Taxonomy I Part IV-A (Women's Health – Gynecology)

(19 March 2006 09:58)

NATIONAL PROJECT ON THE COMMUNITY BENEFITS

OF FAMILY MEDICINE RESIDENCY PROGRAMS

CUMULATIVE QUESTIONNAIRE RESPONSES

Taxonomy Section I Part IV-A

(Women’s Health – Gynecology)

SD I.2a (CEH) Does your residency program have a separately defined geographic area designated for women’s health? Yes __ No __

No:

OHSU Portland

*NPCB P2 I.2.01 (SD I.2a) Is there an element of your residency program that you define as a “women’s health center”? Yes __ No __

Yes:

Huntsville

Ventura

McKeesport

Johnstown

Altoona

No:

Sparrow                       (we have a women’s community pre-natal clinic for non-physician services)

Long Beach

U Penn

Crozer-Keystone

Jefferson

Oahu

Shadyside

St Margaret

Fairfax

Santa Rosa

Reading

York                            (we may work with Wellspan’s women’s health center in the future)

Lebanon

Billings

Monroeville

Beaver

Latrobe

*NPCB P2 I.202 (SD I.2a.1 (CEH)) If the answer to NPCB P2 I.2.01 is yes, is the area within your family medicine center? Yes __ No __

If no, explain:

Yes:

McKeesport                 (once a week it is conducted; we are expanding this service)

Altoona                        (there is a dedicated set of exam rooms that are used on days that the “women’s health center” is scheduled, that will be used for other purposes on other days; additionally, there is a separate chart system to protect the confidentiality of patients served by the “family planning” program)

No:

Ventura                        (there is a geographically separate “women’s health center”, although women are also seen in the family med center)

Huntsville

Johnstown                    (there is a geographic space within the OB/GYN ambulatory service, that is staffed by the FMRP)

SD I.2g(1.01) (CEH)) Does your Women’s Health program include the following services:

(1.01)     Pap Smears and Pelvic Exams? Yes __ No __

Yes:

OHSU Portland

*NPCB P2 I.2g(1.01) (SD I.2g (CEH)) Does your Women’s Health curriculum include the following services:

(1.01.1) Pelvic Exams? Yes __ No __

Yes:

Sparrow

Huntsville

Ventura

Long Beach

U Penn

Crozer-Keystone

Jefferson

McKeesport

Oahu

Shadyside

Johnstown

Altoona

St Margaret

Fairfax

Santa Rosa

Reading

York

Lebanon

Billings

Monroeville

Beaver

Latrobe

SD I.2g(1.02) (CEH) Does your Women’s Health program include the following services:

(1.02)     Mammography? Yes __ No __

Yes:

OHSU Portland

*NPCB P2 I.2g(1.02.1) (SD I.2g (CEH)) Does your Women’s Health curriculum include the following services:

(1.02.1) Mammography performed within your family medicine center? Yes __ No __

Yes:

Ventura                        (on campus)

Fairfax                          (mammography equipment owned by a radiology group with space in the family medicine center)

Latrobe

No:

Sparrow

Huntsville

Long Beach

U Penn

Crozer-Keystone

Jefferson

McKeesport

Oahu

Shadyside

Johnstown

Altoona

St Margaret

Santa Rosa

Reading

York

Lebanon

Billings

Monroeville

Beaver

*NPCB P2 I.2g(1.02.2) (SD I.2g (CEH)) Does your Women’s Health curriculum include the following services:

(1.02.2) Mammography referred out of your family medicine center? Yes __ No __

Yes:

Sparrow

Huntsville

Long Beach

U Penn

Crozer-Keystone

Jefferson

McKeesport

Oahu

Shadyside                     (across the street)

Johnstown

Altoona

St Margaret

Fairfax                          (only when a patient requests it)

Santa Rosa

Reading

York

Lebanon

Billings

Monroeville

Beaver

Latrobe

No:

Ventura

SD I.2g(1.03) (CEH) Does your Women’s Health program include the following services:

(1.02)     Screening for Osteoporosis? Yes __ No __

Yes:

OHSU Portland

*NPCB P2 I.2g(1.03.1) (SD I.2g(1.03.1) (CEH)) Does your Women’s Health curriculum include the following services:

(1.03.1) Screening for Osteoporosis? Yes __ No __

Yes:

Sparrow                       (outside the FMC at a Bone Density Center)

Huntsville

Ventura

Long Beach                  (not located in FMC)

U Penn

Crozer-Keystone

Jefferson

McKeesport

Oahu                            (not located in FMC)

Shadyside                     (through a process that assesses risk factors)

Johnstown

Altoona

St Margaret

Fairfax

Santa Rosa

Reading

York

Lebanon

Billings

Monroeville

Beaver

Latrobe

SD I.2g(1.04) (CEH) Does your Women’s Health program include the following services:

(1.03)     Mental health services? Yes __ No __

others not)

Huntsville

Ventura

Long Beach

U Penn

Yes:

OHSU Portland

SD I.2g(1.04.1) (CEH) Does your Women’s Health curriculum include the following services:

(1.04.1)Mental health services? Yes __ No __

Yes:

Sparrow                       (some of the services are provided in the FMC, others not)

Huntsville

Ventura

Long Beach

U Penn

Crozer-Keystone

Jefferson

McKeesport

Oahu

Shadyside

Johnstown

Altoona

St Margaret

Fairfax

Santa Rosa

Reading

York

Lebanon

Billings

Monroeville

Beaver

Latrobe

SD I.2g(1.05) (CEH) Does your Women’s Health program include the following services:

(1.05) Weight loss programs? Yes __ No __

Yes:

OHSU Portland

*NPCB P2 I.2g(1.05.1) (SD I.2g(1.03.1) (CEH)) Does your Women’s Health curriculum include the following services:

(1.05.1) Weight loss programs? Yes __ No __

Yes:

Sparrow                       (counseling and BMI is done in-house; we sometimes refer the morbidly obese to Sparrow Hospital’s weight loss program)

Huntsville

Ventura                        (each doctor works with patients and dieticians)

U Penn

Crozer-Keystone

Jefferson

Oahu

Shadyside                     (not provided at family medicine center)

Johnstown

Altoona

Santa Rosa

Reading

York

Lebanon

Billings

Monroeville

Beaver

Latrobe

No:

Long Beach

McKeesport                 (this takes place at UPMC McKeesport MC)

St Margaret

Fairfax                          (we counsel on diet, but there is no separate service line)

SD I.2g(1.06)(CEH) Does your Women’s Health program include the following services:

(1.06)     Adolescent programs? Yes __ No __

Yes:

OHSU Portland

*NPCB P2 I.2g(1.06.1) (SD I.2g(1.03.1) (CEH)) Does your Women’s Health curriculum include the following services:

(1.06.1) Adolescent programs? Yes __ No __

Yes:

Huntsville

Ventura                        (each doctor works with patients and adolescent therapists)

U Penn

Crozer-Keystone

Jefferson

McKeesport                 (we do teen groups)

Oahu

Shadyside                     (not provided at family medicine center)

Johnstown

Altoona

Santa Rosa

Reading

Billings

Monroeville

Beaver

Latrobe

No:

Sparrow                       (nothing formal, except some depression screening)

Long Beach

York                            (these take place in other FMRP curricula)

Lebanon

*SD I.2g(1.07) (CEH) Does your Women’s Health program include the following services:

(1.07)     Pre-pregnancy wellness programs? Yes __ No __

Yes:

OHSU Portland

*NPCB P2 I.2g(1.07.1) (SD I.2g(1.07) (CEH)) Does your Women’s Health curriculum include the following services:

(1.07.1) Pre-pregnancy wellness programs? Yes __ No __

Yes:

Sparrow

Huntsville

U Penn

Crozer-Keystone

Jefferson

McKeesport                 (pre-pregnancy counseling)

Oahu                            (we do regular preconception counseling, but not through a dedicated program)

Shadyside

Johnstown                    (informally)

Santa Rosa

Reading

York

Lebanon

Billings

Monroeville

Beaver

Latrobe

No:

Ventura

Long Beach

SD I.2g (CEH) Does your Women’s Health program include the following services:

(1.08)     Exercise or aerobic programs? Yes __ No __

No:

OHSU Portland

*NPCB P2 I.2g(1.07.1) (SD I.2g(1.07) (CEH)) Does your Women’s Health curriculum include the following services:

(1.08.1) Exercise or aerobics programs? Yes __ No __

Yes:

Sparrow                       (counseling; no formal programs)

Crozer-Keystone

Jefferson

Shadyside

Altoona

Santa Rosa

Reading

Billings

Monroeville

Beaver

Latrobe

No:

Huntsville

Ventura

Long Beach

U Penn

McKeesport

Oahu

Johnstown

St Margaret

Fairfax                          (we counsel, but there is no organized program)

York                            (exercise and aerobics are part of other FMRP curricula)

SD I.2g(2.01) (CEH) Indicate which of the following procedures are performed in your family medicine center or women’s health clinic:

(2.01) PAP Smears? Yes __ No __

Yes:

OHSU Portland

*NPCB P2 I.2g(2.01) (SD I.2g(2.01) (CEH)) Indicate which of the following procedures are performed by your residency program.  If a procedure is performed by the residency program, but not within the family medicine center, please explain in which setting that procedure takes place.

(2.01.1) PAP Smears? Yes __ No __

Yes:

Sparrow

Huntsville

Ventura

Long Beach

U Penn

Crozer-Keystone

Jefferson

McKeesport

Oahu

Shadyside

Johnstown

Altoona

St Margaret

Fairfax

Santa Rosa

Reading

York

Lebanon

Billings

Monroeville

Beaver

Latrobe

Previous Colposcopy Questions

SD I.2g.1.1 (SD I.13e (L32)) Does your residency provide specialty care?

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

(Is colposcopy listed?)

Yes:

UCSD                          (listed third after psychiatry and maternity care and before flexible sigmoidoscopy)

Site-visited profiled residencies:

Yes:

Harbor                         (listed as one of a group of half-day a week special clinics, including procedures clinic, flex sig, sports medicine, adolescent care and geriatric care.  Sports med has 10-12 patients per half day)

SD I.2g.1.2 (SD I.13e(1) (L32)) Does your residency program provide the following kinds of specialty care?   e. Colposcopy? 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:

UC Irvine                     (all during special clinics; 10 patients a week for colposcopy and gynecologic procedures combined)

White Memorial            (done in family health center continuity clinic)

Riverside                      (done in family health center)

Durant                          (two a month)

OSU Tulsa

USC Univ & SG          (done as a special clinic within the family health centers and in the community health centers)

Modesto

Saints                           (do on GI rotation)

Indiana U Methodist

SD I.2g1.3 (SD I.13e(1.1) (SD I.13e(2) (L32)) Does your residency program provide the following kinds of specialty care?

e. Colposcopy?  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

Mercy Toledo

Kaiser LA

Tyler

Las Vegas

Fresno

Springfield

No:

Lehigh Valley                (done by residents at Health Spring, a family medicine practice in Bethlehem)

SD I .2g.1.4 (SD I.13e(I.2) ((SD I.13e(3)) If you do provide colposcopy, are these services provided as normal family health center appointments? Yes __ No __

Yes:

Whittier

Arrowhead

Loma Linda

Louisville

MCE Birmingham

Glendale

OU Tulsa

Dayton Community

Miami Valley

Decatur

Mercer

Mercy Toledo              (6-10 will take place in normal family health center appointments; others are scheduled in special clinics)

Kaiser LA

Las Vegas

Lexington

No:

Pomona

Stockton

OU Oklahoma City

Natividad

Klamath Falls

Tyler

Fresno

Springfield

Glasgow

SD I.2g.1.5 (SD I.13e(1.3) (SD I.13e(4)) If you do provide colposcopy, 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                        (procedure is done both in regular family health center appointments and in the special clinic for women’s health)

Pomona

Arrowhead                   (120)

Loma Linda                  (120/yr)

Stockton                      (3 per clinic; revenues of an unknown amount are generated)

Louisville                      (400/yr; billing would know amount of revenues generated)

Glendale                       (4 per clinic; he revenues generated vary, depending on the payor)

OU Tulsa                     (2/clinic; 100/year)

OU Oklahoma City      (6 per half-day; 44 weeks/yr; 264 patients annually; revenues TBD)

Natividad                     (15/mo/ since coming under FQHC rate, we now lose money on procedures)

Klamath Falls               (3/wk; $750/week)

Mercy Toledo              (colposcopy normally is done in OB/GYN clinics, but can take place elsewhere, including family health center appointments)

Tyler                            (2-3 patients per clinic, $1000 per clinic; 1 per month)

Fresno                          (6/wk at Family First Planned Parenthood; 2/wk at UMC; 2-6/wk at Selma; 2-6/wk at Sequoia)

Springfield                    (6/clinic; 3 clinics a wk; $50/patient for public aid; $150-250/patient for HMOs)

Glasgow                       (1 or 2 per clinic; $60-$80 per patient)

No:

MCE Birmingham

Dayton Community

Miami Valley                (also done in GYN service and in private doctors’ offices)

Decatur

Mercer

Kaiser LA

Las Vegas

Lexington                     (diagnostic and therapeutic procedures scheduled in clusters)

SD I.2g(2.02) (CEH) Indicate which of the following procedures are performed in your family medicine center or women’s health clinic:

(2.02) Colposcopy? Yes __ No __

Yes:

OHSU Portland

*NPCB P2 I.2g(2.02.1) (SD I.2g(2.02) (CEH)) Indicate which of the following procedures are performed by your residency program.  If a procedure is performed by the residency program, but not within the family medicine center, please explain in which setting that procedure takes place.

(2.02.1) Colposcopy? Yes __ No __

Yes:

Sparrow

Huntsville

Ventura

Long Beach

U Penn

Crozer-Keystone

Jefferson

McKeesport

Oahu

Shadyside

Johnstown

Altoona

St Margaret

Fairfax

Santa Rosa

Reading

York

Lebanon

Billings

Monroeville

Beaver

Latrobe                        (takes place within women’s health center)

SD I.2g(2.03) (CEH) Indicate which of the following procedures are performed in your family medicine center or women’s health clinic:

(2.03) Cryotherapy? Yes __ No __

Yes:

OHSU Portland

*NPCB P2 I.2g(2.03.1) (SD I.2g(2.03) (CEH)) Indicate which of the following procedures are performed by your residency program.  If a procedure is performed by the residency program, but not within the family medicine center, please explain in which setting that procedure takes place.

(2.03.1) Cryotherapy? Yes __ No __

Yes:

Sparrow

Huntsville

Ventura

Long Beach

Jefferson

McKeesport

Oahu

Shadyside

Johnstown

Altoona

Fairfax

Santa Rosa

Reading

York

Lebanon

Billings

Monroeville

Beaver

Latrobe                        (takes place within women’s health center)

No:

U Penn

Crozer-Keystone          (in gynecology office)

St Margaret

SD I.2g(2.04) (CEH) Indicate which of the following procedures are performed in your family medicine center or women’s health clinic:

(2.04) LEEPs? Yes __ No __

Yes:

OHSU Portland

*NPCB P2 I.2g(2.04.1) (SD I.2g(2.04) (CEH)) Indicate which of the following procedures are performed by your residency program.  If a procedure is performed by the residency program, but not within the family medicine center, please explain in which setting that procedure takes place.

(2.04.1) LEEPs? Yes __ No __

Yes:

Sparrow

Huntsville

Ventura

Jefferson                       (performed at Surgery Center)

McKeesport                 (performed at UPMC McKeesport MC)

Shadyside                     (in hospital)

Johnstown                    (only in Women’s Health Center)

Altoona                        (performed in hospital by OB/GYNs)

Santa Rosa                   (takes place in Public Health Department and at Mendocino FP office)

Latrobe                        (takes place in women’s health center)

No:

Long Beach

U Penn

Crozer-Keystone          (performed in gynecologist office)

Oahu                            (referred to Ob/Gyn)

St Margaret

Reading                        (GYN clinic does these)

York                            (done in gynecology office by specialists)

Lebanon

Billings                          (referred out)

Monroeville

Beaver

SD I.2g(2.05) (CEH) Indicate which of the following procedures are performed in your family medicine center or women’s health clinic:

(2.05) Endometrial Biopsies? Yes __ No __

Yes:

OHSU Portland

*NPCB P2 I.2g(2.05.1) (SD I.2g(2.05) (CEH)) Indicate which of the following procedures are performed by your residency program.  If a procedure is performed by the residency program, but not within the family medicine center, please explain in which setting that procedure takes place.

(2.05.1) Endometrial Biopsies? Yes __ No __

Yes:

Sparrow

Huntsville

Ventura

Long Beach

U Penn

Crozer-Keystone

Jefferson

McKeesport

Oahu

Shadyside

Johnstown

Altoona

St Margaret

Fairfax

Santa Rosa

Reading

York

Lebanon

Billings

Monroeville

Beaver

Latrobe                        (takes place within women’s health center)

SD I.2g(2.07) (CEH) Indicate which of the following procedures are performed in your family medicine center or women’s health clinic:

(2.07)  NSTs? Yes __ No __

No:

OHSU Portland

*NPCB P2 I.2g(2.07.1) (SD I.2g(2.07) (CEH)) Indicate which of the following procedures are performed by your residency program.  If a procedure is performed by the residency program, but not within the family medicine center, please explain in which setting that procedure takes place.

(2.07.1) NSTs? Yes __ No __

Yes:

Huntsville

Long  Beach                 (in hospital)

U Penn

Jefferson                       (at ante-natal testing center)

McKeesport

Shadyside

Johnstown                    (in Labor and Delivery)

Altoona

Fairfax

Santa Rosa                   (in hospital)

Reading                        (at Labor and Delivery center)

York                            (in maternity and labor)

Lebanon

Billings

Monroeville                  (in hospital, in labor and delivery adjacent to the inpatient family medicine service)

Beaver

Latrobe                        (takes place in women’s health center)

No:

Sparrow                       (done on perinatal service)

Ventura                        (adjacent to FMC in hospital)

Crozer-Keystone

Oahu                            (done at hospital)

St Margaret

Previous Contraception Questions

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

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

(Is contraception listed?)

Yes:

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

SD I.13h(1) (L32) Does your residency program provide the following kinds of specialty care?   h. Contraception? 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                     (provided in regular clinics; no estimate of income)

White Memorial            (provided in family health center)

Riverside                      (provided in family health center)

Durant

OSU Tulsa

USC Univ & SG          (in family health centers and community clinics)

Modesto

Saints

Indiana U Methodist

No:

UCSD St Vincent

SD I.13h(1.1) (SD I.13h(2) (L32)) Does your residency program provide the following kinds of specialty care?  h. contraception?  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.13h(I.2) (SD I.13h(3)) If you do perform contraceptive services, are these services provided as normal family health center appointments? Yes __ No __

Yes:

Whittier

Pomona

Loma Linda

Stockton

Louisville                      (these services are provided more often at the community-based satellite family health centers)

Glendale

OU Tulsa

OU Oklahoma City

Dayton Community

Miami Valley                (also done in GYN)

Decatur

Mercer

Natividad

Klamath Falls

Lehigh Valley

Mercy Toledo

Kaiser LA

Tyler

Las Vegas

Fresno

Springfield

Glasgow

Lexington

OHSU Portland

No:

Arrowhead

No Response Recorded:

MCE Birmingham

SD I.13h(1.3) (SD I.13h(4)) If you do perform contraceptive services, are these services provided during special clinics? Yes __ No __

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

Yes:

Whittier

Arrowhead                   (140)

Loma Linda                  (600/yr)

Stockton                      (12/clinic; revenues of unknown amount are generated)

Louisville

Natividad

Mercy Toledo

Glasgow                       (1-2 patients/clinic)

No:

Pomona

Glendale

OU Tulsa

OU Oklahoma City

Dayton Community

Miami Valley

Decatur

Mercer

Klamath Falls

Lehigh Valley

Kaiser LA

Tyler

Las Vegas

Fresno

Springfield

Lexington

OHSU Portland

No Response Recorded:

MCE Birmingham

SD I.13h(1.3) (SD I.13h(4)) If you do perform contraceptive services, are these services provided during special clinics? Yes __ No __

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

Yes:

Whittier

Arrowhead                   (140)

Loma Linda                  (600/yr)

Stockton                      (12/clinic; revenues of unknown amount are generated)

Louisville

Natividad

Mercy Toledo

Glasgow                       (1-2 patients/clinic)

No:

Pomona

Glendale

OU Tulsa

OU Oklahoma City

Dayton Community

Miami Valley

Decatur

Mercer

Klamath Falls

Lehigh Valley

Kaiser LA

Tyler

Las Vegas

Fresno

Springfield

Lexington

OHSU Portland

No Response Recorded:

MCE Birmingham

SD I.13h(1.4) (SD I.13h(5)) Describe the kinds of contraception services that typically take place within the family health center (whether as normal appointments or during special clinics):

Dayton Community       (cryotherapy, oral contraceptive pills, patches, injections; no tubal ligations, IUDs nor diaphragms are done)

Miami Valley                (oral contraceptives; diaphragms, depoprivera, patches)

Decatur                        (birth control pills; depoprivera)

Mercer                         (patches; injections; birth control pill; IUD; vasectomy; Norplant removal; diaphragms)

Natividad                     (prescription of routine pills, patches and injectibles; no terminations, either surgical or medical, in clinic)

Klamath Falls

Lehigh Valley                (IUDs; diaphragms; birth control; depoprivera shorts; area method)

Mercy Toledo              (deproprivera; birth control bills; all non-surgical contraception; IUDs are referred out; routine care done in FMC; contraception would not be the sole purpose of going to the GYN clinic, except for special problems)

Kaiser LA                    (all contraception; depoprivera; IUD insertions)

Tyler                            (oral contraceptives; no IUDs; general workups; depoprivera shots)

Las Vegas                    (barium methods; hormonal contraception; IUDs)

Fresno                          (birth control pills; patches)

Springfield                    (no response recorded)

Glasgow                       (counseling; depoprivera; oral contraceptives; IUD placement)

Lexington                     (all types, except tubal ligations, are provided in family medicine center)

OHSU Portland            (birth control pills; IUDs; Norplant; cervical caps; nuva rings; diaphragm fitting; condom dispensing)

SD I.2g(2.08) (CEH) Indicate which of the following procedures are performed in your family medicine center or women’s health clinic:

(2.08) IUD Insertion? Yes __ No __

Yes:

OHSU Portland

*NPCB P2 I.2g(2.08.1) (SD I.2g(2.08) (CEH)) Indicate which of the following procedures are performed by your residency program.  If a procedure is performed by the residency program, but not within the family medicine center, please explain in which setting that procedure takes place.

(2.08.1) IUD Insertion? Yes __ No __

Yes:

Sparrow

Huntsville

Ventura

Long Beach

U Penn

Crozer-Keystone

Jefferson

McKeesport

Oahu

Shadyside                     (limited)

Johnstown                    (rarely, in women’s health center)

Altoona

St Margaret

Fairfax

Santa Rosa

Reading

York

Billings

Monroeville

Beaver

Latrobe                        (takes place in women’s health center)

No:

Lebanon

SD I.2g(2.09) (CEH) Indicate which of the following procedures are performed in your family medicine center or women’s health clinic:

(2.09) Birth Control Advice? Yes __ No __

Yes:

OHSU Portland

*NPCB P2 I.2g(2.09.1) (SD I.2g(2.09) (CEH)) Indicate which of the following procedures are performed by your residency program.  If a procedure is performed by the residency program, but not within the family medicine center, please explain in which setting that procedure takes place.

(2.09.1) Birth Control Advice? Yes __ No __

Yes:

Sparrow

Huntsville

Ventura

Long Beach

U Penn

Crozer-Keystone

Jefferson

McKeesport

Oahu

Shadyside

Johnstown

Altoona

St Margaret

Fairfax

Santa Rosa

Reading

York

Lebanon

Billings

Monroeville

Beaver

Latrobe

Previous Gynecologic Procedures Questions

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

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

(Are gynecologic procedures listed?)

Yes:

UC Irvine                     (Listed first, followed by Vasectomy/ Contraception)

Site-visited profiled residencies:

Yes:

UCLA                          (listed first, followed by cardiology and behavioral health)

SD I.13f(1) (L32) Does your residency program provide the following kinds of specialty care?   f. Gynecologic procedures? 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

UCSD St Vincent

UC Irvine                     (all during special clinics; 10 patients a week for colposcopy and gynecologic procedures combined)

White Memorial            (mostly in continuity clinic; no designated special clinic, although some gynecologic procedures are done in procedures clinic)

Riverside

Durant                          (biopsies and PAP Smears)

OSU Tulsa

USC Univ & SG          (in the family health centers and community clinics)

Modesto

No:

Indiana U Methodist

SD I.13f(1.1) (SD I.13f(2) (L32)) Does your residency program provide the following kinds of specialty care?  f (1). Gynecologic procedures?  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

SD I.13f(1.2) (SD I.13f(3)) If you do provide gynecologic procedures, are these services provided as normal family health center appointments? 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

Fresno

Springfield

Lexington

No:

Glasgow

SD I.13f(1.3) (SD I.13f(4)) If you do provide gynecologic procedures, 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                        (services provided both in family health center and women’s health clinic)

Pomona

Arrowhead                   (120)

Loma Linda                  (60/year)

Stockton                      (6/clinic; revenues of unknown magnitude are generated)

OU Tulsa                     (9 per special clinic; 1 clinic per week)

OU Oklahoma City      (6 per clinic; 254 annually)

Natividad

Klamath Falls               (4/wk; $240/wk)

Mercy Toledo              (6-8 each; 2 sessions per month; will get revenue estimates)

Springfield                    (LEEPS: 4 per clinic; 1 clinic per wk; $50-150 per patient)

Glasgow                       (1 or 2 a clinic; revenues of $100-$200 per clinic)

No:

Louisville                      (We will have in the future.  Currently, we are clustering appointments for procedures under the supervision of a specified faculty member)

MCE Birmingham

Glendale

Dayton Community

Miami Valley

Decatur

Mercer

Lehigh Valley

Kaiser LA

Tyler

Las Vegas

Fresno

Lexington

SD I.13f(1.4) (SD I.13f(5)) Describe the kinds of gynecologic procedures that typically take place within the family health center (whether as normal appointments or during special clinics):

Glendale                       (IUD, EMD, Norplant, PAP Smears, pelvic exams, colposcopies)

OU Tulsa                     (endometrial biopsies, IUD removal, cervical cryotherapy; cervical dilation during normal appointments; LEEPs, gynecological ultrasound during special clinics)

OU Oklahoma City      (endometrial biopsies, Norplant, IUDs)

Dayton Community       (PAP smears; colposcopies; endometrial biopsies; routine wet preps)

Miami Valley                (the #2 patient encounter for the family health center (after #1 routine pediatric exam) is the routine GYN exam; breast and pelvic exams; PAP smears; contraceptive counseling; acute GYN illness; vaginitis)

Decatur                        (PAP smears; EMB; LEEPs; refer out surgical GYN, DNCs, tubals)

Mercer                         (PAP smears; cervical polypectomy; colposcopy; cryotherapy; genital wart treatment; vulvar biopsy; IUD; endometrial biopsies; diaphragms)

Natividad                     (IUDs; endometrial biopsies; cervical biopsies)

Klamath Falls               (IUD insertion; endometrial biopsies; assessment of incontinence, pelvic masses; pre-op assessments for bladder suspensions; infertility; gyne-endocrinology, such as polycystic ovarian disease)

Lehigh Valley                (PAP smears; endometrial biopsies; IUDs; warts; diaphragms; STDs)

Mercy Toledo              (general reproductive care; women’s health; endometrial biopsies; PAP smears; abnormal PAP assessment; pre-surgical and postoperative consultations; regular and vulvar biopsies; wet preps)

Kaiser LA                    (endometrial biopsies; IUD removal)

Tyler                            (pap smears; GC clamydia probes; EMB; tubal ligations; pessary insertion; ward’s(?) catherization)

Las Vegas                    (colposcopy; EMB; cervical polyp removal; IUD insertion and removal; PAP spear; Norplant insertion and removal)

Fresno                          (IUDs, PAPs, EMDs)

Springfield                    (PAP Smears; EMT biopsies; IUD insertions; no diaphragms)

Glasgow                       (Placement of IUDs; endometrial biopsies; cervical biopsies)

Lexington                     (Endometrial sampling; routine preventive gynecologic care; IUD placement)

SD I.2g.10 Describe any other kinds of gynecologic procedures that typically take place within the family medicine center (whether as normal appointments or during special clinics):

OHSU Portland            (Abortion (surgical and medical), DNC)

*NPCB P2 I.13g.2 Does your residency program have in-house consultation in OB/GYN? Yes __ No __

Yes:

Sparrow

Huntsville

Ventura

Long Beach                  (We have a relationship with a perinatal group that consults us)

U Penn

Crozer-Keystone

Jefferson

McKeesport                 (At UPMC McKeesport MC; some at FMC)

Shadyside

Johnstown

St Margaret

Fairfax

Santa Rosa

Reading

York

Lebanon

Monroeville

Beaver

Latrobe

No:

Oahu

Altoona

Billings

*NPCB P2 I.13g.3 For what conditions would your residency program refer patients to gynecologists? What is the expected wait time before a patient is seen?

Sparrow                       (any operative surgical procedure; management of endometriosis; abnormal bleeding)

Huntsville                      (surgical gynecological problems; sometimes, high risk pregnancies)

Ventura                        (surgical management of gynecological problems; wait time is less than one week)

Long Beach                  (if surgery is needed, wait time is 4 weeks)

U Penn                         (physician specific; same day to 1 month)

Crozer-Keystone          (2 weeks for surgery; dysfunctional urinary bleeding; cervical, uterine cancers)

Jefferson                       (gynecologic cancers; high risk pregnancies)

McKeesport                 (surgical; tubal ligations, ovarian cysts, hysterectomies; patients seen within a week)

Oahu                            (some medical-surgical complications of pregnancy; refractory vaginal bleeding; ovarian abnormalities (fibroids, cysts, endometriosis), any suspected cancer, any severe cervical dysplasia, abnormal PAP smears)

Shadyside                     (specialized testing; infertility workup; complex GYN procedures; those patients who do not respond to treatment)

Johnstown                    (GYN oncology; infertility; operative GYN)

Altoona                        (conditions we cannot figure out or that need OB type surgery; at patient’s request; in emergencies, patients are seen the same day, otherwise referrals take days to weeks)

St Margaret                  (because we have a gynecologist participating in our family medicine center, we rarely refer outside; it takes 2-3 weeks for referred patients to be seen)

Fairfax                          (GYN cancers; persistent bleeding, not managed in-house; in this community, incontinence is cared for by uro-gynecologists; sterilizaztion; patients seen in less than a week)

Santa Rosa                   (we have a GYN consultant in our family medicine center; we refer dysfunctional bleeding that we cannot manage, cancer, and surgery; the wait time is 1-2 weeks)

Reading                        (menometorraghgia; pelvic cyst/mass; GYN cancers; urinary incontinence evaluations)

York                            (known or suspected malignancies; refractory vaginosis; vaginitis; pelvic pain; pelvic relation (prolaxed uterus; urinary incontienence; idiopathic or chronic cystitis; wait time is 1-2 weeks)

Billings                          (LEEPs, GYN surgery; sterilization – although some is done in family medicine center; emergencies seen the next day, others, one week wait time)

Monroeville                  (surgical procedures; the wait time is as needed; urgent is seen the same day; elective treatment, might require one month wait)

Beaver                         (we have a GYN clinic staffed by residents with 2 GYN consultants that participation; we typically refer GYN surgery; the wait time is less than 2 weeks)

Latrobe                        (malignancies; infertility; endometriosis; fibroids; 7 days wait)

No Response:

Lebanon

Last Updated (20 August 2006 09:06)