Taxonomy I Part V-A (Dermatology)

18 years ago

Bill Burnett

20 minutes

Last Updated on April 16, 2022 by Lee Burnett, DO, FAAFP

(19 March 2006 13:30)

NATIONAL PROJECT ON THE COMMUNITY BENEFITS

OF FAMILY PRACTICE RESIDENCY PROGRAMS

CUMULATIVE QUESTIONNAIRE RESPONSES

Taxonomy Section I Part V-A

(Dermatology)

SD I.13j (L32) Does your residency provide specialty care?

SD I.13j (0) If yes, list these services in approximate order of volume or revenue.

(Is dermatology listed?)

Site-visited profiled residencies:

Yes:

Northridge

SD I.13j(1) (L32) Does your residency program provide the following kinds of specialty care? j. Dermatology? 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

UCSD St Vincent

UC Irvine (no special dermatology clinics; no revenue estimates)

White Memorial (as part of routine family medicine center appointments)

Riverside

Durant

OSU Tulsa

USC Univ & SG (in family medicine centers and in a private office)

Modesto

Saints (rolled in to regular family medicine center; plus formal rotations in dermatologist offices)

No:

Scripps Chula Vista

Indiana U Methodist

SD I.13j(1.1) (SD I.13j(2) (L32)) Does your residency program provide the following kinds of specialty care? j. Dermatology? 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.13j(1.2) (SD I.13j(3)) If you do provide dermatology, are these services provided as normal family medicine 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

Las Vegas

Fresno

Springfield

Glasgow

Lexington

OHSU Portland

SD I.13j(1.3) (SD I.13j(4)) If you do provide dermatology, 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 (dermatology is provided both in FHC and in dermatology clinic)

Pomona

Arrowhead (200)

Loma Linda (30/yr)

Stockton (14 per clinic/revenues are generated)

OU Tulsa (10 patients 1/half-day week/ 500/yr; revenues are generated through referrals from other clinics)

Natividad (3 per clinic; one clinic per week throughout year)

Mercy Toledo (7 patients per week; $100/patient)

Springfield (1 clinic/wk, 6-8 per clinic; skin tags to biopsies; varying revenues)

Glasgow (3-4/clinic; $100-$300 per excision)

No:

Louisville

MCE Birmingham

Glendale (we are thinking about having a specialty clinic)

OU Oklahoma City

Dayton Community

Miami Valley

Decatur

Mercer

Klamath Falls

Lehigh Valley

Kaiser LA

Tyler

Las Vegas

Fresno

Lexington

OHSU Portland

SD I.13j(1.4) (SD I.13j(5)) Describe the kinds of dermatology that typically takes place within the family medicine center (whether as normal appointments or during special clinics):

Glendale (biopsies (punch and excisional); suturing; laceration repair; acne treatment; we have workshops for residents in skin cryosurgery)

OU Tulsa (lesion biopsy and removal; cryotherapy)

OU Oklahoma City (excisions; punch biopsies; cryotherapy; skin tags)

Dayton Community (identification of rashes; punch biopsies; excisions; identification of rashes and routine dermatological problems; supercesions; cryotherapy)

Miami Valley (most common: skin infestations (mycoses, parasites, bug bites); contact dermatitis; skin biopsies; skin scrapings microscopy)

Decatur (routine non-surgical dermatology; excisions; cryosurgery; refer out what we cannot identify)

Mercer (all of it: rash treatment; biopsies; cryotherapy; dermatitis; skin cancer removal; melanoma diagnosis)

Natividad (Salinas has only two dermatologists, neither of whom takes Medicaid. Therefore, our residency program sees everything. We get referrals from internal medicine clinics and from primary care physicians)

Klamath Falls (assessment of rashes; skin biopsies; skin cancers for treatment (basal cell and equamous cell); cryotherapy; electroexcision and dessication of lesions)

Lehigh Valley (removal of skin lesions; biopsies; cryotherapy; toenails)

Mercy Toledo (we see everything, because patients are unable to see dermatologists in Toledo; general skin care; more recalcitrant acne, dermatoses that are not responding to treatment, diagnostic conundrums, are seen in special clinics)

Kaiser LA (shape biopsies; punch biopsies; topical treatments; acne; cryotherapy; most everything)

Tyler (shave and punch biopsies; excisions; cryotherapy; KOH fungal preparations; wood light examinations; leprosy skin smears)

Las Vegas (evaluation and treatment; warts; excisional, shape and punch biopsies; cebaceous cyst removal; cancer screening; baldness treatments)

Fresno (biopsies; diagnosis and treatment)

Springfield (typical rashes; mole evaluations; acne; skin lesions; fungal, bacterial and viral problems; abscesses)

Glasgow (cryotherapy; punch biopsy; lesion removal; diagnosis)

Lexington (evaluation and treatment of all skin diseases; incisional and excisional biopsies; cryotherapy)

OHSU Portland (rashes; chronic conditions, e.g., psoriasis and eczema; skins biopsies; skin lesion excisions; scraping)

NPCB P2 I.2g.1(1) (RR) Indicate which of the following dermatological 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 what setting that procedure takes place.

Specify if any of the following procedures are performed exclusively by specialists in dermatology associated with your residency program; and specify if any of the procedures are performed exclusively by family medicine faculty.

(1) punch biopsies? Yes __ No __

Yes:

Sparrow

Huntsville

Ventura

Long Beach

U Penn

Crozer-Keystone

Jefferson

McKeesport

Oahu

Shadyside

Johnstown

Altoona

St Margaret

Fairfax

NPCB P2 I.2g.1(2) (RR) Indicate which of the following dermatological 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 what setting that procedure takes place.

(2) excisional biopsies? Yes __ No __

Yes:

Sparrow

Huntsville

Ventura

Long Beach

U Penn

Crozer-Keystone

Jefferson

McKeesport

Oahu

Shadyside

Johnstown

Altoona

St Margaret

Fairfax

NPCB P2 I.2g.1(3) (RR) Indicate which of the following dermatological 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 what setting that procedure takes place.

(3) shave biopsies? Yes __ No __

Yes:

Sparrow

Huntsville

Ventura

Long Beach

U Penn

Crozer-Keystone

Jefferson

McKeesport

Oahu

Shadyside

Johnstown

Altoona

St Margaret

Fairfax

NPCB P2 I.2g.1(4) (RR) Indicate which of the following dermatological 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 what setting that procedure takes place.

(4) laceration repair? Yes __ No __

Yes:

Sparrow

Huntsville

Ventura

Long Beach (both in FMC and in ER)

U Penn

Crozer-Keystone

Jefferson

McKeesport

Oahu

Shadyside

Johnstown

Altoona

St Margaret

Fairfax

NPCB P2 I.2g.1(5) (RR) Indicate which of the following dermatological 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 what setting that procedure takes place.

(5) acne treatment? Yes __ No __

Yes:

Sparrow

Huntsville

Ventura

Long Beach

U Penn

Crozer-Keystone

Jefferson

McKeesport

Oahu

Shadyside

Johnstown

Altoona

St Margaret

Fairfax

NPCB P2 I.2g.1(6) (RR) Indicate which of the following dermatological 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 what setting that procedure takes place.

(6) cryosurgery? Yes __ No __

Yes:

Sparrow

Huntsville

Ventura

Long Beach

U Penn

Crozer-Keystone

Jefferson

McKeesport

Oahu

Shadyside

Johnstown

Altoona

St Margaret

Fairfax

NPCB P2 I.2g.1(7) (RR) Indicate which of the following dermatological 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 what setting that procedure takes place.

(7) skin tags removal? Yes __ No __

Yes:

Sparrow

Huntsville

Ventura

Long Beach

U Penn

Crozer-Keystone

Jefferson

McKeesport

Oahu

Shadyside

Johnstown

Altoona

St Margaret

Fairfax

NPCB P2 I.2g.1(8) (RR) Indicate which of the following dermatological 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 what setting that procedure takes place.

(8) identifying rashes? Yes __ No __

Yes:

Sparrow

Huntsville

Ventura

Long Beach

U Penn

Crozer-Keystone

Jefferson

McKeesport

Oahu

Shadyside

Johnstown

Altoona

St Margaret

Fairfax

NPCB P2 I.2g.1(9) (RR) Indicate which of the following dermatological 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 what setting that procedure takes place.

(9) ID routine dermatological problems? Yes __ No __

Yes:

Sparrow

Huntsville

Ventura

Long Beach

U Penn

Crozer-Keystone

Jefferson

McKeesport

Oahu

Shadyside

Johnstown

Altoona

St Margaret

Fairfax

NPCB P2 I.2g.1(10) (RR) Indicate which of the following dermatological 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 what setting that procedure takes place.

(10) cryotherapy? Yes __ No __

Yes:

Sparrow

Huntsville

Ventura

Long Beach

U Penn

Crozer-Keystone

Jefferson

McKeesport

Oahu

Shadyside

Johnstown

Altoona

St Margaret

Fairfax

NPCB P2 I.2g.1(11) (RR) Indicate which of the following dermatological 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 what setting that procedure takes place.

(11) Skin infestations (mycoses, parasites &c)? Yes __ No __

Yes:

Sparrow

Huntsville

Ventura

Long Beach

U Penn

Crozer-Keystone

Jefferson

McKeesport

Oahu

Shadyside

Johnstown

Altoona

St Margaret

Fairfax

NPCB P2 I.2g.1(12) (RR) Indicate which of the following dermatological 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 what setting that procedure takes place.

(12) Skin scrapings (microscopy)? Yes __ No __

Yes:

Sparrow

Huntsville

Ventura

Long Beach

U Penn

Crozer-Keystone

Jefferson

McKeesport

Oahu

Shadyside

Johnstown

Altoona

St Margaret

Fairfax

NPCB P2 I.2g.1(13) (RR) Indicate which of the following dermatological 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 what setting that procedure takes place.

(13) skin cancer surgery (basal)? Yes __ No __

Yes:

Sparrow (MOH’s wide excision done by specialists)

Huntsville

Ventura

Long Beach

U Penn

Crozer-Keystone

McKeesport (If we believe it is cancerous, we refer it out)

Oahu

Shadyside (Limited to low risk)

Johnstown

Altoona (Then refer if margins positive)

St Margaret

Fairfax

No:

Jefferson

NPCB P2 I.2g.1(14) (RR) Indicate which of the following dermatological 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 what setting that procedure takes place.

(14) skin cancer surgery (squamous)? Yes __ No __

Yes:

Huntsville

Ventura

Long Beach (but most are referred out)

U Penn

Crozer-Keystone

Altoona (refer after diagnosis)

St Margaret

Fairfax

Yes and No:

Sparrow

No:

Jefferson

McKeesport

Oahu

Shadyside

Johnstown

NPCB P2 I.2g.1(15) (RR) Indicate which of the following dermatological 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 what setting that procedure takes place.

(15) skin cancer surgery (melanoma)? Yes __ No __

Yes:

Huntsville

Ventura (primary diagnostic biopsy only; for melanoma, we always get dermatologic and possibly oncologic consultation)

U Penn (diagnostic, not definitive treatment)

Altoona (refer after diagnosis)

No:

Sparrow (definitive treatment)

Long Beach (referred out)

Crozer-Keystone (referred to dermatology)

Jefferson

McKeesport

Oahu

Shadyside

Johnstown

St Margaret

Fairfax

NPCB P2 I.2g.1(16) (RR) Indicate which of the following dermatological 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 what setting that procedure takes place.

(16) electro-excision, dessication of lesions? Yes __ No __

Yes:

Sparrow

Huntsville

Ventura

Long Beach

U Penn

Crozer-Keystone

Jefferson

McKeesport

Oahu

Shadyside (do not do this often)

Johnstown

Altoona

Fairfax

No:

St Margaret

NPCB P2 I.2g.1(17) (RR) Indicate which of the following dermatological 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 what setting that procedure takes place.

(17) toenail surgery, excision? Yes __ No __

Yes:

Sparrow

Huntsville

Ventura

Long Beach

U Penn

Crozer-Keystone

Jefferson

McKeesport

Oahu

Shadyside

Johnstown

Altoona

St Margaret

Fairfax

NPCB P2 I.2g.1(18) (RR) Indicate which of the following dermatological 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 what setting that procedure takes place.

(18) wood light examinations? Yes __ No __

Yes:

Sparrow

Ventura

Long Beach

U Penn

Crozer-Keystone

Jefferson

McKeesport

Oahu

Shadyside

Johnstown

Altoona

Fairfax

No:

Huntsville

St Margaret

NPCB P2 I.2g.1(19) (RR) Indicate which of the following dermatological 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 what setting that procedure takes place.

(19) warts? Yes __ No __

Yes:

Sparrow

Huntsville

Ventura

Long Beach

U Penn

Crozer-Keystone

Jefferson

McKeesport

Oahu

Shadyside

Johnstown

Altoona

St Margaret

Fairfax

NPCB P2 I.2g.1(20) (RR) Indicate which of the following dermatological 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 what setting that procedure takes place.

(20) Baldness, hair loss treatments? Yes __ No __

Yes:

Sparrow (Yes, for Rogaine prescriptions)

Long Beach (For medication prescriptions)

U Penn

Crozer-Keystone

Jefferson

McKeesport

Oahu (Will do workup and prescriptions)

Johnstown

Altoona

Fairfax

No:

Huntsville

Ventura (A few patients are on Propecia)

Shadyside

St Margaret

NPCB P2 I.2g.1(21) (RR) Indicate which of the following dermatological 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 what setting that procedure takes place.

(21) Abscess I and D? Yes __ No __

Yes:

Sparrow

Huntsville

Ventura

Long Beach

U Penn

Crozer-Keystone

Jefferson

McKeesport

Oahu

Shadyside

Johnstown

Altoona

St Margaret

Fairfax

NPCB P2 I.2g.1(22) (RR) Indicate which of the following dermatological 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 what setting that procedure takes place.

(22) Collagen Injection? Yes __ No __

No:

Sparrow

Huntsville

Ventura

Long Beach

U Penn

Crozer-Keystone (referred to dermatology or plastic surgery)

Jefferson

McKeesport

Oahu

Shadyside

Johnstown

Altoona

St Margaret

Fairfax

NPCB P2 I.2g.1(23) (RR) Indicate which of the following dermatological 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 what setting that procedure takes place.

(23) Cosmetic peels? Yes __ No __

No:

Sparrow

Huntsville

Ventura

Long Beach

U Penn

Crozer-Keystone (referred to dermatology or plastic surgery)

Jefferson

McKeesport

Oahu

Shadyside

Johnstown

Altoona

St Margaret

Fairfax

NPCB P2 I.2g.1(24) (RR) Indicate which of the following dermatological 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 what setting that procedure takes place.

(24) Hair transplant? Yes __ No __

No:

Sparrow

Huntsville

Ventura

Long Beach

U Penn

Crozer-Keystone (referred to dermatology or plastic surgery)

Jefferson

McKeesport

Oahu

Shadyside

Johnstown

Altoona

St Margaret

Fairfax

NPCB P2 I.2g.1(25) (RR) Indicate which of the following dermatological 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 what setting that procedure takes place.

(25) Other cosmetic dermatologic procedures? Yes __ No __

Yes:

Ventura (Varicose vein injection)

No:

Sparrow

Huntsville

Long Beach

U Penn

Crozer-Keystone (referred to dermatology or plastic surgery)

Jefferson

McKeesport

Oahu

Shadyside

Johnstown

Altoona

St Margaret

Fairfax

NPCB P2 I.2g.1(26) (RR) Does your residency program perform any dermatologic procedures not listed (in NPCB P2 I.2g.1 (1-25)) above? Yes __ No __

If yes, explain:

No:

Sparrow

Huntsville

Ventura

Long Beach

U Penn

Crozer-Keystone

Jefferson

McKeesport

Oahu

Shadyside

Johnstown

Altoona

St Margaret

Fairfax

*NPCB P2 I.5a(1) (NPCB P2 I.13c(4))) Does your residency program managed the following disorders for your family medicine center patients either in the inpatient or outpatient settings (or both)?

a) skin rashes? Yes __ No __

Yes:

Santa Rosa

Reading

York

Lebanon

Billings

Monroeville

Beaver

Latrobe

Erie

Lawton

*NPCB P2 I.5a(1) (NPCB P2 I.13c(4))) Does your residency program managed the following disorders for your family medicine center patients either in the inpatient or outpatient settings (or both)?

b) acne? Yes __ No __

Yes:

Santa Rosa

Reading

York

Lebanon

Billings

Monroeville

Beaver

Latrobe

Erie

Lawton

*NPCB P2 I.5a(1) (NPCB P2 I.13c(4))) Does your residency program managed the following disorders for your family medicine center patients either in the inpatient or outpatient settings (or both)?

c) scabes and lice? Yes __ No __

Yes:

Santa Rosa

Reading

York

Lebanon

Billings

Monroeville

Beaver

Latrobe

Erie

Lawton

*NPCB P2 I.5a(1) (NPCB P2 I.13c(4))) Does your residency program managed the following disorders for your family medicine center patients either in the inpatient or outpatient settings (or both)?

d) fungal infection? Yes __ No __

Yes:

Santa Rosa

Reading

York

Lebanon

Billings

Monroeville

Beaver

Latrobe

Erie

Lawton

*NPCB P2 I.5a(1) (NPCB P2 I.13c(4))) Does your residency program managed the following disorders for your family medicine center patients either in the inpatient or outpatient settings (or both)?

e) uticaria? Yes __ No __

Yes:

Santa Rosa

Reading

York

Lebanon

Billings

Monroeville

Beaver

Latrobe

Erie

Lawton

*NPCB P2 I.5a(1) (NPCB P2 I.13c(4))) Does your residency program managed the following disorders for your family medicine center patients either in the inpatient or outpatient settings (or both)?

f) skin cancer? Yes __ No __

Yes:

Santa Rosa

Reading

York

Lebanon

Billings

Monroeville

Beaver

Latrobe

Erie

Lawton

*NPCB P2 I.5a(3) Does your residency program participate in the identification, referral and follow-up care of patients requiring the following tertiary care services?

a) pemphigoid/phemphigus? Yes __ No __

Yes:

Santa Rosa

Reading

York

Lebanon

Billings

Monroeville

Beaver

Latrobe

Lawton

No:

Erie

*NPCB P2 I.5a(3) Does your residency program participate in the identification, referral and follow-up care of patients requiring the following tertiary care services?

b) malignant melanoma? Yes __ No __

Yes:

Santa Rosa

Reading

York

Lebanon

Billings

Monroeville

Beaver

Latrobe

Erie

Lawton

*NPCB P2 I.5a(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) specialized phototherapy? Yes __ No __

Yes:

Reading

York

Lebanon

Billings (so far, no one has needed this)

Monroeville

Beaver

Latrobe

Lawton

No:

Santa Rosa

Erie (very difficult, if not impossible)

b) fungal cultures? Yes __ No __

Yes:

Santa Rosa

Reading

York

Lebanon

Billings

Monroeville

Beaver (we do fungal cultures in family medicine center)

Latrobe

Erie

Lawton

c) mohs microscopic surgery? Yes __ No __

Yes:

Reading

York

Lebanon

Billings

Monroeville

Beaver

Latrobe

Lawton

No:

Santa Rosa

Erie (this is done only in Pittsburgh; usually, we are unable to get our patients referred there; even if so, it could be several years’ wait)

Last Updated (27 August 2006 18:55

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