of days for acute problems)

Johnstown                    (prostate cancer, some complicated advanced BPH, chronic hematuria, renal cancer, renal stones; wait time is a few days to a week, but immediately if necessary)

Altoona                        (patients needing surgery; the wait time depends on the immediacy of the problems, it can be from the same day to 3 days, if an emergency; if patient is on Medicaid, they will be referred out of town, since the 3 urologists here do not see them)

St Margaret                  (surgical treatment of problems; 1 week wait time)

Fairfax                          (complicated renal stones, stone obstructions, cancer, prostate modules, persistent hematuria, consultation requiring hospitalization; one week wait time)

*NPCB P2 I.  Does your residency program manage the following disorders for your family medicine center patients either in the inpatient of outpatient settings (or both)?

a)                              BPH?                                Yes __ No __

Yes:

Santa Rosa

Reading

York

Lebanon

Billings

Monroeville

Beaver

Latrobe

Erie

Lawton

*NPCB P2 I.  Does your residency program manage the following disorders for your family medicine center patients either in the inpatient of outpatient settings (or both)?

b)                              hematuria?                       Yes __ No __

Yes:

Santa Rosa

Reading

York

Lebanon

Billings

Monroeville

Beaver

Latrobe

Erie

Lawton

*NPCB P2 I.  Does your residency program manage the following disorders for your family medicine center patients either in the inpatient of outpatient settings (or both)?

c)                              urinary tract infection?    Yes __ No __

Yes:

Santa Rosa

Reading

York

Lebanon

Billings

Monroeville

Beaver

Latrobe

Erie

Lawton

*NPCB P2 I.  Does your residency program manage the following disorders for your family medicine center patients either in the inpatient of outpatient settings (or both)?

d)                              prostate cancer screening?         Yes __ No __

Yes:

Santa Rosa

Reading

York

Lebanon

Billings

Monroeville

Beaver

Latrobe

Erie

Lawton

*NPCB P2 I.  Does your residency program manage the following disorders for your family medicine center patients either in the inpatient of outpatient settings (or both)?

e)                              nephrolithiasis?                Yes __ No __

Yes:

Santa Rosa

Reading

York

Lebanon

Billings

Monroeville

Beaver

Latrobe

Erie

Lawton

*NPCB P2 I.  Does your residency program manage the following disorders for your family medicine center patients either in the inpatient of outpatient settings (or both)?

f)                               prostititis?                                    Yes __ No __

Yes:

Santa Rosa

Reading

York

Lebanon

Billings

Monroeville

Beaver

Latrobe

Erie

Lawton

*NPCB P2 I.  Does your residency program manage the following disorders for your family medicine center patients either in the inpatient of outpatient settings (or both)?

g)                              erectile dysfunction?                    Yes __ No __

Yes:

Santa Rosa

Reading

York

Lebanon

Billings

Monroeville

Beaver

Latrobe

Erie

Lawton

*NPCB P2 I.  Does your residency program manage the following disorders for your family medicine center patients either in the inpatient of outpatient settings (or both)?

h)                              STDs                                 Yes __ No __

Yes:

Santa Rosa

Reading

York

Lebanon

Billings

Monroeville

Beaver

Latrobe

Erie

Lawton

*NPCB P2 I.3a(2.1) Does your residency program follow professional guidelines on specialty referrals for BPH? Yes __ No __

Yes:

Santa Rosa                   (I think so; not sure precisely)

Reading

York

Lebanon

Billings

Erie

Lawton

No:

Monroeville

Beaver

Latrobe

*NPCB P2 I.2a(2.2) Does you residency program follow professional guidelines on specialty referrals for elevated PSAT? Yes __ No __

Yes:

Santa Rosa

Reading

York

Billings

Monroeville

Beaver

Latrobe

No:

Lebanon

Erie                              (no consensus on which guidelines to follow)

*NPCB P2 I.2a(2.3) Does your residency program participate in the identification, referral and follow-up care of patients requiring the following tertiary care services?

a)      advanced neurological disease? Yes __ No __

Yes:

Santa Rosa

Reading

York                            (Our residency has a close relationship with a urology group)

Lebanon

Billings

Monroeville

Beaver

Latrobe

Erie

Lawton

*NPCB P2 I.2a(2.3) Does your residency program participate in the identification, referral and follow-up care of patients requiring the following tertiary care services?

b)      urological oncology? Yes __ No __

Yes:

Santa Rosa

Reading

York

Lebanon

Billings

Monroeville

Beaver

Latrobe

Erie

Lawton

*NPCB P2 I.2a(2.4) Is your residency program able to assure that your family medicine patients have access to the following diagnostic tests, either within your family medicine center or through a process of referral or consultation?

a)      ultrasound of prostate?          Yes __ No __

Yes:

Santa Rosa

Reading

York

Lebanon

Billings

Monroeville

Beaver

Latrobe

*NPCB P2 I.2a(2.4) Is your residency program able to assure that your family medicine patients have access to the following diagnostic tests, either within your family medicine center or through a process of referral or consultation?

b)      imaging?                                 Yes __ No __

Yes:

Santa Rosa

Reading

York

Lebanon

Billings

Monroeville

Beaver

Latrobe

*NPCB P2 I.2a(2.4) Is your residency program able to assure that your family medicine patients have access to the following diagnostic tests, either within your family medicine center or through a process of referral or consultation?

c)      cystoscopy?                            Yes __ No __

Yes:

Santa Rosa

Reading

York

Lebanon

Billings

Monroeville

Beaver

Latrobe

*NPCB P2 I.2a(2.4) Is your residency program able to assure that your family medicine patients have access to the following diagnostic tests, either within your family medicine center or through a process of referral or consultation?

d)      urodynamics?             Yes __ No __

Yes:

Santa Rosa

Reading

York

Lebanon

Billings

Monroeville

Beaver

Latrobe

Last Updated (04 September 2006 18:48)