Taxonomy I Part II-A2 (Fracture Care & Orthopaedics) 17 years ago Bill Burnett 16 minutes Last Updated on April 16, 2022 by Lee Burnett, DO, FAAFP(16 March 2006 18:47)NATIONAL PROJECT ON THE COMMUNITY BENEFITSOF FAMILY MEDICINE RESIDENCY PROGRAMSCUMULATIVE QUESTIONNAIRE RESPONSESTaxonomy Section I Part IIA(Sports Medicine, Fracture Care and Orthopaedics)Part 2 (Fracture Care and Orthopaedics)SD I.13b (L32) Does your residency provide specialty care?SD I.13b(0) If yes, list these services in approximate order of volume or revenue.(Is fracture clinic listed?)Site-visited profiled residencies:Yes:Northridge (Listed after maternity care and sports medicine; and before dermatology, podiatry, neurology and minor surgical care)SD I.13b(1) (L32) Does your residency program provide the following kinds of specialty care? b. Fracture clinic? 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 (within family health center)White Memorial (within family health center)USC Univ & SG (happens in private orthopods? offices)Indiana U Methodist (we provide fracture care)No:Scripps Chula VistaUCSD St VincentUC IrvineRiversideDurant (fracture care provided in an outpatient setting)OSU TulsaModestoSaintsSD I.13b(2.1) (SD I.13b(2) (L32)) Does your residency program provide the following kinds of specialty care? b. Fracture care? Yes__ No __Yes:PomonaArrowheadLoma LindaStocktonLouisvilleMCE BirminghamGlendaleOU TulsaOU Oklahoma CityDayton CommunityMiami ValleyDecaturMercerKlamath FallsLehigh ValleyMercy ToledoKaiser LATylerFresnoSpringfieldGlasgowLexingtonOHSU PortlandNo:WhittierNatividadLas Vegas (Not very often)SD I.13b(2.2) (SD I.13b(3)) If you do provide fracture care, are these services provided as normal family health center appointments?Yes __ No __Yes:PomonaLoma LindaLouisvilleMCE BirminghamGlendaleOU TulsaOU Oklahoma CityDayton CommunityMiami ValleyDecaturMercerKlamath FallsLehigh ValleyMercy ToledoKaiser LATylerFresnoSpringfieldGlasgowLexingtonNo:ArrowheadStocktonSD I.13b(2.3) (SD I.13b(4)) If you do provide fracture care, 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:PomonaArrowhead (120)Loma Linda (1000/yr)Stockton (24 patients per half-day; no idea of revenues)OU Tulsa (fracture care is performed during sports medicine clinics; typically 3 out of 19 patients involve fractures)OU Oklahoma City (number of patients and revenues to be determined)Klamath Falls (2 fracture cases a week; $100/wk revenue)Kaiser LA (most fractures are seen in the orthopaedic clinic, where FP residents provide services, or in the ER; however, fracture care does take place in the sports medicine clinic)Lexington (Will check with sports medicine coordinator on productivity and revenues)OHSU Portland (2/wk maybe, generating $400/mo income)No:LouisvilleMCE BirminghamGlendaleDayton CommunityMiami ValleyDecaturMercerLehigh ValleyMercy ToledoTylerFresnoSpringfieldGlasgowSD I.13b(2.31) (PP) Do you perform initial evaluation of extremity injuries within your family medicine center? Yes __ No __Yes:Las VegasFresnoSpringfieldGlasgowLexingtonOHSU PortlandE-mail responses (2005 Questionnaire 1):Yes:UCSD TraditionalUCSD St VincentUC IrvineWhite MemorialRiversideModestoIndiana U MethodistWhittierArrowheadLoma LindaGlendaleDayton CommunityDecaturMercerKlamath FallsLehigh ValleyMercy ToledoKaiser LATylerNPCB P2 I.13b(2.32) (SD I.13b(2.32) (PP)) Does your residency program provide interpretation of X-rays of potential extremity fractures within your family medicine center?Yes __ No __Yes:FresnoSpringfieldLexingtonOHSU PortlandYes (Phase 2 Responses):SparrowHuntsvilleVenturaLong BeachCrozer-KeystoneJeffersonOahuShadyside (The x-rays are over-read by the Department of Radiology, which is tied to our program electronically)St MargaretFairfaxNo:Las VegasGlasgowNo (Phase 2 Responses):U PennMcKeesportJohnstownAltoonaSD I.13b(2.33) (PP) Do you provide splinting and casting services within your family medicine center? Yes __ No __Yes:Las VegasFresnoSpringfieldE-mail responses (2005 Questionnaire 1):Yes:UCSD TraditionalUC IrvineWhite MemorialRiversideIndiana U MethodistWhittier (rarely)Loma LindaGlendaleDayton CommunityDecaturMercerKlamath FallsLehigh ValleyMercy ToledoKaiser LATylerNo:UCSD St VincentModestoArrowhead*NPCB P2 I.13b(2.33.1) (SD I.13b(2.33.1)) Does your residency program provide splinting services within your family medicine center? Yes __ No __Yes:GlasgowLexingtonOHSU PortlandSparrowHuntsvilleVenturaLong BeachU PennCrozer-KeystoneJeffersonOahuNo:McKeesport*NPCB P2 I.13b(2.33.2) (SD I.13b(2.33.2)) Does your residency program provide casting services within your family medicine center? Yes __ No __Yes:OHSU PortlandSparrowHuntsvilleVenturaLong BeachU PennCrozer-KeystoneJeffersonOahuNo:GlasgowLexington (rarely)McKeesportSD I.13b(2.34) (PP) Do you take care of non-displaced, closed fractures within your family medicine center? Yes__ No__Yes:FresnoSpringfieldGlasgowLexingtonOHSU PortlandNo:Las VegasE-mail Responses (2005 Questionnaire 1)Yes:UCSD TraditionalUC IrvineWhite MemorialRiversideIndiana U MethodistWhittierArrowheadLoma LindaGlendale (rarely)Dayton CommunityDecaturMercerKlamath FallsLehigh ValleyMercy ToledoKaiser LATylerNo:UCSD St VincentModestoSD I.13b(2.35) Do you perform selected closed reductions of the extremities within your family medicine center? Yes __ No __Yes:LexingtonOHSU PortlandNo:Las VegasFresnoSpringfieldGlasgowE-mail Responses (2005 Questionnaire 1)Yes:UC IrvineRiversideIndiana U MethodistGlendale (rarely)Dayton CommunityKlamath FallsKaiser LATylerNo:UCSD TraditionalUCSD St VincentWhite MemorialModestoWhittierArrowheadLoma LindaDecaturMercerLehigh ValleyMercy ToledoSD I.13b(2.36) (PP) Do you evaluate and manage clavicular fractures within your family medicine center? Yes __ No __Yes:Las VegasFresnoSpringfieldGlasgow (but we haven?t had any)LexingtonOHSU PortlandE-mail Responses (2005 Questionnaire 1)Yes:UC IrvineWhite MemorialModestoIndiana U MethodistWhittierArrowheadLoma LindaGlendaleDayton CommunityDecaturMercerKlamath FallsLehigh ValleyMercy ToledoKaiser LATylerNo:UCSD St VincentNo Response:UCSD TraditionalRiversideSD I.13b(2.4) (SD I.13b(5)) Describe the kinds of fracture care that typically take place within the family health center (whether as normal appointments or during special clinics):Glendale (casting and splinting)OU Tulsa (splints and casts; closed reductions)OU Oklahoma City (initial evaluation; follow-up monitoring of rehabilitation; splints and casting)Dayton Community (splints, casting)Miami Valley (simple fractures; casting and splinting; x-rays)Decatur (non-displaced fractures, splints only, no casting)Mercer (arm and hand splints; simple casts)Klamath Falls (fractured wrists; clavicles; non-surgical injuries; if requiring casting or specialty care, patient is referred to orthopaedics)Mercy Toledo (non-displaced closed fractures; digits ? toes, hands and feet)Kaiser LA (fracture care in sports medicine clinic)Tyler (management of splinting and casting; uncomplicated fracture care; X-ray interpretation)SD I.13b(2.41) (SD I.13b(5)) Describe any other kinds of fracture care that typically take place within the family health center (whether as normal appointments or during special clinics):Las Vegas (none)Fresno (none)Springfield (ankle injuries)Glasgow (none)Lexington (this question should be answered by our sports medicine coordinator)OHSU Portland (Rib fractures; nose fractures)SD I.13c (L32) Does your residency provide specialty care?SD I.13c (0) If yes, list these services in approximate order of volume or revenue.(Is orthopaedic care listed?)Yes:Kansas U (orthopaedics clinic (for the orthopaedics service))Klamath Falls (listed first, followed by urology clinic, psych consult clinic and sports medicine clinic)SD I.13c(1) (L32) Does your residency program provide the following kinds of specialty care? c. Orthopaedic clinic 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 (within family health center)White Memorial (within family health center)USC Univ & SG (happens within private orthopods offices)ModestoNo:Scripps Chula VistaUCSD St VincentUC IrvineRiversideDurantOSU TulsaSaintsIndiana U MethodistSD I.13c(3.1) (SD I.13c(2) (L32)) Does your residency program provide the following kinds of specialty care? c. Other orthopaedic care Yes __ No __Yes:WhittierPomonaArrowheadLoma LindaStocktonLouisvilleMCE BirminghamGlendaleOU TulsaOU Oklahoma CityDayton CommunityMiami ValleyDecaturMercerNatividadKlamath FallsLehigh ValleyMercy ToledoKaiser LATylerLas VegasFresnoSpringfieldGlasgowLexingtonOHSU PortlandSD I.13c(3.2) (SD I.13c(3)) If you do provide orthopaedic care, are these services provided as normal family health center appointments? Yes __ No __Yes:WhittierPomonaLoma LindaStocktonLouisvilleMCE BirminghamGlendaleOU TulsaOU Oklahoma CityDayton CommunityMiami ValleyDecaturMercerNatividadLehigh ValleyMercy ToledoKaiser LATylerLas VegasFresnoSpringfieldGlasgowLexingtonOHSU PortlandNo:ArrowheadSD I.13c(3.3) (SD I.13c(4)) If you do provide orthopaedic care, 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:Arrowhead (500 patients)Loma Linda (1000/yr)Stockton (14 per clinic; revenues of an unknown amount are generated)OU Tulsa (part of the sports medicine clinic)OU Oklahoma City (patient numbers and revenues to be determined)Dayton Community (clinics takes place in the orthopaedic service clinic of the hospital; because there are no orthopaedic residents, that department depends on family medicine residents)Klamath Falls (30 week, producing $1800/wk revenue)Las Vegas (revenues generated; number of patients and revenues presently unknown)Lexington (will obtain revenue and productivity data)OHSU Portland (off-site, not sure of numbers; no revenues generated)No:WhittierPomonaLouisvilleMCE BirminghamGlendale (we used to have an orthopod supervising a special clinic)Miami Valley (FP residents have clinics in both Miami Valley and Children?s Hospital orthopaedic services; and in community orthopods offices. Orthopaedic residents are also present at Miami Valley Hospital and at Children?s Hospital)DecaturMercerNatividadLehigh ValleyMercy ToledoKaiser LATylerFresnoSpringfieldGlasgowSD I.13c(3.31) (PP) Do you evaluate and manage back pain within your family medicine center? Yes __ No __Yes:Las VegasFresnoSpringfieldGlasgowLexingtonOHSU PortlandE-mail Responses (2005 Questionnaire 1)Yes:UCSD TraditionalUCSD St VincentUC IrvineRiversideWhite MemorialModestoWhittierArrowheadLoma LindaIndiana U MethodistGlendaleDayton CommunityDecaturMercerKlamath FallsLehigh ValleyMercy ToledoKaiser LATylerSD I.13c(3.32) (PP) Do you treat osteoarthritis within your family medicine center?Yes __ No __Yes:Las VegasFresnoSpringfieldGlasgowLexingtonOHSU PortlandE-mail Responses (2005 Questionnaire 1)Yes:UCSD TraditionalUCSD St VincentUC IrvineWhite MemorialRiversideModestoIndiana U MethodistWhittierArrowheadLoma LindaGlendaleDayton CommunityDecaturMercerKlamath FallsLehigh ValleyMercy ToledoKaiser LATylerSD I.13c(3.33) Do you perform joint aspirations within your family medicine center? Yes __ No __Yes:Las VegasFresnoSpringfieldGlasgowLexingtonOHSU PortlandE-mail Responses (2005 Questionnaire 1)Yes:UCSD TraditionalUCSD St VincentUC IrvineRiversideModestoIndiana U MethodistWhittierArrowheadLoma LindaGlendaleDayton CommunityDecaturMercerKlamath FallsLehigh ValleyMercy ToledoKaiser LATylerNo:White MemorialSD I.13c(3.34) (PP) Do you treat tendonitis within your family medicine centerYes __ No __Yes:Las VegasFresnoSpringfieldGlasgowLexingtonOHSU PortlandE-mail Responses (2005 Questionnaire 1)Yes:UCSD TraditionalUCSD St VincentUC IrvineWhite MemorialRiversideModestoIndiana U MethodistWhittierArrowheadLoma LindaGlendaleDayton CommunityDecaturMercerKlamath FallsMercy ToledoKaiser LATylerSD I.13c(3.35) Do you evaluate and manage carpal tunnel syndrome within your family medicine center? Yes __ No __Yes:Las VegasFresnoSpringfieldGlasgowLexingtonOHSU PortlandE-mail Responses (2005 Questionnaire 1)Yes:UCSD TraditionalUCSD St VincentUC IrvineWhite MemorialRiversideModestoIndiana U MethodistWhittierArrowheadLoma LindaGlendaleDayton CommunityDecaturMercerKlamath FallsMercy ToledoKaiser LATylerSD I.13c(3.36) (PP) Do you routinely refer carpal tunnel syndrome patients to orthopaedics? Yes __ No __Yes and No:OHSU Portland (About one-third are treated conservativelywithin the residency program; about two-thirds are referred for surgery)No:Las VegasFresnoSpringfieldGlasgowLexingtonE-mail Responses (2005 Questionnaire 1)Yes:ArrowheadDecaturNo:UCSD TraditionalUCSD St VincentUC IrvineWhite MemorialRiversideModestoIndiana U MethodistWhittierLoma LindaGlendaleMercer (The question is unclear; we routinely refer when they do not respond to conservative care, so would you answer ?Yes??)Klamath FallsMercy Toledo (Not routinely)Kaiser LATylerNo Response:Dayton CommunitySD I.13c(3.4) (SD I.13c(5)) Describe the kinds of orthopaedic care that typically take place within the family health center (whether as normal appointments or during special clinics):Glendale (shoulder and back pain; shoulder, elbow and knee injections for inflammatory pain)OU Tulsa (back pain; arthritis joint injections; therapeutic injections; we refer MRIs, CTs and surgery)OU Oklahoma City (tendonitis; neck and back pain; rotator cup strains; PT oversight)Dayton Community (splints; casting; knee bracing; determining if MRIs are needed; shoulder, back, knee, feet, hand pain)Miami Valley (casting and splinting; joint injections and aspirations; x-rays; osteoporosis; major joints, rotator cuff and shoulder disorders; generalized osteoarthritis; hip, knee and ankle disorders)Decatur (injections; sprains; strains; refer out casting, no casting)Mercer (sprains, backaches, inpatient orthopaedic consultation)Natividad (low back pain; carpo-tunnel syndrome; tennis elbow; routine pediatric musculo-skeletal injuries; shoulder, knee, ankle sprains)Klamath Falls (assessment of joints; arthritis; joint injections; referrals for physical training; referrals for investigative treatment and surgery)Lehigh Valley (back pain; knee pain; osteoarthritis; hip pain; shoulder pain)Mercy Toledo (post-surgical care; post-hit replacement; joint injections; tendonitis; soft tissue injections)Kaiser LA (low back pain; other minor orthopaedic presentations)Tyler (chronic arthritis; back and shoulder pain management; joint injections)SD I.13c(3.5) Describe any other kinds of orthopaedic care that typically takes place within the family medicine centerLas Vegas (sprains, strains, bursitis)Fresno (none)Springfield (neck pain; shoulder pain)Glasgow (trigger point injections; joint injections; plantarfasciitis; neck pain; spinal stenosis)Lexington (strains and sprains of all kinds; joint injections)OHSU Portland (joint injections; tendon sheath injections; trigger point injections)NPCB P2 I.13c(3.37) For what conditions would your residency program refer patients to orthopaedists? What is the expected wait time before the patient is seen?Sparrow (Any kind of complicated fracture care ? necks, backs; nerve compression requiring surgery; joints needing scoping or surgery; occasionsally, unexplained shoulder or knee pain. Accedss is very difficult for Medicaid patients ? 3 weeks to be seen, although sometimes immediately with a physician?s call; however, most referral specialists will only see the Medicaid patient in the ER.)Huntsville (Open fractures go straight to the emergency room; we will see some non-displaced, especially single bone fractures in the family medicine center, but many of these are referred to orthopaedists.)Ventura (Any complex fracture that requires reduction, apart from simple finger fractures, etc.; wait time is one day or less.)Long Beach (We will do closed, non-displaced fractures. Anything else we refer; referrals are seen within a week.)U Penn (Any referrals are physician specific. The wait time is from the same day to two or three months.)Crozer-Keystone (Surgery only; patients are seen within two weeks)Jefferson (Surgical; wait time depends on acuity of injury. An acute injury is seen within two days; routine injuries take 4-6 weeks.)McKeesport (Fractures; candidates for surgery; herniated disks; the wait time is from one day to one week.)Oahu (Any complicated fractures; if urgent, they are seen the same day)Shadyside (Surgical orthopaedics and certain kinds of fracture care; usually, our patients are seen the same day)Johnstown (All fractures; anything needing operative orthopaedic management; the next day for fractures, two weeks for chronic conditions, except that only one orthopaedist will see patients without medical assistance)Altoona (Fractures; any orthopaedic problem that may need arthroscopy or surgery; the referral time depends upon the problem – the more acute problems may be seen the same day)St Margaret (surgical care; 1 week wait)Fairfax (Most acute things are done here, but some acute injuries or complicated fractures are referred; arthroscopy and surgery; also unstable knee, not responding to conventional practice)*NPCB P2 I.13c(4) Does your residency program manage the following disorders for your family medicine center patients either in the inpatient or outpatient settings (or both)?a) osteoporosis? Yes __ No __Yes:Santa RosaReadingYorkLebanonBillingsMonroevilleBeaverLatrobeErieLawton*NPCB P2 I.13c(4) Does your residency program manage the following disorders for your family medicine center patients either in the inpatient or outpatient settings (or both)?b) osteoarthritis? Yes __ No __Yes:Santa RosaReadingYorkLebanonBillingsMonroevilleBeaverLatrobeErieLawton*NPCB P2 I.13c(4) Does your residency program manage the following disorders for your family medicine center patients either in the inpatient or outpatient settings (or both)?c) carpal tunnel? Yes __ No __Yes:Santa RosaReadingYorkLebanonBillingsMonroevilleBeaverLatrobeErieLawton*NPCB P2 I.13c(4) Does your residency program manage the following disorders for your family medicine center patients either in the inpatient or outpatient settings (or both)?d) tendenosis? Yes __ No __Yes:Santa RosaReadingYorkLebanonBillingsMonroevilleBeaverLatrobeErieLawton*NPCB P2 I.13c(4) Does your residency program manage the following disorders for your family medicine center patients either in the inpatient or outpatient settings (or both)?e) simple fractures? Yes __ No __Yes:Santa RosaReadingYorkLebanonBillingsMonroevilleBeaverLatrobeErieLawton*NPCB P2 I.13c(5) Does your residency program follow professional guidelines regarding ordering x-rays for ankle and knee injuries? Yes __ No __Yes:Yes:Santa RosaReadingYork (Ottawa rules)LebanonBillingsMonroevilleBeaverLatrobeErieLawton*NPCB P2 I.13c(6) Does your residency program participate in the identification, referral and follow-up care of patients requiring the following tertiary care services?a) complex open fractures? Yes __ No __Yes:Santa RosaReadingYorkLebanonBillingsMonroevilleBeaverLatrobeLawtonNo:Erie (most of these are referred to the trauma center with its own orthopaedic surgery group)*NPCB P2 I.13c(6) Does your residency program participate in the identification, referral and follow-up care of patients requiring the following tertiary care services?b) tendon damage? Yes __ No __Yes:Santa RosaReading (we work with sub-specialists on this)YorkLebanonBillingsMonroevilleBeaverLatrobeErieLawton*NPCB P2 I.13c(7) Is your residency program able to assure that your family medicine patients have access to the following diagnostic tests, either within your family medicine center or through a process of referral or consultation?a) imaging of joints, bones and soft tissues? Yes __ No __Yes:Santa RosaReadingYorkLebanonBillingsMonroevilleBeaverLatrobeErieLawtonb) imaging of fractures? Yes __ No __Yes:Santa RosaReadingYorkLebanonBillingsMonroevilleBeaverLatrobeErieLawtonLast Updated (04 September 2006 18:31) people found this article helpful. What about you?