Taxonomy I Part III-A (Urology) 17 years ago Bill Burnett 13 minutes Last Updated on April 16, 2022 by Lee Burnett, DO, FAAFP(17 March 2006 19:20)NATIONAL PROJECT ON THE COMMUNITY BENEFITSOF FAMILY MEDICINE RESIDENCY PROGRAMSCUMULATIVE QUESTIONNAIRE RESPONSESTaxonomy Section I Part IIIA(Urology)SD I.13c(5.0.1) (SD I.13g (L32)) Does your residency provide specialty care? Yes __ No __ If yes, list these services in approximate order of volume or revenue.Second National Workshop Questionnaire Responses:(Is vasectomy listed?)Yes:Mercer (Listed after “Geriatric assessment and treatment and care of a nursing home”)UC Irvine (Gynecologic procedures listed first; then vasectomy/contraception)SD I.13c(5.0.2) (SD I.13g (1) (L32)) Does your residency program provide the following kinds of specialty care? g. Vasectomy?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 TraditionalScripps Chula VistaUC Irvine (4/wk; all during special clinics)RiversideOSU TulsaUSC Univ & SG (in family health centers)ModestoIndiana U Methodist (in special clinic)No:UCSD St VincentWhite MemorialDurantSaintsSD I.13c(5.1) (SD I.13g (2) (L32)) Does your residency program provide the following kinds of specialty care? g. Vasectomy?Yes__ No __Yes:WhittierPomonaArrowheadLoma LindaOU TulsaOU Oklahoma CityDecaturMercerNatividadKlamath FallsKaiser LALas VegasFresno (performed at Sequoia FMC, not at Selma FMC)SpringfieldLexingtonOHSU PortlandNo:StocktonLouisvilleMCE BirminghamGlendale (Used to do this)Dayton CommunityMiami ValleyLehigh ValleyMercy ToledoTylerGlasgowSD I.13c(5.2) (SD I.13g (3)) If you do perform vasectomies, are these services provided as normal family health center appointments?Yes __ No __Yes:Loma LindaDecaturMercerLexingtonOHSU PortlandNo:WhittierPomonaArrowheadOU TulsaOU Oklahoma CityNatividadKlamath FallsKaiser LALas VegasFresnoSpringfieldSD I.13c(5.3) (SD I.13g (4)) If you do perform vasectomies, 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:Whittier (scheduled for procedures clinic or by special appointment)PomonaArrowhead (20)Loma Linda (60/yr)OU Tulsa (3 patients each 1 half-day special clinic; 150/yr; revenues come from health department which refers the patients)OU Oklahoma CityNatividad (A few are performed each year; very limited; negligible revenues)Klamath Falls (2 a month; revenues $800/mo)Las Vegas (1 or 2 patients for Friday morning clinics; $350 each)Fresno (8-10/mo at Family First Planned Parenthood; 2-4/mo at University Medical Center FMC; 2-4/mo at Sequoia FMC; approximately $80 revenue per patient)Springfield (2/wk; $166 a vasectomy received for referrals from Planned Parenthood)No:DecaturMercerKaiser LA (residents do it in urology clinic)LexingtonOHSU PortlandSD I.13d (L32) Does your residency provide specialty care?SD I.13d (0) If yes, list these services in approximate order of volume or revenue.Second National Workshop Questionnaire Responses:(Is urology clinic listed?)Yes:Klamath Falls (orthopaedic clinic listed first, followed by urology clinic, psych consult clinic and sports medicine clinic)SD I.13d(1) (L32) Does your residency program provide the following kinds of specialty care? d. Urology 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 (in family health center)White Memorial (in family health center)USC Univ & SG (in a private urologist’s office)ModestoNo:Scripps Chula VistaUCSD St VincentUC IrvineRiversideDurantOSU TulsaSaintsIndiana U MethodistSD I.13d(1.1) (SD I.13d(2) (L32)) Does your residency program provide the following kinds of specialty care? d. Urology (urologic) care? Yes__ No __Yes:WhittierPomonaArrowheadLoma LindaStocktonLouisvilleMCE BirminghamGlendaleOU TulsaOU Oklahoma CityDayton CommunityMiami ValleyDecaturMercerNatividadKlamath FallsLehigh ValleyMercy ToledoKaiser LATylerLas VegasFresnoSpringfieldGlasgowLexingtonOHSU PortlandSD I.13d(1.2) (SD I.13d(3)) If you do provide urology (urologic) care, are these services provided as normal family health center appointments? Yes __ No __Yes:WhittierPomonaLoma LindaStocktonLouisvilleMCE BirminghamGlendaleOU TulsaOU Oklahoma CityDayton CommunityMiami ValleyDecaturMercerNatividadKlamath FallsLehigh ValleyMercy ToledoKaiser LATylerLas VegasFresnoSpringfieldGlasgowLexingtonOHSU PortlandNo:ArrowheadSD I.13d(1.3) (SD I.13d(4)) If you do provide urology (urologic) 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 (60)Loma Linda (200/yr)Stockton (6 per clinic)OHSU Portland (Clinics occur offsite; no answer as to numbers; no revenues)No:WhittierPomonaLouisvilleMCE BirminghamGlendaleOU TulsaOU Oklahoma CityDayton CommunityMiami Valley (residents rotate to urologists’ offices)DecaturMercerNatividadKlamath FallsLehigh ValleyMercy ToledoKaiser LATylerLas VegasFresnoSpringfieldGlasgowLexingtonSD I.13d(1.31) (PP) Do you diagnose and treat urinary tract infections within your family medicine center? Yes __ No __Yes:Las VegasFresnoSpringfieldGlasgowLexingtonOHSU PortlandE-mail responses (2005 Questionnaire)Yes:UCSD TraditionalUCSD St VincentUC IrvineWhite MemorialRiversideModestoIndiana U MethodistWhittierArrowheadLoma LindaGlendaleDayton CommunityDecaturMercerKlamath FallsLehigh ValleyMercy ToledoKaiser LATylerSD I.13d(1.32) Do you diagnose and treat hypertrophy (BPH) within your family medicine center? (PP) Yes __ No __Yes:Las VegasFresnoSpringfieldGlasgowLexingtonOHSU PortlandE-mail responses (2005 Questionnaire)Yes:UCSD TraditionalUCSD St VincentWhite MemorialModestoRiversideIndiana U MethodistWhittierArrowheadLoma LindaGlendaleDayton CommunityDecaturMercerKlamath FallsLehigh ValleyMercy ToledoKaiser LATylerNPCB P1.I.13d(1.32.1) (PP) Does your residency program diagnose and treat BPH within your family medicine center? Yes __ No __Yes:SparrowHuntsvilleVenturaLong BeachU PennCrozer-KeystoneJeffersonMcKeesportOahuShadysideJohnstownAltoonaSt MargaretFairfaxSD I.13d(1.33) (PP) Do you diagnose and treat sexually transmitted diseases of the genito-urinary system within the family medicine center? Yes __ No __Yes:Las VegasFresnoSpringfieldGlasgowLexingtonOHSU PortlandE-mail responses (2005 Questionnaire)Yes:UCSD TraditionalUCSD St VincentWhite MemorialRiversideModestoIndiana U MethodistWhittierArrowheadLoma LindaGlendaleDayton CommunityDecaturMercerKlamath FallsLehigh ValleyMercy ToledoKaiser LATylerSD I.13d(1.34) (PP) Do you provide non-surgical management of kidney stones within your family medicine center? Yes __ No __Yes:Las VegasFresnoSpringfieldGlasgowLexingtonOHSU PortlandE-mail responses (2005 Questionnaire):Yes:UCSD TraditionalUCSD St VincentUC IrvineRiversideModestoIndiana U MethodistWhittierArrowheadLoma LindaGlendaleDayton CommunityDecaturMercerKlamath FallsLehigh ValleyMercy ToledoKaiser LATylerNo:White MemorialSD I.13d(1.35) (PP) Do you evaluate and manage bladder incontinence within your family medicine center? Yes __ No __Yes:Las VegasFresnoSpringfieldGlasgowLexingtonOHSU PortlandE-mail responses (2005 Questionnaire)Yes:UCSD St VincentUC IrvineWhite MemorialRiversideModestoIndiana U MethodistWhittierArrowheadLoma LindaGlendaleDayton CommunityDecaturMercerKlamath FallsLehigh ValleyMercy ToledoKaiser LATylerNo Response:UCSD TraditionalNPCB P2.I.13.d(1.36) Does your residency program evaluate and treat erectile dysfunction within the family medicine center?Yes __ No __?Yes:SparrowHuntsvilleVenturaLong BeachU PennCrozer-KeystoneJeffersonMcKeesportOahuShadysideJohnstownAltoonaSt MargaretFairfaxNPCB P2.I.13.d(1.37) Does your residency program provide testosterone management within the family medicine center?Yes __ No __?Yes:SparrowHuntsvilleVenturaLong BeachU PennCrozer-KeystoneJeffersonMcKeesportOahu (We will do the workup and start patients on AndroGel; anything more complicated is referred to urologists.)ShadysideJohnstownAltoonaSt MargaretFairfaxNPCB P2.I.13.d(1.38) Does your residency program provide prostrate exams within the family medicine center? Yes __ No __?Yes:SparrowHuntsvilleVenturaLong BeachU PennCrozer-KeystoneJeffersonMcKeesportOahuShadysideJohnstownAltoonaSt MargaretFairfaxSD I.13d(1.4) Describe the kinds of urologic care that typically take place within the family health center (whether as normal appointments or during special clinics):Glendale (UTIs, incontinence)OU Tulsa (diagnose kidney stones; UTIs; prostate exams; no incontinence workups)OU Oklahoma City (non-surgical kidney stone management; incontinence evaluation; non-surgical impotence)Dayton Community (UAs; IVPs; bladder, renal ultrasound; incontinence workups, UTIs prostatitis; referred to urologist for cystoscopy)Miami Valley (upper and lower UTIs, stones, urinary incontinence)Decatur (ED; vasectomies; UTI; stones; infections; do not do urological cancers or surgery)Mercer (UTI; prostate disease; benign and malignant hematuria; erectile dysfunction; urinary incontinence; urinary retention; kidney failure; STDs; genital injuries)Natividad (infections; BPH; routine UTI; kidney stones, often in collaboration with a urologist; some following of prostate cancer; urinary infection)Klamath Falls (assessment of incontinence; treatment of BPH; investigation, treatment of stones; UTI; STDs in males)Lehigh Valley (kidney stones; prostate management; bladder infections; workup for pathologies)Mercy Toledo (normal male-female infections; incontinence; UTI; cystitis; cancers; general urologic care)Kaiser LA (stones; UTI; incontinence)Tyler (UTI; BPH management; ED management; acute and chronic prostitis; urinalysis; digital rectal exams; post-void residuals; bladder catherizations; ____ microscopy; GC clamydia probes)SD I.13d(5.1) Describe other kinds of urologic care that typically take place within the family health center (whether as normal appointments or during special clinics):Las Vegas (Erectile dysfunction)Fresno (none)Springfield (nothing else; we send out hemoturia)Glasgow (ED; low testosterone; hypergonadism; hemoturia; stones; testicular pain; epidymitis)Lexington (urinary retention; bladder and kidney infections; impotence)OHSU Portland (urinary retention; pelvic floor disorders; circumcision)NPCB P2.I.13d(6) For what conditions would your residency program refer patients to urologists? What is the expected wait time before the patient is seen?Sparrow (Stone management; any operative BPH; prostate surgery; wait time is 3 weeks)Huntsville (Complicated, recurring UTI; elevated PSA for biopsies; any surgery problem; wait time is a week or so)Ventura (Anything requiring operative intervention; kidney stones that do not pass; prostate biopsy or surgical management of BPH; TUR; prostrate cancer; surgical management of female incontinence; renal cell cancer)Long Beach (If we anticipate a patient will need surgery or lithotripsy, such a s a patient who failed pharmaceutical therapy, we refer; wait is 7-14 days)U Penn (Physician specific; wait time is same day to 2 or 3 months)Crozer-Keystone (Surgery only; patients seen within 2 weeks)Jefferson (prostate cancer; prostate nodules; testicular cancer)McKeesport (Surgical indications like urinary obstruction; vasectomy; urologists are seen within 2 weeks or more, depending on insurance)Oahu (For “male” urologists, suspected cancers, urinary retention refractory to the management we have initiated, persistent hemoturia, initial testicular cancer treatments, ED refractory to traditional management; for “female” urologists, severe incontinence requiring surgical interventions)Shadyside (Surgical urology; certain cystoscopy, stone treatments and procedures; some prostate cancer; 3-4 weeks to get routine appointments, a couple of days for acute problems)Johnstown (prostate cancer, some complicated advanced BPH, chronic hematuria, renal cancer, renal stones; wait time is a few days to a week, but immediately if necessary)Altoona (patients needing surgery; the wait time depends on the immediacy of the problems, it can be from the same day to 3 days, if an emergency; if patient is on Medicaid, they will be referred out of town, since the 3 urologists here do not see them)St Margaret (surgical treatment of problems; 1 week wait time)Fairfax (complicated renal stones, stone obstructions, cancer, prostate modules, persistent hematuria, consultation requiring hospitalization; one week wait time)*NPCB P2 I. Does your residency program manage the following disorders for your family medicine center patients either in the inpatient of outpatient settings (or both)?a) BPH? Yes __ No __Yes:Santa RosaReadingYorkLebanonBillingsMonroevilleBeaverLatrobeErieLawton*NPCB P2 I. Does your residency program manage the following disorders for your family medicine center patients either in the inpatient of outpatient settings (or both)?b) hematuria? Yes __ No __Yes:Santa RosaReadingYorkLebanonBillingsMonroevilleBeaverLatrobeErieLawton*NPCB P2 I. Does your residency program manage the following disorders for your family medicine center patients either in the inpatient of outpatient settings (or both)?c) urinary tract infection? Yes __ No __Yes:Santa RosaReadingYorkLebanonBillingsMonroevilleBeaverLatrobeErieLawton*NPCB P2 I. Does your residency program manage the following disorders for your family medicine center patients either in the inpatient of outpatient settings (or both)?d) prostate cancer screening? Yes __ No __Yes:Santa RosaReadingYorkLebanonBillingsMonroevilleBeaverLatrobeErieLawton*NPCB P2 I. Does your residency program manage the following disorders for your family medicine center patients either in the inpatient of outpatient settings (or both)?e) nephrolithiasis? Yes __ No __Yes:Santa RosaReadingYorkLebanonBillingsMonroevilleBeaverLatrobeErieLawton*NPCB P2 I. Does your residency program manage the following disorders for your family medicine center patients either in the inpatient of outpatient settings (or both)?f) prostititis? Yes __ No __Yes:Santa RosaReadingYorkLebanonBillingsMonroevilleBeaverLatrobeErieLawton*NPCB P2 I. Does your residency program manage the following disorders for your family medicine center patients either in the inpatient of outpatient settings (or both)?g) erectile dysfunction? Yes __ No __Yes:Santa RosaReadingYorkLebanonBillingsMonroevilleBeaverLatrobeErieLawton*NPCB P2 I. Does your residency program manage the following disorders for your family medicine center patients either in the inpatient of outpatient settings (or both)?h) STDs Yes __ No __Yes:Santa RosaReadingYorkLebanonBillingsMonroevilleBeaverLatrobeErieLawton*NPCB P2 I.3a(2.1) Does your residency program follow professional guidelines on specialty referrals for BPH? Yes __ No __Yes:Santa Rosa (I think so; not sure precisely)ReadingYorkLebanonBillingsErieLawtonNo:MonroevilleBeaverLatrobe*NPCB P2 I.2a(2.2) Does you residency program follow professional guidelines on specialty referrals for elevated PSAT? Yes __ No __Yes:Santa RosaReadingYorkBillingsMonroevilleBeaverLatrobeNo:LebanonErie (no consensus on which guidelines to follow)*NPCB P2 I.2a(2.3) Does your residency program participate in the identification, referral and follow-up care of patients requiring the following tertiary care services?a) advanced neurological disease? Yes __ No __Yes:Santa RosaReadingYork (Our residency has a close relationship with a urology group)LebanonBillingsMonroevilleBeaverLatrobeErieLawton*NPCB P2 I.2a(2.3) Does your residency program participate in the identification, referral and follow-up care of patients requiring the following tertiary care services?b) urological oncology? Yes __ No __Yes:Santa RosaReadingYorkLebanonBillingsMonroevilleBeaverLatrobeErieLawton*NPCB P2 I.2a(2.4) 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) ultrasound of prostate? Yes __ No __Yes:Santa RosaReadingYorkLebanonBillingsMonroevilleBeaverLatrobe*NPCB P2 I.2a(2.4) 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?b) imaging? Yes __ No __Yes:Santa RosaReadingYorkLebanonBillingsMonroevilleBeaverLatrobe*NPCB P2 I.2a(2.4) 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?c) cystoscopy? Yes __ No __Yes:Santa RosaReadingYorkLebanonBillingsMonroevilleBeaverLatrobe*NPCB P2 I.2a(2.4) 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?d) urodynamics? Yes __ No __Yes:Santa RosaReadingYorkLebanonBillingsMonroevilleBeaverLatrobeLast Updated (04 September 2006 18:48) people found this article helpful. What about you?