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Tubal Sterilizations Survey
Dear OBGYN.net Physicians,
If you are practicing Ob/Gyn, Gyn Surgery, Gyn/Onc or Uro/Gyn in the United States
please complete the following five minute survey for a one in 100 chance to win a $1,000 library of
Ob/Gyn titles at Amazon.com.*
Only the first 100 responders will be eligible to win.
Good luck and thank you,
Roberta Speyer, President
OBGYN.net
*
Drawing is limited to first 100 US qualifying physicians, only one entry per person,
$1,000 credit may only be applied to Ob/Gyn titles at Amazon.com,
any shipping and handling charges is included in the $1,000 credit,
credit must be applied at one time through OBGYN.net,
drawing will take place no later then August 1st, 2005,
winner of the drawing agrees their name may be published as the winner.
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| 1. | What is your specialty? |
| Surgical GYN
Uro-Gyn
Gyn-Onc
Ob-Gyn |
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| 2. | Indicate the frequency with which you perform the following procedures: |
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a) |
Tension-free slings for urinary incontinence
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b) |
Suspensions (ex. Burch) for urinary incontinence
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c) |
Repair of vaginal prolapse
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d) |
Tubal ligation
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e) |
Trans-cervical tubal occlusion
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f) |
Hysteroscopy
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g) |
Hysterectomy
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h) |
Hysterosalpingogram
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i) |
Trans-vaginal ultrasound
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j) |
Saline-infused sonography
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k) |
Diagnostic workup to assess fecal incontinence
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| 3. | I consider obstetrics to be a significant portion of my practice. |
| Yes
No |
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| 4. | Percentage of patient visits where YOU INITIATE a discussion concerning sterilization choices. |
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*
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| 5. |
Percentage of patient visits where THE PATIENT INITIATES a discussion about sterilization choices. |
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*
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note: question 4 plus question 5 would equal the percentage of time sterilization choices are discussed. |
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| 6. | I regularly prescribe contraceptives. |
| Yes
No |
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| 7. | I regularly place IUDs. |
| Yes
No |
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| 8. | If you answered No to question 7 please skip over to question 9,
The IUD type(s) I regularly place are: |
| Copper
Hormone-Release |
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| 9. | I expect the number of IUD placements to increase over the next five years. |
| Yes
No |
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| 10. | I have utilized a trans-cervical approach to tubal sterilization. |
| Yes
No |
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| 11. | I will perform trans-cervical tubal sterilization procedures in my office. |
| Yes
No |
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| 12. | If you answered No to question 11 please skip over to question 13,
When performing trans-cervical tubal sterilization
procedures in the OFFICE, what form(s) of anesthesia would you use? |
| Paracervical block with sedation
Paracervical block without sedation
General anesthesia
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| 13. | I will perform trans-cervical tubal sterilization procedures in an outpatient surgery center. |
| Yes
No |
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| 14. | If you answered No to question 13 please skip over to question 15,
When performing trans-cervical tubal sterilization
procedures in an OUTPATIENT SURGERY CENTER, what form(s) of anesthesia would you use? |
| Paracervical block with sedation
Paracervical block without sedation
General anesthesia
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| 15. | I have utilized the Essure device from Conceptus. |
| Yes
No |
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| 16. | If you answered No to question 15 please skip over to question 18,
I plan to continue using the Essure device for the majority
of my tubal sterilization procedures. |
| Yes
No |
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| 17. | If you answered No to question 15 please skip over to question 18,
I have utilized Essure but will NOT continue to use it on
the majority of my tubal sterilization procedures because: (Select
all that applies) |
| Lack of patient benefit
Difficulty in device placement
Difficulty in reimbursement
Necessity of hysteroscopic skills
Patient dissatisfaction or discomfort
Not enough longterm data
Product is too expensive
Sterilization is not immediate
Product is contraindicated with radiofrequency or microwave
Endometrial ablation procedures
Necessity of 3-month HSG
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| 18. | Post-partum tubal sterilizations are more likely to be performed: |
| After cesarean section
After vaginal delivery
Equally likely after cesarean or vaginal delivery |
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| 19. | Given the following choice, I think most women considering
post-partum tubal sterilization would choose: |
| A tubal ligation procedure performed during the maternity hospital stay
A trans-cervical procedure performed 6-weeks post-partum |
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| 20. | In my office setting, I utilize to the following technology(ies): |
| Ultrasound
X-ray
Monopolar or bipolar cautery
Hysteroscope |
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| 21. | Do you think that PERMANENT sterilization procedures over the next 5 years will: |
| Increase
Decrease
Remain the same |
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| 22. | Please briefly describe the factors leading to your answer on the previous question 21. |
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| 23. | For patients presenting with fecal incontinence: (Choose all that apply) |
| I refer them to a gastroenterologist for conservative / biofeedback therapy
I manage them within my practice with conservative / biofeedback therapy
I perform sphincter repair surgery when indicated
I refer sphincter repair surgery to a colo-rectal surgeon |
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| 24. | Do you personally perform both OB and GYN surgery? |
| Yes
No |
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| 25. | What percent of your OFFICE visits are OB (versus GYN)? |
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a) |
OB CURRENTLY
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b) |
OB 3 years ago
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c) |
estimate OB 3 years from now
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| 26. | What percent of your SURGICAL procedures are OB (versus GYN) |
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a) |
surgical procedures are OB CURRENTLY
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b) |
surgical procedures were OB 3 years ago
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c) |
estimate surgical procedures will be OB 3 years from now
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| 27. | What do you do these days to keep your practice profitable? Please check the top 3 only. |
| Adopt new procedures
Refer higher risk procedures to someone else
Negotiate better reimbursement
Become more savvy about reimbursement coding and rules
Communicate better with patients
Hire high caliber staff
Market the practice to patients (brochures etc)
Partner with hospitals to get more referrals
Join more insurance plans
Use the best devices and products
Develop web-based marketing, education and/or and practice management
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| 28. | What do you want your surgical device manufacturers to provide for you in addition to excellent products?
Please RANK the following from one to seven (1 is most valuable) |
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1
2
3
4
5
6
7
- Excellent product training from my rep
1
2
3
4
5
6
7
- Excellent procedural knowledge of my rep
1
2
3
4
5
6
7
- Tools to help me market my practice to patients
1
2
3
4
5
6
7
- Reimbursement guidance
1
2
3
4
5
6
7
- Surgical training courses
1
2
3
4
5
6
7
- Staff training courses
1
2
3
4
5
6
7
- Working with hospitals & primary care doctors to increase referrals
What else?
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| 29. | Once you have decided to go forward with an in-service on a surgical device,
where would you like that to happen? |
| Office
OR
It depends
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| 30. | When should the in-service happen in the OR? |
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Thank you for completing our survey. Please enter your contact information
and then select "submit answers" to complete the form and enter
the drawing - $1,000 worth of medical books. *
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