NEAUA Member Profile Survey Results Comparative Data: 2007, 2011, 2017

Transcription

1 Respondents In individuals completed this survey. In individuals completed this survey. In individuals completed this survey. Personal Profile: 1. Age NEAUA Member Profile Survey Results Comparative Data: 27, 211, or older Page 1 of 53

2 2. Gender Male Female 3. Years in Practice Percentage Male Percentage Female to 5 6 to 1 11 to to 2 21 to to Page 2 of 53

3 4. State in which you practice Marital Status Single Married Divorced Page 3 of 53

4 6. Number of Children Did you do your residency or fellowship within the New England Section? Percent Percent 27 46% 54% % 54% % 42% Page 4 of 53

5 8. Area of expertise Would you become a physician again? Percent Percent 27 84% 16% % 12% % 16% Page 5 of 53

6 1. Would you become a urologist again? Percent Percent 27 87% 13% % 8% % 9% 11. Would you advise your son or daughter to become a physician? Percent Percent 27 54% 46% % 46% 217 6% 4% Page 6 of 53

7 Practice Profile 12. Type of practice Group Multispecialty Solo Percentage Group Percentage Multi Percentage Solo 27 72% 17% 11% % 29% 1% % 26% 1% Page 7 of 53

8 13. Nature of practice Private Academic Hospital Based Percentage Private Percentage Academic Percentage Hospital Based 27 7% 19% 11% % 3% 2% % 34% 31% If hospital based, is this a new position for you in the last 5 years? Percent Percent % 39% % 67% Page 8 of 53

9 14. Are you working more, less, or about the same as 5 years ago? More Less Same Percentage More Percentage Less Percentage Same 27 45% 25% 3% % 19% 37% % 24% 32% 15. Number of hours/week your practice Page 9 of 53

10 16. Nights on call/month Do you receive additional direct compensation for doing call? Percent Percent 211 7% 93% % 81% Page 1 of 53

11 17. Do you receive additional compensation for taking calls beyond what is stipulated in your contract? Percent Percent 211 4% 96% 217 9% 91% 18. Percentage of Office vs. OR /1 5/95 1/9 15/85 2/8 25/75 3/7 35/65 4/6 45/55 5/5 55/45 6/4 65/35 7/3 75/25 8/2 85/15 9/1 95/5 1/ Page 11 of 53

12 19. How many patients do you see per week? How many urologists are in your practice? Page 12 of 53

13 21. How many employees (FTEs) are required to support your total practice? Do you employ any of the following in your practice? MA RN NP PA Percent MA Percent RN Percent NP Percent PA 27 42% 37% 3% 26% % 58% 49% 41% 217 4% 35% 33% 3% Page 13 of 53

14 NP PA RN Page 14 of 53

15 MA Do you utilize EMR in your practice? Percent Percent 27 46% 54% % 25% % 6% Page 15 of 53

16 24. What EMRs do you use? 217 Epic 51 ECW 11 Allscripts 7 Urochart 6 Cerner 5 Athena 4 CPRS 4 Eclinical 4 Greenway 3 Meditec 3 Urochart 3 Centricity 2 EClinicalWorks 2 GE Centricity 2 Meridien 2 OMR 2 Chartlogic 1 Citrix 1 Ed Pulsecheck 1 Homegrown 1 Intergy 1 Kareo 1 Logician 1 Mysis 1 Next Gen 1 PowerChart 1 Practice Fusion 1 Quest 1 Sage 1 Salar 1 Soarian 1 Web OMR 1 Page 16 of 53

17 Are the EMRs that you use the same as used at the hospital? Does your practice utilize scribes? Page 17 of 53

18 If yes, what impact do scribes have on your practice finances? Positive Negative change If yes, what impact do scribes have on your quality of life? Positive Negative change Page 18 of 53

19 25. Your office overhead represents how much of your collection? Don't know NA Do you feel that you practice defensive medicine? Percent Percent 27 77% 23% % 27% % 39% Page 19 of 53

20 27. How many of the following operations do you perform each year? See appendix for chart. 28. Specifically related to stone surgery, do you obtain your percutaneous renal access? Do you routinely leave a stent after straightforward ureteroscopy? Page 2 of 53

21 3. Do you leave a tether on stents to allow patients to remove it themselves? Do you use outpatient surgery centers or operatories as opposed to hospital operating rooms more, less or about the same as 5 years ago? More Less About the same Page 21 of 53

22 32. If you use outpatient surgery centers or operatories more often as opposed to 5 years ago, please provide your reasoning Ease of scheduling Financial Other 33. Do you accept Medicare patients? Page 22 of 53

23 34. Do you accept Medicaid patients? Since the Enactment of the Affordable Care Act my practice income has Increased Decreased change Page 23 of 53

24 36. Since the enactment of the Affordable Care Act I am seeing Many more patients More patients Same number patients 7 Few patients 37. Since the enactment of the Affordable Care Act what is the average wait for a patient to see you now in comparison to 211? Members answered the question differently some answers longer, shorter, etc. and some answered with an estimate number of weeks, months Same Longer Less NA/Unknown Page 24 of 53

25 week 2 weeks 3 weeks 1 month 2 months 3 months 38. The enactment of the Affordable Care Act has affected my practice Positively Negatively Change Page 25 of 53

26 39. I am happy, unhappy, impartial with the Affordable Care Act Happy Unhappy Impartial 4. Have you seen an increase, decrease or no change in patient complaints about increase office, hospital and medication co pays as a result of shifts in insurance since the Affordable Care Act? Increase Decrease change Page 26 of 53

27 41. Since enactment of the Affordable Care Act, have you seen an increase, decrease of no change among patience compliance with medications and subsequent resultant problems Increase Decrease change 42. Since the enactment of the Affordable Care Act I now prescribe generics: More often Less often change Page 27 of 53

28 43. Since the enactment of the Affordable Care Act I am educated about prescription medications: More Less change 44. Rules governing Pharmaceutical and Medical Device Industries have affected my practice negatively, positively, or not affected my practice: Negatively Positively change Page 28 of 53

29 45. Have you seen an increase, decrease or no change in patient complaints about increase office, hospital and medication co pays as a result of shifts in insurance since the Affordable Care Act? Increase Decrease change 46. The Affordable Care Act has certainly created change in practice patterns. How would the possibility of repeal of the Affordable Care Act impact your practice? Negatively Positively change Page 29 of 53

30 47. Have you witnessed or suspected doctor shopping for opiods? Does your practice participate in state wide prescription drug monitoring services? Page 3 of 53

31 49. If yes, how has utilization of prescription drug monitoring services affected your narcotic prescription practices? Prescribe more narcotics Prescribe less narcotics change 5. If no, how has utilization of prescription drug monitoring services affected your narcotic prescription practices? Prescribe more narcotics Prescribe less narcotics change Page 31 of 53

32 Demographic Profile 51. In your geographic area are there too few, too many, or about the right number of urologists: Too few Too many Right number Percentage too few Percentage too many Percentage right number 27 41% 8% 52% % 12% 6% % 23% 44% 52. Is there difficulty in recruiting physicians to your geographic area? Percent Percent 27 82% 18% % 25% % 27% Page 32 of 53

33 53. Is there difficulty in recruiting urologists to your geographic area? Percent Percent 27 83% 17% % 24% % 24% 54. Is there difficulty retaining physicians in your geographic area? Percent Percent 27 62% 38% % 39% % 43% Page 33 of 53

34 55. Is there difficulty in retaining urologists to your geographic area? Percent Percent 27 48% 52% 211 5% 5% % 54% 56. If you answered YES to any of the above four questions, what are the reasons? (Check any that apply) Other: Challenges at my institution, Dismissive hospital tone toward physicians, robot, unknown, work environment Page 34 of 53

35 57. Do you regularly read: (Check any that apply) Page 35 of 53

36 Financial Profile 58. Do you have a financial interest in any of the following & what percent of your income is derived from such financial interests? See appendix for percent income derived from financial interests. 59. What is your individual practice income (exclusive of pension and ownership shares)? Please note that this question is related to gross income the amount that you claim as salary on your income taxes Page 36 of 53

37 6. Is this income more, less or about the same as five years ago? More Less Same Percentage More Percentage Less Percentage Same 27 35% 4% 26% % 41% 33% % 37% 32% 61. Are you paying a greater portion of your salary for health care, dental, disability, etc. compared to five years ago? Percent Percent % 29% % 37% Page 37 of 53

38 62. The approximate value of your retirement account? Do you plan to retire at age 65? Percent Percent 27 31% 69% % 71% % 71% Page 38 of 53

39 64. If no, earlier or later? Earlier Later Percent Earlier Percent Later 27 43% 57% % 75% % 76% 65. How many days a year do you spend attending medical meetings? Page 39 of 53

40 66. Is this more, less or about the same as five years ago? More Less Same In the last five years, have you attended a national AUA meeting? Percent Percent 27 64% 36% % 27% % 18% Page 4 of 53

41 68. In the last five years have you attended a NE Section meeting? Percent Percent 27 68% 32% % 35% % 29% Page 41 of 53

42 Political Profile 69. Are you a United States citizen? If yes, Do you consider yourself a Democrat Republican Independent Other Percent Republican Percent Democrat Percent Independent Percent Other 27 2% 3% 47% 3% % 29% 4% 4% % 22% 46% 3% Page 42 of 53

43 71. If a citizen, Did you vote in the last presidential election? Percent Percent 27 96% 4% % 1% % 5% 72. If a citizen, Did you vote in the last senatorial election? Percent Percent 27 92% 8% % 6% 217 9% 1% Page 43 of 53

44 73. If a citizen, Did you vote in the last congressional election? Percent Percent 27 9% 1% % 8% % 11% Page 44 of 53

45 74. Have you ever written a letter to an elected official regarding healthcare issues? Percent Percent 27 65% 35% % 35% % 34% 75. Have you ever contributed to a political campaign? Percent Percent 27 56% 44% % 41% % 41% Page 45 of 53

46 76. Have you ever contributed to UROPAC? Percent Percent 27 59% 41% % 42% % 37% Page 46 of 53

47 77. What is the best option regarding U.S. healthcare? Status quo Universal Healthcare, single payor, fed admin Greater reliance on private sector, competition Percent Status Quo Percent Universal Percent Private 27 6% 51% 43% 211 5% 39% 55% 217 5% 59% 36% 78. In the last five years have you participated in an AUA/NEAUA or AACU sponsored advocacy event at the state or national level? Percent Percent % 82% % 72% Page 47 of 53

48 JAC (13 responses) AACU (4 responses) CT Urology day at capital (2 responses) Local advocacy SSN meeting Tropic meeting in DC 214 UROPAC (2 responses) Page 48 of 53

49 Malpractice Profile 79. Have you ever been sued or had a claim made against you for medical malpractice? Percent Percent 27 68% 32% 211 6% 4% % 38% 8. If yes, the number of times you have been sued or had a claim made against you: Page 49 of 53

50 81. Reasons for lawsuit(s): Failure to diagnose Failure to consent Inoperative complications 1 Other Other: Both radiographic retrospective failure to diagnose, both dropped for no harm done Complication Erb's palsy Error Failure to FU Failure to transfer to ICU Genital problems post prostate bx Indeterminent renal mass Multiple Named as a resident but dropped Poor communication Possible neuropraxia from positioning; unclear still Post op complication Prisoner his complaint remains nebulous Psychological Retained stent Suture erosion Wrong side Wrong side surgery Page 5 of 53

51 82. Disease procedure involved: Other: TURP ( 3 responses ) Bph ( 2 responses ) Pyeloplasty ( 2 responses ) Assistant surgeon Circumcision Cystic fibrosis General surgery Hernia Intra op burn Laser turp Orchidopexy Penile prosthesis Prostate bx Pstisl nephrectomy RALP/SPT Shoulder dystocia during a delivery. I was a medical student. Testis trauma Testis tumor Torsion, prost Transplant Trauma Vaginal colpopexy Page 51 of 53

52 83. For any claims or lawsuits against you for medical malpractice, please list the disposition of each: First Time Claim or Suit Dismissed failed Favorable Settled Unfavorable Second Time Claim or Suit Dismissed failed Favorable Settled Unfavorable Page 52 of 53

53 Third Time Claim or Suit Dismissed failed Favorable Settled Unfavorable Fourth Time Claim or Suit Dismissed failed Favorable Settled Unfavorable Fifth Time Claim or Suit Dismissed failed Favorable Settled Unfavorable Page 53 of 53