Taxonomy I Part IV-A (Women's Health – Gynecology)
Last Updated on April 16, 2022 by Lee Burnett, DO, FAAFP
(19 March 2006 09:58)
NATIONAL PROJECT ON THE COMMUNITY BENEFITS
OF FAMILY MEDICINE RESIDENCY PROGRAMS
CUMULATIVE QUESTIONNAIRE RESPONSES
Taxonomy Section I Part IV-A
(Women’s Health – Gynecology)
SD I.2a (CEH) Does your residency program have a separately defined geographic area designated for women’s health? Yes __ No __
No:
OHSU Portland
*NPCB P2 I.2.01 (SD I.2a) Is there an element of your residency program that you define as a “women’s health center”? Yes __ No __
Yes:
Huntsville
Ventura
McKeesport
Johnstown
Altoona
No:
Sparrow (we have a women’s community pre-natal clinic for non-physician services)
Long Beach
U Penn
Crozer-Keystone
Jefferson
Oahu
Shadyside
St Margaret
Fairfax
Santa Rosa
Reading
York (we may work with Wellspan’s women’s health center in the future)
Lebanon
Billings
Monroeville
Beaver
Latrobe
*NPCB P2 I.202 (SD I.2a.1 (CEH)) If the answer to NPCB P2 I.2.01 is yes, is the area within your family medicine center? Yes __ No __
If no, explain:
Yes:
McKeesport (once a week it is conducted; we are expanding this service)
Altoona (there is a dedicated set of exam rooms that are used on days that the “women’s health center” is scheduled, that will be used for other purposes on other days; additionally, there is a separate chart system to protect the confidentiality of patients served by the “family planning” program)
No:
Ventura (there is a geographically separate “women’s health center”, although women are also seen in the family med center)
Huntsville
Johnstown (there is a geographic space within the OB/GYN ambulatory service, that is staffed by the FMRP)
SD I.2g(1.01) (CEH)) Does your Women’s Health program include the following services:
(1.01) Pap Smears and Pelvic Exams? Yes __ No __
Yes:
OHSU Portland
*NPCB P2 I.2g(1.01) (SD I.2g (CEH)) Does your Women’s Health curriculum include the following services:
(1.01.1) Pelvic Exams? Yes __ No __
Yes:
Sparrow
Huntsville
Ventura
Long Beach
U Penn
Crozer-Keystone
Jefferson
McKeesport
Oahu
Shadyside
Johnstown
Altoona
St Margaret
Fairfax
Santa Rosa
Reading
York
Lebanon
Billings
Monroeville
Beaver
Latrobe
SD I.2g(1.02) (CEH) Does your Women’s Health program include the following services:
(1.02) Mammography? Yes __ No __
Yes:
OHSU Portland
*NPCB P2 I.2g(1.02.1) (SD I.2g (CEH)) Does your Women’s Health curriculum include the following services:
(1.02.1) Mammography performed within your family medicine center? Yes __ No __
Yes:
Ventura (on campus)
Fairfax (mammography equipment owned by a radiology group with space in the family medicine center)
Latrobe
No:
Sparrow
Huntsville
Long Beach
U Penn
Crozer-Keystone
Jefferson
McKeesport
Oahu
Shadyside
Johnstown
Altoona
St Margaret
Santa Rosa
Reading
York
Lebanon
Billings
Monroeville
Beaver
*NPCB P2 I.2g(1.02.2) (SD I.2g (CEH)) Does your Women’s Health curriculum include the following services:
(1.02.2) Mammography referred out of your family medicine center? Yes __ No __
Yes:
Sparrow
Huntsville
Long Beach
U Penn
Crozer-Keystone
Jefferson
McKeesport
Oahu
Shadyside (across the street)
Johnstown
Altoona
St Margaret
Fairfax (only when a patient requests it)
Santa Rosa
Reading
York
Lebanon
Billings
Monroeville
Beaver
Latrobe
No:
Ventura
SD I.2g(1.03) (CEH) Does your Women’s Health program include the following services:
(1.02) Screening for Osteoporosis? Yes __ No __
Yes:
OHSU Portland
*NPCB P2 I.2g(1.03.1) (SD I.2g(1.03.1) (CEH)) Does your Women’s Health curriculum include the following services:
(1.03.1) Screening for Osteoporosis? Yes __ No __
Yes:
Sparrow (outside the FMC at a Bone Density Center)
Huntsville
Ventura
Long Beach (not located in FMC)
U Penn
Crozer-Keystone
Jefferson
McKeesport
Oahu (not located in FMC)
Shadyside (through a process that assesses risk factors)
Johnstown
Altoona
St Margaret
Fairfax
Santa Rosa
Reading
York
Lebanon
Billings
Monroeville
Beaver
Latrobe
SD I.2g(1.04) (CEH) Does your Women’s Health program include the following services:
(1.03) Mental health services? Yes __ No __
others not)
Huntsville
Ventura
Long Beach
U Penn
Yes:
OHSU Portland
SD I.2g(1.04.1) (CEH) Does your Women’s Health curriculum include the following services:
(1.04.1)Mental health services? Yes __ No __
Yes:
Sparrow (some of the services are provided in the FMC, others not)
Huntsville
Ventura
Long Beach
U Penn
Crozer-Keystone
Jefferson
McKeesport
Oahu
Shadyside
Johnstown
Altoona
St Margaret
Fairfax
Santa Rosa
Reading
York
Lebanon
Billings
Monroeville
Beaver
Latrobe
SD I.2g(1.05) (CEH) Does your Women’s Health program include the following services:
(1.05) Weight loss programs? Yes __ No __
Yes:
OHSU Portland
*NPCB P2 I.2g(1.05.1) (SD I.2g(1.03.1) (CEH)) Does your Women’s Health curriculum include the following services:
(1.05.1) Weight loss programs? Yes __ No __
Yes:
Sparrow (counseling and BMI is done in-house; we sometimes refer the morbidly obese to Sparrow Hospital’s weight loss program)
Huntsville
Ventura (each doctor works with patients and dieticians)
U Penn
Crozer-Keystone
Jefferson
Oahu
Shadyside (not provided at family medicine center)
Johnstown
Altoona
Santa Rosa
Reading
York
Lebanon
Billings
Monroeville
Beaver
Latrobe
No:
Long Beach
McKeesport (this takes place at UPMC McKeesport MC)
St Margaret
Fairfax (we counsel on diet, but there is no separate service line)
SD I.2g(1.06)(CEH) Does your Women’s Health program include the following services:
(1.06) Adolescent programs? Yes __ No __
Yes:
OHSU Portland
*NPCB P2 I.2g(1.06.1) (SD I.2g(1.03.1) (CEH)) Does your Women’s Health curriculum include the following services:
(1.06.1) Adolescent programs? Yes __ No __
Yes:
Huntsville
Ventura (each doctor works with patients and adolescent therapists)
U Penn
Crozer-Keystone
Jefferson
McKeesport (we do teen groups)
Oahu
Shadyside (not provided at family medicine center)
Johnstown
Altoona
Santa Rosa
Reading
Billings
Monroeville
Beaver
Latrobe
No:
Sparrow (nothing formal, except some depression screening)
Long Beach
York (these take place in other FMRP curricula)
Lebanon
*SD I.2g(1.07) (CEH) Does your Women’s Health program include the following services:
(1.07) Pre-pregnancy wellness programs? Yes __ No __
Yes:
OHSU Portland
*NPCB P2 I.2g(1.07.1) (SD I.2g(1.07) (CEH)) Does your Women’s Health curriculum include the following services:
(1.07.1) Pre-pregnancy wellness programs? Yes __ No __
Yes:
Sparrow
Huntsville
U Penn
Crozer-Keystone
Jefferson
McKeesport (pre-pregnancy counseling)
Oahu (we do regular preconception counseling, but not through a dedicated program)
Shadyside
Johnstown (informally)
Santa Rosa
Reading
York
Lebanon
Billings
Monroeville
Beaver
Latrobe
No:
Ventura
Long Beach
SD I.2g (CEH) Does your Women’s Health program include the following services:
(1.08) Exercise or aerobic programs? Yes __ No __
No:
OHSU Portland
*NPCB P2 I.2g(1.07.1) (SD I.2g(1.07) (CEH)) Does your Women’s Health curriculum include the following services:
(1.08.1) Exercise or aerobics programs? Yes __ No __
Yes:
Sparrow (counseling; no formal programs)
Crozer-Keystone
Jefferson
Shadyside
Altoona
Santa Rosa
Reading
Billings
Monroeville
Beaver
Latrobe
No:
Huntsville
Ventura
Long Beach
U Penn
McKeesport
Oahu
Johnstown
St Margaret
Fairfax (we counsel, but there is no organized program)
York (exercise and aerobics are part of other FMRP curricula)
SD I.2g(2.01) (CEH) Indicate which of the following procedures are performed in your family medicine center or women’s health clinic:
(2.01) PAP Smears? Yes __ No __
Yes:
OHSU Portland
*NPCB P2 I.2g(2.01) (SD I.2g(2.01) (CEH)) Indicate which of the following procedures are performed by your residency program. If a procedure is performed by the residency program, but not within the family medicine center, please explain in which setting that procedure takes place.
(2.01.1) PAP Smears? Yes __ No __
Yes:
Sparrow
Huntsville
Ventura
Long Beach
U Penn
Crozer-Keystone
Jefferson
McKeesport
Oahu
Shadyside
Johnstown
Altoona
St Margaret
Fairfax
Santa Rosa
Reading
York
Lebanon
Billings
Monroeville
Beaver
Latrobe
Previous Colposcopy Questions
SD I.2g.1.1 (SD I.13e (L32)) Does your residency provide specialty care?
SD I.13e(0) If yes, list these services in approximate order of volume or revenue.
(Is colposcopy listed?)
Yes:
UCSD (listed third after psychiatry and maternity care and before flexible sigmoidoscopy)
Site-visited profiled residencies:
Yes:
Harbor (listed as one of a group of half-day a week special clinics, including procedures clinic, flex sig, sports medicine, adolescent care and geriatric care. Sports med has 10-12 patients per half day)
SD I.2g.1.2 (SD I.13e(1) (L32)) Does your residency program provide the following kinds of specialty care? e. Colposcopy? 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:
UC Irvine (all during special clinics; 10 patients a week for colposcopy and gynecologic procedures combined)
White Memorial (done in family health center continuity clinic)
Riverside (done in family health center)
Durant (two a month)
OSU Tulsa
USC Univ & SG (done as a special clinic within the family health centers and in the community health centers)
Modesto
Saints (do on GI rotation)
Indiana U Methodist
SD I.2g1.3 (SD I.13e(1.1) (SD I.13e(2) (L32)) Does your residency program provide the following kinds of specialty care?
e. Colposcopy? Yes__ No __
Yes:
Whittier
Pomona
Arrowhead
Loma Linda
Stockton
Louisville
MCE Birmingham
Glendale
OU Tulsa
OU Oklahoma City
Dayton Community
Miami Valley
Decatur
Mercer
Natividad
Klamath Falls
Mercy Toledo
Kaiser LA
Tyler
Las Vegas
Fresno
Springfield
No:
Lehigh Valley (done by residents at Health Spring, a family medicine practice in Bethlehem)
SD I .2g.1.4 (SD I.13e(I.2) ((SD I.13e(3)) If you do provide colposcopy, are these services provided as normal family health center appointments? Yes __ No __
Yes:
Whittier
Arrowhead
Loma Linda
Louisville
MCE Birmingham
Glendale
OU Tulsa
Dayton Community
Miami Valley
Decatur
Mercer
Mercy Toledo (6-10 will take place in normal family health center appointments; others are scheduled in special clinics)
Kaiser LA
Las Vegas
Lexington
No:
Pomona
Stockton
OU Oklahoma City
Natividad
Klamath Falls
Tyler
Fresno
Springfield
Glasgow
SD I.2g.1.5 (SD I.13e(1.3) (SD I.13e(4)) If you do provide colposcopy, 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 (procedure is done both in regular family health center appointments and in the special clinic for women’s health)
Pomona
Arrowhead (120)
Loma Linda (120/yr)
Stockton (3 per clinic; revenues of an unknown amount are generated)
Louisville (400/yr; billing would know amount of revenues generated)
Glendale (4 per clinic; he revenues generated vary, depending on the payor)
OU Tulsa (2/clinic; 100/year)
OU Oklahoma City (6 per half-day; 44 weeks/yr; 264 patients annually; revenues TBD)
Natividad (15/mo/ since coming under FQHC rate, we now lose money on procedures)
Klamath Falls (3/wk; $750/week)
Mercy Toledo (colposcopy normally is done in OB/GYN clinics, but can take place elsewhere, including family health center appointments)
Tyler (2-3 patients per clinic, $1000 per clinic; 1 per month)
Fresno (6/wk at Family First Planned Parenthood; 2/wk at UMC; 2-6/wk at Selma; 2-6/wk at Sequoia)
Springfield (6/clinic; 3 clinics a wk; $50/patient for public aid; $150-250/patient for HMOs)
Glasgow (1 or 2 per clinic; $60-$80 per patient)
No:
MCE Birmingham
Dayton Community
Miami Valley (also done in GYN service and in private doctors’ offices)
Decatur
Mercer
Kaiser LA
Las Vegas
Lexington (diagnostic and therapeutic procedures scheduled in clusters)
SD I.2g(2.02) (CEH) Indicate which of the following procedures are performed in your family medicine center or women’s health clinic:
(2.02) Colposcopy? Yes __ No __
Yes:
OHSU Portland
*NPCB P2 I.2g(2.02.1) (SD I.2g(2.02) (CEH)) Indicate which of the following procedures are performed by your residency program. If a procedure is performed by the residency program, but not within the family medicine center, please explain in which setting that procedure takes place.
(2.02.1) Colposcopy? Yes __ No __
Yes:
Sparrow
Huntsville
Ventura
Long Beach
U Penn
Crozer-Keystone
Jefferson
McKeesport
Oahu
Shadyside
Johnstown
Altoona
St Margaret
Fairfax
Santa Rosa
Reading
York
Lebanon
Billings
Monroeville
Beaver
Latrobe (takes place within women’s health center)
SD I.2g(2.03) (CEH) Indicate which of the following procedures are performed in your family medicine center or women’s health clinic:
(2.03) Cryotherapy? Yes __ No __
Yes:
OHSU Portland
*NPCB P2 I.2g(2.03.1) (SD I.2g(2.03) (CEH)) Indicate which of the following procedures are performed by your residency program. If a procedure is performed by the residency program, but not within the family medicine center, please explain in which setting that procedure takes place.
(2.03.1) Cryotherapy? Yes __ No __
Yes:
Sparrow
Huntsville
Ventura
Long Beach
Jefferson
McKeesport
Oahu
Shadyside
Johnstown
Altoona
Fairfax
Santa Rosa
Reading
York
Lebanon
Billings
Monroeville
Beaver
Latrobe (takes place within women’s health center)
No:
U Penn
Crozer-Keystone (in gynecology office)
St Margaret
SD I.2g(2.04) (CEH) Indicate which of the following procedures are performed in your family medicine center or women’s health clinic:
(2.04) LEEPs? Yes __ No __
Yes:
OHSU Portland
*NPCB P2 I.2g(2.04.1) (SD I.2g(2.04) (CEH)) Indicate which of the following procedures are performed by your residency program. If a procedure is performed by the residency program, but not within the family medicine center, please explain in which setting that procedure takes place.
(2.04.1) LEEPs? Yes __ No __
Yes:
Sparrow
Huntsville
Ventura
Jefferson (performed at Surgery Center)
McKeesport (performed at UPMC McKeesport MC)
Shadyside (in hospital)
Johnstown (only in Women’s Health Center)
Altoona (performed in hospital by OB/GYNs)
Santa Rosa (takes place in Public Health Department and at Mendocino FP office)
Latrobe (takes place in women’s health center)
No:
Long Beach
U Penn
Crozer-Keystone (performed in gynecologist office)
Oahu (referred to Ob/Gyn)
St Margaret
Reading (GYN clinic does these)
York (done in gynecology office by specialists)
Lebanon
Billings (referred out)
Monroeville
Beaver
SD I.2g(2.05) (CEH) Indicate which of the following procedures are performed in your family medicine center or women’s health clinic:
(2.05) Endometrial Biopsies? Yes __ No __
Yes:
OHSU Portland
*NPCB P2 I.2g(2.05.1) (SD I.2g(2.05) (CEH)) Indicate which of the following procedures are performed by your residency program. If a procedure is performed by the residency program, but not within the family medicine center, please explain in which setting that procedure takes place.
(2.05.1) Endometrial Biopsies? Yes __ No __
Yes:
Sparrow
Huntsville
Ventura
Long Beach
U Penn
Crozer-Keystone
Jefferson
McKeesport
Oahu
Shadyside
Johnstown
Altoona
St Margaret
Fairfax
Santa Rosa
Reading
York
Lebanon
Billings
Monroeville
Beaver
Latrobe (takes place within women’s health center)
SD I.2g(2.07) (CEH) Indicate which of the following procedures are performed in your family medicine center or women’s health clinic:
(2.07) NSTs? Yes __ No __
No:
OHSU Portland
*NPCB P2 I.2g(2.07.1) (SD I.2g(2.07) (CEH)) Indicate which of the following procedures are performed by your residency program. If a procedure is performed by the residency program, but not within the family medicine center, please explain in which setting that procedure takes place.
(2.07.1) NSTs? Yes __ No __
Yes:
Huntsville
Long Beach (in hospital)
U Penn
Jefferson (at ante-natal testing center)
McKeesport
Shadyside
Johnstown (in Labor and Delivery)
Altoona
Fairfax
Santa Rosa (in hospital)
Reading (at Labor and Delivery center)
York (in maternity and labor)
Lebanon
Billings
Monroeville (in hospital, in labor and delivery adjacent to the inpatient family medicine service)
Beaver
Latrobe (takes place in women’s health center)
No:
Sparrow (done on perinatal service)
Ventura (adjacent to FMC in hospital)
Crozer-Keystone
Oahu (done at hospital)
St Margaret
Previous Contraception Questions
SD I.13h (L32) Does your residency provide specialty care?
SD I.13h(0) If yes, list these services in approximate order of volume or revenue.
(Is contraception listed?)
Yes:
UC Irvine (Gynecologic procedures listed first; then vasectomy/contraception)
SD I.13h(1) (L32) Does your residency program provide the following kinds of specialty care? h. Contraception? 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
Scripps Chula Vista
UC Irvine (provided in regular clinics; no estimate of income)
White Memorial (provided in family health center)
Riverside (provided in family health center)
Durant
OSU Tulsa
USC Univ & SG (in family health centers and community clinics)
Modesto
Saints
Indiana U Methodist
No:
UCSD St Vincent
SD I.13h(1.1) (SD I.13h(2) (L32)) Does your residency program provide the following kinds of specialty care? h. contraception? Yes__ No __
Yes:
Whittier
Pomona
Arrowhead
Loma Linda
Stockton
Louisville
MCE Birmingham
Glendale
OU Tulsa
OU Oklahoma City
Dayton Community
Miami Valley
Decatur
Mercer
Natividad
Klamath Falls
Lehigh Valley
Mercy Toledo
Kaiser LA
Tyler
Las Vegas
Fresno
Springfield
Glasgow
Lexington
OHSU Portland
SD I.13h(I.2) (SD I.13h(3)) If you do perform contraceptive services, are these services provided as normal family health center appointments? Yes __ No __
Yes:
Whittier
Pomona
Loma Linda
Stockton
Louisville (these services are provided more often at the community-based satellite family health centers)
Glendale
OU Tulsa
OU Oklahoma City
Dayton Community
Miami Valley (also done in GYN)
Decatur
Mercer
Natividad
Klamath Falls
Lehigh Valley
Mercy Toledo
Kaiser LA
Tyler
Las Vegas
Fresno
Springfield
Glasgow
Lexington
OHSU Portland
No:
Arrowhead
No Response Recorded:
MCE Birmingham
SD I.13h(1.3) (SD I.13h(4)) If you do perform contraceptive services, are these services provided during special clinics? Yes __ No __
If so, what is the number of patients seen? What revenues are generated in each specialty service?
Yes:
Whittier
Arrowhead (140)
Loma Linda (600/yr)
Stockton (12/clinic; revenues of unknown amount are generated)
Louisville
Natividad
Mercy Toledo
Glasgow (1-2 patients/clinic)
No:
Pomona
Glendale
OU Tulsa
OU Oklahoma City
Dayton Community
Miami Valley
Decatur
Mercer
Klamath Falls
Lehigh Valley
Kaiser LA
Tyler
Las Vegas
Fresno
Springfield
Lexington
OHSU Portland
No Response Recorded:
MCE Birmingham
SD I.13h(1.3) (SD I.13h(4)) If you do perform contraceptive services, are these services provided during special clinics? Yes __ No __
If so, what is the number of patients seen? What revenues are generated in each specialty service?
Yes:
Whittier
Arrowhead (140)
Loma Linda (600/yr)
Stockton (12/clinic; revenues of unknown amount are generated)
Louisville
Natividad
Mercy Toledo
Glasgow (1-2 patients/clinic)
No:
Pomona
Glendale
OU Tulsa
OU Oklahoma City
Dayton Community
Miami Valley
Decatur
Mercer
Klamath Falls
Lehigh Valley
Kaiser LA
Tyler
Las Vegas
Fresno
Springfield
Lexington
OHSU Portland
No Response Recorded:
MCE Birmingham
SD I.13h(1.4) (SD I.13h(5)) Describe the kinds of contraception services that typically take place within the family health center (whether as normal appointments or during special clinics):
Dayton Community (cryotherapy, oral contraceptive pills, patches, injections; no tubal ligations, IUDs nor diaphragms are done)
Miami Valley (oral contraceptives; diaphragms, depoprivera, patches)
Decatur (birth control pills; depoprivera)
Mercer (patches; injections; birth control pill; IUD; vasectomy; Norplant removal; diaphragms)
Natividad (prescription of routine pills, patches and injectibles; no terminations, either surgical or medical, in clinic)
Klamath Falls
Lehigh Valley (IUDs; diaphragms; birth control; depoprivera shorts; area method)
Mercy Toledo (deproprivera; birth control bills; all non-surgical contraception; IUDs are referred out; routine care done in FMC; contraception would not be the sole purpose of going to the GYN clinic, except for special problems)
Kaiser LA (all contraception; depoprivera; IUD insertions)
Tyler (oral contraceptives; no IUDs; general workups; depoprivera shots)
Las Vegas (barium methods; hormonal contraception; IUDs)
Fresno (birth control pills; patches)
Springfield (no response recorded)
Glasgow (counseling; depoprivera; oral contraceptives; IUD placement)
Lexington (all types, except tubal ligations, are provided in family medicine center)
OHSU Portland (birth control pills; IUDs; Norplant; cervical caps; nuva rings; diaphragm fitting; condom dispensing)
SD I.2g(2.08) (CEH) Indicate which of the following procedures are performed in your family medicine center or women’s health clinic:
(2.08) IUD Insertion? Yes __ No __
Yes:
OHSU Portland
*NPCB P2 I.2g(2.08.1) (SD I.2g(2.08) (CEH)) Indicate which of the following procedures are performed by your residency program. If a procedure is performed by the residency program, but not within the family medicine center, please explain in which setting that procedure takes place.
(2.08.1) IUD Insertion? Yes __ No __
Yes:
Sparrow
Huntsville
Ventura
Long Beach
U Penn
Crozer-Keystone
Jefferson
McKeesport
Oahu
Shadyside (limited)
Johnstown (rarely, in women’s health center)
Altoona
St Margaret
Fairfax
Santa Rosa
Reading
York
Billings
Monroeville
Beaver
Latrobe (takes place in women’s health center)
No:
Lebanon
SD I.2g(2.09) (CEH) Indicate which of the following procedures are performed in your family medicine center or women’s health clinic:
(2.09) Birth Control Advice? Yes __ No __
Yes:
OHSU Portland
*NPCB P2 I.2g(2.09.1) (SD I.2g(2.09) (CEH)) Indicate which of the following procedures are performed by your residency program. If a procedure is performed by the residency program, but not within the family medicine center, please explain in which setting that procedure takes place.
(2.09.1) Birth Control Advice? Yes __ No __
Yes:
Sparrow
Huntsville
Ventura
Long Beach
U Penn
Crozer-Keystone
Jefferson
McKeesport
Oahu
Shadyside
Johnstown
Altoona
St Margaret
Fairfax
Santa Rosa
Reading
York
Lebanon
Billings
Monroeville
Beaver
Latrobe
Previous Gynecologic Procedures Questions
SD I.13f (L32) Does your residency provide specialty care?
SD I.13f(0) If yes, list these services in approximate order of volume or revenue.
(Are gynecologic procedures listed?)
Yes:
UC Irvine (Listed first, followed by Vasectomy/ Contraception)
Site-visited profiled residencies:
Yes:
UCLA (listed first, followed by cardiology and behavioral health)
SD I.13f(1) (L32) Does your residency program provide the following kinds of specialty care? f. Gynecologic procedures? 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
Scripps Chula Vista
UCSD St Vincent
UC Irvine (all during special clinics; 10 patients a week for colposcopy and gynecologic procedures combined)
White Memorial (mostly in continuity clinic; no designated special clinic, although some gynecologic procedures are done in procedures clinic)
Riverside
Durant (biopsies and PAP Smears)
OSU Tulsa
USC Univ & SG (in the family health centers and community clinics)
Modesto
No:
Indiana U Methodist
SD I.13f(1.1) (SD I.13f(2) (L32)) Does your residency program provide the following kinds of specialty care? f (1). Gynecologic procedures? Yes__ No __
Yes:
Whittier
Pomona
Arrowhead
Loma Linda
Stockton
Louisville
MCE Birmingham
Glendale
OU Tulsa
OU Oklahoma City
Dayton Community
Miami Valley
Decatur
Mercer
Natividad
Klamath Falls
Lehigh Valley
Mercy Toledo
Kaiser LA
Tyler
Las Vegas
Fresno
Springfield
Glasgow
Lexington
SD I.13f(1.2) (SD I.13f(3)) If you do provide gynecologic procedures, are these services provided as normal family health center appointments? Yes __ No __
Yes:
Whittier
Pomona
Arrowhead
Loma Linda
Stockton
Louisville
MCE Birmingham
Glendale
OU Tulsa
OU Oklahoma City
Dayton Community
Miami Valley
Decatur
Mercer
Natividad
Klamath Falls
Lehigh Valley
Mercy Toledo
Kaiser LA
Tyler
Fresno
Springfield
Lexington
No:
Glasgow
SD I.13f(1.3) (SD I.13f(4)) If you do provide gynecologic procedures, 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 (services provided both in family health center and women’s health clinic)
Pomona
Arrowhead (120)
Loma Linda (60/year)
Stockton (6/clinic; revenues of unknown magnitude are generated)
OU Tulsa (9 per special clinic; 1 clinic per week)
OU Oklahoma City (6 per clinic; 254 annually)
Natividad
Klamath Falls (4/wk; $240/wk)
Mercy Toledo (6-8 each; 2 sessions per month; will get revenue estimates)
Springfield (LEEPS: 4 per clinic; 1 clinic per wk; $50-150 per patient)
Glasgow (1 or 2 a clinic; revenues of $100-$200 per clinic)
No:
Louisville (We will have in the future. Currently, we are clustering appointments for procedures under the supervision of a specified faculty member)
MCE Birmingham
Glendale
Dayton Community
Miami Valley
Decatur
Mercer
Lehigh Valley
Kaiser LA
Tyler
Las Vegas
Fresno
Lexington
SD I.13f(1.4) (SD I.13f(5)) Describe the kinds of gynecologic procedures that typically take place within the family health center (whether as normal appointments or during special clinics):
Glendale (IUD, EMD, Norplant, PAP Smears, pelvic exams, colposcopies)
OU Tulsa (endometrial biopsies, IUD removal, cervical cryotherapy; cervical dilation during normal appointments; LEEPs, gynecological ultrasound during special clinics)
OU Oklahoma City (endometrial biopsies, Norplant, IUDs)
Dayton Community (PAP smears; colposcopies; endometrial biopsies; routine wet preps)
Miami Valley (the #2 patient encounter for the family health center (after #1 routine pediatric exam) is the routine GYN exam; breast and pelvic exams; PAP smears; contraceptive counseling; acute GYN illness; vaginitis)
Decatur (PAP smears; EMB; LEEPs; refer out surgical GYN, DNCs, tubals)
Mercer (PAP smears; cervical polypectomy; colposcopy; cryotherapy; genital wart treatment; vulvar biopsy; IUD; endometrial biopsies; diaphragms)
Natividad (IUDs; endometrial biopsies; cervical biopsies)
Klamath Falls (IUD insertion; endometrial biopsies; assessment of incontinence, pelvic masses; pre-op assessments for bladder suspensions; infertility; gyne-endocrinology, such as polycystic ovarian disease)
Lehigh Valley (PAP smears; endometrial biopsies; IUDs; warts; diaphragms; STDs)
Mercy Toledo (general reproductive care; women’s health; endometrial biopsies; PAP smears; abnormal PAP assessment; pre-surgical and postoperative consultations; regular and vulvar biopsies; wet preps)
Kaiser LA (endometrial biopsies; IUD removal)
Tyler (pap smears; GC clamydia probes; EMB; tubal ligations; pessary insertion; ward’s(?) catherization)
Las Vegas (colposcopy; EMB; cervical polyp removal; IUD insertion and removal; PAP spear; Norplant insertion and removal)
Fresno (IUDs, PAPs, EMDs)
Springfield (PAP Smears; EMT biopsies; IUD insertions; no diaphragms)
Glasgow (Placement of IUDs; endometrial biopsies; cervical biopsies)
Lexington (Endometrial sampling; routine preventive gynecologic care; IUD placement)
SD I.2g.10 Describe any other kinds of gynecologic procedures that typically take place within the family medicine center (whether as normal appointments or during special clinics):
OHSU Portland (Abortion (surgical and medical), DNC)
*NPCB P2 I.13g.2 Does your residency program have in-house consultation in OB/GYN? Yes __ No __
Yes:
Sparrow
Huntsville
Ventura
Long Beach (We have a relationship with a perinatal group that consults us)
U Penn
Crozer-Keystone
Jefferson
McKeesport (At UPMC McKeesport MC; some at FMC)
Shadyside
Johnstown
St Margaret
Fairfax
Santa Rosa
Reading
York
Lebanon
Monroeville
Beaver
Latrobe
No:
Oahu
Altoona
Billings
*NPCB P2 I.13g.3 For what conditions would your residency program refer patients to gynecologists? What is the expected wait time before a patient is seen?
Sparrow (any operative surgical procedure; management of endometriosis; abnormal bleeding)
Huntsville (surgical gynecological problems; sometimes, high risk pregnancies)
Ventura (surgical management of gynecological problems; wait time is less than one week)
Long Beach (if surgery is needed, wait time is 4 weeks)
U Penn (physician specific; same day to 1 month)
Crozer-Keystone (2 weeks for surgery; dysfunctional urinary bleeding; cervical, uterine cancers)
Jefferson (gynecologic cancers; high risk pregnancies)
McKeesport (surgical; tubal ligations, ovarian cysts, hysterectomies; patients seen within a week)
Oahu (some medical-surgical complications of pregnancy; refractory vaginal bleeding; ovarian abnormalities (fibroids, cysts, endometriosis), any suspected cancer, any severe cervical dysplasia, abnormal PAP smears)
Shadyside (specialized testing; infertility workup; complex GYN procedures; those patients who do not respond to treatment)
Johnstown (GYN oncology; infertility; operative GYN)
Altoona (conditions we cannot figure out or that need OB type surgery; at patient’s request; in emergencies, patients are seen the same day, otherwise referrals take days to weeks)
St Margaret (because we have a gynecologist participating in our family medicine center, we rarely refer outside; it takes 2-3 weeks for referred patients to be seen)
Fairfax (GYN cancers; persistent bleeding, not managed in-house; in this community, incontinence is cared for by uro-gynecologists; sterilizaztion; patients seen in less than a week)
Santa Rosa (we have a GYN consultant in our family medicine center; we refer dysfunctional bleeding that we cannot manage, cancer, and surgery; the wait time is 1-2 weeks)
Reading (menometorraghgia; pelvic cyst/mass; GYN cancers; urinary incontinence evaluations)
York (known or suspected malignancies; refractory vaginosis; vaginitis; pelvic pain; pelvic relation (prolaxed uterus; urinary incontienence; idiopathic or chronic cystitis; wait time is 1-2 weeks)
Billings (LEEPs, GYN surgery; sterilization – although some is done in family medicine center; emergencies seen the next day, others, one week wait time)
Monroeville (surgical procedures; the wait time is as needed; urgent is seen the same day; elective treatment, might require one month wait)
Beaver (we have a GYN clinic staffed by residents with 2 GYN consultants that participation; we typically refer GYN surgery; the wait time is less than 2 weeks)
Latrobe (malignancies; infertility; endometriosis; fibroids; 7 days wait)
No Response:
Lebanon
Last Updated (20 August 2006 09:06)