Taxonomy I Part V-A (Dermatology) 17 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 BENEFITSOF 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:NorthridgeSD 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 TraditionalUCSD St VincentUC Irvine (no special dermatology clinics; no revenue estimates)White Memorial (as part of routine family medicine center appointments)RiversideDurantOSU TulsaUSC Univ & SG (in family medicine centers and in a private office)ModestoSaints (rolled in to regular family medicine center; plus formal rotations in dermatologist offices) No:Scripps Chula VistaIndiana 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:WhittierPomonaArrowheadLoma LindaStocktonLouisvilleMCE BirminghamGlendaleOU TulsaOU Oklahoma CityDayton CommunityMiami ValleyDecaturMercerNatividadKlamath FallsLehigh ValleyMercy ToledoKaiser LATylerLas VegasFresnoSpringfieldGlasgowLexingtonOHSU 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:WhittierPomonaArrowheadLoma LindaStocktonLouisvilleMCE BirminghamGlendaleOU TulsaOU Oklahoma CityDayton CommunityMiami ValleyDecaturMercerNatividadKlamath FallsLehigh ValleyMercy ToledoKaiser LATylerLas VegasFresnoSpringfieldGlasgowLexingtonOHSU 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)PomonaArrowhead (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:LouisvilleMCE BirminghamGlendale (we are thinking about having a specialty clinic)OU Oklahoma CityDayton CommunityMiami ValleyDecaturMercerKlamath FallsLehigh ValleyKaiser LATylerLas VegasFresnoLexingtonOHSU 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:SparrowHuntsvilleVenturaLong BeachU PennCrozer-KeystoneJeffersonMcKeesportOahuShadysideJohnstownAltoonaSt MargaretFairfax 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. 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. (2) excisional biopsies? Yes __ No __ Yes:SparrowHuntsvilleVenturaLong BeachU PennCrozer-KeystoneJeffersonMcKeesportOahuShadysideJohnstownAltoonaSt MargaretFairfax 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. 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. (3) shave biopsies? Yes __ No __ Yes:SparrowHuntsvilleVenturaLong BeachU PennCrozer-KeystoneJeffersonMcKeesportOahuShadysideJohnstownAltoonaSt MargaretFairfax 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. 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. (4) laceration repair? Yes __ No __ Yes:SparrowHuntsvilleVenturaLong Beach (both in FMC and in ER)U PennCrozer-KeystoneJeffersonMcKeesportOahuShadysideJohnstownAltoonaSt MargaretFairfax 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. 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. (5) acne treatment? Yes __ No __ Yes:SparrowHuntsvilleVenturaLong Beach U PennCrozer-KeystoneJeffersonMcKeesportOahuShadysideJohnstownAltoonaSt MargaretFairfax 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. 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. (6) cryosurgery? Yes __ No __ Yes:SparrowHuntsvilleVenturaLong Beach U PennCrozer-KeystoneJeffersonMcKeesportOahuShadysideJohnstownAltoonaSt MargaretFairfax 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. 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. (7) skin tags removal? Yes __ No __ Yes:SparrowHuntsvilleVenturaLong Beach U PennCrozer-KeystoneJeffersonMcKeesportOahuShadysideJohnstownAltoonaSt MargaretFairfax 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. 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. (8) identifying rashes? Yes __ No __ Yes:SparrowHuntsvilleVenturaLong Beach U PennCrozer-KeystoneJeffersonMcKeesportOahuShadysideJohnstownAltoonaSt MargaretFairfax 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. 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. (9) ID routine dermatological problems? Yes __ No __ Yes:SparrowHuntsvilleVenturaLong Beach U PennCrozer-KeystoneJeffersonMcKeesportOahuShadysideJohnstownAltoonaSt MargaretFairfax 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. 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. (10) cryotherapy? Yes __ No __ Yes:SparrowHuntsvilleVenturaLong Beach U PennCrozer-KeystoneJeffersonMcKeesportOahuShadysideJohnstownAltoonaSt MargaretFairfax 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. 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. (11) Skin infestations (mycoses, parasites &c)? Yes __ No __ Yes:SparrowHuntsvilleVenturaLong Beach U PennCrozer-KeystoneJeffersonMcKeesportOahuShadysideJohnstownAltoonaSt MargaretFairfax 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. 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. (12) Skin scrapings (microscopy)? Yes __ No __ Yes:SparrowHuntsvilleVenturaLong Beach U PennCrozer-KeystoneJeffersonMcKeesportOahuShadysideJohnstownAltoonaSt MargaretFairfax 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. 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. (13) skin cancer surgery (basal)? Yes __ No __ Yes:Sparrow (MOH’s wide excision done by specialists)HuntsvilleVenturaLong Beach U PennCrozer-KeystoneMcKeesport (If we believe it is cancerous, we refer it out)OahuShadyside (Limited to low risk)JohnstownAltoona (Then refer if margins positive)St MargaretFairfax 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. 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. (14) skin cancer surgery (squamous)? Yes __ No __ Yes: HuntsvilleVenturaLong Beach (but most are referred out) U PennCrozer-KeystoneAltoona (refer after diagnosis)St MargaretFairfax Yes and No:Sparrow No:JeffersonMcKeesport OahuShadysideJohnstown 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. 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. (15) skin cancer surgery (melanoma)? Yes __ No __ Yes:HuntsvilleVentura (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)JeffersonMcKeesportOahuShadysideJohnstownSt MargaretFairfax 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. 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. (16) electro-excision, dessication of lesions? Yes __ No __ Yes:Sparrow HuntsvilleVentura Long Beach U PennCrozer-Keystone JeffersonMcKeesportOahuShadyside (do not do this often)JohnstownAltoonaFairfax 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. 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. (17) toenail surgery, excision? Yes __ No __ Yes:Sparrow HuntsvilleVentura Long Beach U PennCrozer-Keystone JeffersonMcKeesportOahuShadysideJohnstownAltoonaSt MargaretFairfax 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. 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. (18) wood light examinations? Yes __ No __ Yes:Sparrow Ventura Long Beach U PennCrozer-Keystone JeffersonMcKeesportOahuShadysideJohnstownAltoonaFairfax No:HuntsvilleSt 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. 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. (19) warts? Yes __ No __ Yes:Sparrow HuntsvilleVentura Long Beach U PennCrozer-Keystone JeffersonMcKeesportOahuShadysideJohnstownAltoonaSt MargaretFairfax 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. 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. (20) Baldness, hair loss treatments? Yes __ No __ Yes:Sparrow (Yes, for Rogaine prescriptions)Long Beach (For medication prescriptions)U PennCrozer-KeystoneJeffersonMcKeesport Oahu (Will do workup and prescriptions)JohnstownAltoonaFairfax No:HuntsvilleVentura (A few patients are on Propecia)ShadysideSt 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. 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. (21) Abscess I and D? Yes __ No __ Yes:Sparrow HuntsvilleVentura Long Beach U PennCrozer-Keystone JeffersonMcKeesportOahuShadysideJohnstownAltoonaSt MargaretFairfax 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. 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. (22) Collagen Injection? Yes __ No __ No:Sparrow HuntsvilleVentura Long Beach U PennCrozer-Keystone (referred to dermatology or plastic surgery)JeffersonMcKeesportOahuShadysideJohnstownAltoonaSt MargaretFairfax 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. 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. (23) Cosmetic peels? Yes __ No __ No:Sparrow HuntsvilleVentura Long Beach U PennCrozer-Keystone (referred to dermatology or plastic surgery)JeffersonMcKeesportOahuShadysideJohnstownAltoonaSt MargaretFairfax 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. 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. (24) Hair transplant? Yes __ No __ No:Sparrow HuntsvilleVentura Long Beach U PennCrozer-Keystone (referred to dermatology or plastic surgery)JeffersonMcKeesportOahuShadysideJohnstownAltoonaSt MargaretFairfax 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. 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. (25) Other cosmetic dermatologic procedures? Yes __ No __ Yes:Ventura (Varicose vein injection) No:Sparrow HuntsvilleLong BeachU PennCrozer-Keystone (referred to dermatology or plastic surgery)JeffersonMcKeesportOahuShadysideJohnstownAltoonaSt MargaretFairfax 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 HuntsvilleVentura Long Beach U PennCrozer-KeystoneJeffersonMcKeesportOahuShadysideJohnstownAltoonaSt MargaretFairfax *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 RosaReadingYorkLebanonBillingsMonroevilleBeaverLatrobeErieLawton *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 RosaReadingYorkLebanonBillingsMonroevilleBeaverLatrobeErieLawton *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 RosaReadingYorkLebanonBillingsMonroevilleBeaverLatrobeErieLawton *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 RosaReadingYorkLebanonBillingsMonroevilleBeaverLatrobeErieLawton *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 RosaReadingYorkLebanonBillingsMonroevilleBeaverLatrobeErieLawton *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 RosaReadingYorkLebanonBillingsMonroevilleBeaverLatrobeErieLawton *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 RosaReadingYorkLebanonBillingsMonroevilleBeaverLatrobeLawton 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 RosaReadingYorkLebanonBillingsMonroevilleBeaverLatrobeErieLawton *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:ReadingYorkLebanonBillings (so far, no one has needed this)MonroevilleBeaverLatrobeLawton No:Santa RosaErie (very difficult, if not impossible) *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? b) fungal cultures? Yes __ No __ Yes:Santa RosaReadingYorkLebanonBillingsMonroevilleBeaver (we do fungal cultures in family medicine center)LatrobeErieLawton *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? c) mohs microscopic surgery? Yes __ No __ Yes:ReadingYorkLebanonBillingsMonroevilleBeaverLatrobeLawton No:Santa RosaErie (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 people found this article helpful. What about you?