Practice Trends

1. Practice Trends Lifestyle

2. 0 How many days a week do you work? • 2 - 3 • 4 • 5 or more • Retired

3. 0 How many offices do you travel to? • 1 • 2 • 3 • 4 or more

4. 0 How many hospitals do you cover on call? • 1 • 2 - 3 • 4 - 5 • more than 5

5. 0 How many days/nights a month are you on call? • 0 • 1 - 5 • 6 - 15 • 30

6. 0 Do you participate in administrative or committee work outside of your regular practice schedule? • yes • no

7. 0 How much vacation do you take in a year? • 1 week • 2 – 4 weeks • 5 – 8 weeks • more

8. Practice Trends Practice Structure

9. 0 How do patients find you? • Self-referred • referred from other MD • mixed

10. 0 Do you see patients in referral from mid-level providers that specialize in Oto-HNS? • yes • no

11. 0 If you work with midlevel providers, do they… • See post-ops only • have an independent schedule • NA

12. 0 Did you have to “buy in” to your practice? • yes • no

13. 0 Do you get paid time off? • yes • no

14. 0 Do you get paid to take call? • yes • no

15. 0 Do you get a share of retail sales (hearing aids, ear plugs…)? • yes • no

16. 0 Do you get CME support? • yes • no

17. 0 Do you have profit-sharing or pension available through your practice? • yes • no

18. 0 Do you have formal maternity/paternity leave policies? • yes • no

19. 0 Do you get income from a surgery center? • yes • no

20. 0 How many RVU’s do you produce in a year? • < 2000 • 2000-4000 • 4000-7000 • 7000 + • NA

21. 0 How are business decisions made in your practice? • All participate equally • Seniority • Outside department

22. 0 How are you paid? • Everything shared equally • base + production • production only

23. 0 Do you have an EMR? • yes • no

24. 0 How many patients do you see in a day? • <10 • 10-20 • 21-30 • More

25. 0 What was your gross income last year? • <$100,000 • $100,000-$200,000 • $200,000-$350,000 • $350,000+

26. Practice Trends Head and Neck Oncology

27. 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

28. 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+)

29. 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

30. 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

31. Practice Trends Pediatrics

32. 0 How much of your general practice is made up of Pediatric patients? • <5% • 20% • 50% • 100%

33. 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)

34. 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….

35. Practice Trends Plastics/Trauma

36. 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

37. 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

38. 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

39. 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

40. Practice Trends Otology

41. 0 You have a 10 year old with a cholesteatoma. What do you do? • Operate • Refer to subspecialist • I am a subspecialist

42. 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

43. 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

44. 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

45. Practice Trends Sinuses

46. 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

47. 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

48. 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)

49. 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

50. Practice Trends Laryngology/Airway