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Practice Trends. Lifestyle. 0. How many days a week do you work?. 2 - 3 4 5 or more Retired. 0. How many offices do you travel to?. 1 2 3 4 or more. 0. How many hospitals do you cover on call?. 1 2 - 3 4 - 5 more than 5. 0. How many days/nights a month are you on call?. 0

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Practice trends

Practice Trends

Lifestyle


How many days a week do you work

0

How many days a week do you work?

  • 2 - 3

  • 4

  • 5 or more

  • Retired


How many offices do you travel to

0

How many offices do you travel to?

  • 1

  • 2

  • 3

  • 4 or more


How many hospitals do you cover on call

0

How many hospitals do you cover on call?

  • 1

  • 2 - 3

  • 4 - 5

  • more than 5


How many days nights a month are you on call

0

How many days/nights a month are you on call?

  • 0

  • 1 - 5

  • 6 - 15

  • 30


Do you participate in administrative or committee work outside of your regular practice schedule

0

Do you participate in administrative or committee work outside of your regular practice schedule?

  • yes

  • no


How much vacation do you take in a year

0

How much vacation do you take in a year?

  • 1 week

  • 2 – 4 weeks

  • 5 – 8 weeks

  • more


Practice trends1

Practice Trends

Practice Structure


How do patients find you

0

How do patients find you?

  • Self-referred

  • referred from other MD

  • mixed


Do you see patients in referral from mid level providers that specialize in oto hns

0

Do you see patients in referral from mid-level providers that specialize in Oto-HNS?

  • yes

  • no


If you work with midlevel providers do they

0

If you work with midlevel providers, do they…

  • See post-ops only

  • have an independent schedule

  • NA


Did you have to buy in to your practice

0

Did you have to “buy in” to your practice?

  • yes

  • no


Do you get paid time off

0

Do you get paid time off?

  • yes

  • no


Do you get paid to take call

0

Do you get paid to take call?

  • yes

  • no


Do you get a share of retail sales hearing aids ear plugs

0

Do you get a share of retail sales (hearing aids, ear plugs…)?

  • yes

  • no


Do you get cme support

0

Do you get CME support?

  • yes

  • no


Do you have profit sharing or pension available through your practice

0

Do you have profit-sharing or pension available through your practice?

  • yes

  • no


Do you have formal maternity paternity leave policies

0

Do you have formal maternity/paternity leave policies?

  • yes

  • no


Do you get income from a surgery center

0

Do you get income from a surgery center?

  • yes

  • no


How many rvu s do you produce in a year

0

How many RVU’s do you produce in a year?

  • < 2000

  • 2000-4000

  • 4000-7000

  • 7000 +

  • NA


How are business decisions made in your practice

0

How are business decisions made in your practice?

  • All participate equally

  • Seniority

  • Outside department


How are you paid

0

How are you paid?

  • Everything shared equally

  • base + production

  • production only


Do you have an emr

0

Do you have an EMR?

  • yes

  • no


How many patients do you see in a day

0

How many patients do you see in a day?

  • <10

  • 10-20

  • 21-30

  • More


What was your gross income last year

0

What was your gross income last year?

  • <$100,000

  • $100,000-$200,000

  • $200,000-$350,000

  • $350,000+


Practice trends2

Practice Trends

Head and Neck Oncology


How many new head and neck cancer patients do you diagnose and manage surgery in one year

0

How many new head and neck cancer patients do you diagnose and manage (+/- surgery) in one year?

  • Fewer than 5

  • 5-20

  • 20-30

  • 30+

  • I am a head and neck subspecialist


How many neck dissections have you done in the past year

0

How many neck dissections have you done in the past year?

  • 0

  • 1-5

  • 6-20

  • >20

  • I am a head and neck subspecialist (assume 20+)


For complex defects

0

For complex defects…

  • I do no or minimal reconstruction

  • I do some complex reconstructions (local or pedicled flaps)

  • I do all reconstructions, incl. free flaps

  • I have access to another specialist (general plastics), who does my reconstructions

  • I work with a team of surgeons for resection/reconstruction in a tertiary care setting


What percentage of your patients are referred to a head and neck subspecialist at any point in time

0

What percentage of your patients are referred to a head and neck subspecialist at any point in time?

  • <5%

  • 6-20%

  • 21-50%

  • 100%

  • I am a head and neck subspecialist


Practice trends3

Practice Trends

Pediatrics


How much of your general practice is made up of pediatric patients

0

How much of your general practice is made up of Pediatric patients?

  • <5%

  • 20%

  • 50%

  • 100%


If you have a pediatric patient in no distress with a fb in the airway what do you do

0

If you have a pediatric patient in no distress, with a FB in the airway, what do you do?

  • Take it out

  • Refer to Pediatric Otolaryngologist

  • I am a Pediatric Otolaryngologist (fellowship)


For a child with a neck mass that may need surgery what do you do

0

For a child with a neck mass that may need surgery, what do you do?

  • Work it up and decide

  • Refer to Pediatric Oto for workup and surgery

  • I am a Ped Oto….


Practice trends4

Practice Trends

Plastics/Trauma


You have a patient with a complex mandible fracture involving dentition what do you do

0

You have a patient with a complex mandible fracture involving dentition. What do you do?

  • Take care of it

  • Refer to trauma hospital

  • Find an oral surgeon (good luck)

  • I work in a trauma hospital


You have a 30 year old patient who wants a rhinoplasty what do you do

0

You have a 30 year old patient who wants a rhinoplasty. What do you do?

  • Do it

  • Refer to facial plastic surgeon

  • I am a facial plastic surgeon


A patient has a midface and orbital fracture what do you do

0

A patient has a midface and orbital fracture. What do you do?

  • Fix it

  • Refer to the trauma hospital

  • I work at the trauma hospital


A child with a cleft lip palate is referred for surgery what do you do

0

A child with a cleft lip/palate is referred for surgery. What do you do?

  • Do the surgery yourself and refer to a cleft clinic

  • Refer to subspecialist in cleft surgery

  • I am a cleft specialist



You have a 10 year old with a cholesteatoma what do you do

0

You have a 10 year old with a cholesteatoma. What do you do?

  • Operate

  • Refer to subspecialist

  • I am a subspecialist


0

Your patient has probable otosclerosis and ME exploration/possible stapes surgery is recommended. What do you do?

  • laser stapedotomy

  • stapedectomy

  • Refer to an Otologist

  • I am an Otologist


What percentage of your surgical otologic patients get referred to a subspecialist

0

What percentage of your surgical otologic patients get referred to a subspecialist?

  • <5%

  • 6-20%

  • 21-50%

  • All of them

  • I am an Otologist


0

You have a patient with vertigo who is calling 3 times a day to update you on symptoms. What do you do?

  • Prescribe something for the patient and provide reassurance

  • Prescribe something for yourself and provide reassurance

  • Refer to an Otologist

  • I am an Otologist



Your patient has a mucocele pushing out the posterior wall of the frontal sinus what do you do

0

Your patient has a mucocele pushing out the posterior wall of the frontal sinus. What do you do?

  • Take care of it

  • Refer

  • I am a sinus specialist


Your patient has chronic sinusitis and nasal polyps that are recurrent what do you do

0

Your patient has chronic sinusitis and nasal polyps that are recurrent. What do you do?

  • Take care of it

  • Refer

  • I am a sinus specialist


Your patient has had multiple surgeries by you and continues to have infections what do you do

0

Your patient has had multiple surgeries (by you) and continues to have infections. What do you do?

  • Keep trying

  • Refer

  • I am the specialist (and can fix every sinus patient)


What percentage of patients in your practice get referred to a sinus specialist

0

What percentage of patients in your practice get referred to a sinus specialist?

  • <5%

  • 5-20%

  • 20-50%

  • 100%

  • I am a sinus subspecialist


Practice trends7

Practice Trends

Laryngology/Airway


0

Your patient has subglottic stenosis and is getting slowly but progressively short of breath. What do you do?

  • Take care of it

  • Refer

  • I am an airway specialist


Your patient is an opera singer who is hoarse you see a lesion on the vocal cord what do you do

0

Your patient is an opera singer who is hoarse. You see a lesion on the vocal cord. What do you do?

  • Manage it

  • Refer to Laryngologist

  • I am a Laryngologist


What percentage of your laryngology airway patients do you refer to a subspecialist

0

What percentage of your Laryngology/Airway patients do you refer to a subspecialist?

  • <5%

  • 5-20%

  • 20-50%

  • 100%

  • I am a Laryngologist/Airway specialist


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