Taxonomy I Part VI-B (Gastroenterology)
Last Updated on April 16, 2022 by Lee Burnett, DO, FAAFP
(22 April 2006 20:37)
NATIONAL PROJECT ON THE COMMUNITY BENEFITS
OF FAMILY MEDICINE RESIDENCY PROGRAMS
CUMULATIVE QUESTIONNAIRE RESPONSES
Taxonomy Section I Part VI-B
(Gastroenterology)
SD I.13i(1.0) (L32) Does your residency provide specialty care?
SD I.13i.1 (0) If yes, list these services in approximate order of volume or revenue.
(Is flexible sigmoidoscopy listed?)
Yes:
UCSD
Site-visited profiled residencies:
Harbor
SD I.13i(1.0.1) (L32) Does your residency program provide the following kinds of specialty care? i(1). Flexible Sigmoidoscopy? 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 (5/wk)
White Memorial
Pomona
Durant
OSU Tulsa
USC Univ & SG (Family medicine centers and community health centers)
Indiana U Methodist
No:
Saints
SD I.13i(1.1) (SD I.13i.1(2) (L32)) Does your residency program provide the following kinds of specialty care? i. flexible sigmoidoscopy? Yes__ No __
Yes:
Whittier
Pomona
Arrowhead
Loma Linda
Stockton
Louisville
Glendale
OU Tulsa
OU Oklahoma City
Dayton Community
Miami Valley
Decatur
Mercer
Natividad
Klamath Falls
Lehigh Valley
Kaiser LA
Fresno
Glasgow
Lexington
OHSU Portland
No:
MCE Birmingham
Mercy Toledo
Tyler
Las Vegas
Springfield
SD I.13i(1.2) (SD I.13i.1(3)) If you do provide flexible sigmoidoscopy, are these services provided as normal family medicine center appointments? Yes __ No __
Yes:
Arrowhead
Loma Linda
Louisville
Glendale
OU Tulsa
OU Oklahoma City
Dayton Community
Miami Valley
Decatur
Mercer
Klamath Falls
Lehigh Valley
Lexington (can be clustered)
OHSU Portland
No:
Whittier
Pomona
Stockton
Natividad
Kaiser LA (it used to be done in the family medicine center; residents now do them in the GI department)
Fresno
SD I.13i(1.3) (SD I.13i.1(4)) If you do provide flexible sigmoidoscopy, 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 (scheduled in procedures clinic or by special appointment)
Pomona
Arrowhead (40/yr)
Stockton (2/clinic)
Louisville (2/clinic)
Glendale (3-4 per half day; not able to estimate revenues)
OU Oklahoma City (100/yr)
Dayton Community
Miami Valley
Natividad (30/year at $123/each (the FQHC rate))
Klamath Falls (1/wk @ $100)
Kaiser LA (family medicine faculty and residents administer these in GI department)
Fresno (2-4/mo at UMC; 2-4/mo at Sequoia; $40/patient revenues)
Glasgow (Have not been doing them, because they have fallen out of practice; it is an orphan procedure)
No:
Loma Linda
OU Tulsa
Decatur
Mercer
Lehigh Valley
Lexington
OHSU Portland
SD I.13i(2.1) (SD I.13i.2) (L32) Does your residency program provide the following kinds of specialty care? i(2). colonoscopy? Yes__ No __
Yes:
Arrowhead
Stockton
Klamath Falls
No:
Whittier
Pomona
Loma Linda
Louisville
MCE Birmingham
Glendale
OU Tulsa
OU Oklahoma City
Dayton Community
Miami Valley
Decatur
Mercer
Natividad
Lehigh Valley
Mercy Toledo
Kaiser LA
Tyler
Las Vegas
Fresno
Springfield
Glasgow
Lexington
OHSU Portland
SD I.13i(2.2) (SD I.13i.2(3)) If you do provide colonoscopy, are these services provided as normal family medicine center appointments? Yes __ No __
No:
Arrowhead
Stockton
Klamath Falls
SD I.13i(2.3) (SD I.13i.2(4)) If you do provide colonoscopy, are these services provided during special clinics? If so, what is the number of patients seen? What revenues are generated in each specialty service?
Yes:
Arrowhead (120)
Stockton (4 per clinic; revenues are generated)
Klamath Falls (3/wk, generating $1000/wk)
SD I.13k(3.1) (new) Does your residency provide the following kinds of specialty care: k(3.1) gastroenterology? Yes __ No __
Yes:
Natividad
Klamath Falls
Lehigh Valley
Mercy Toledo
Kaiser LA
Tyler
Las Vegas
Fresno
Springfield
Glasgow
Lexington
OSHU Portland
SD I.13k(3.2) If you do provide gastroenterology, are these services provided as normal family medicine center appointments? Yes __ No __
Yes:
Natividad
Klamath Falls
Lehigh Valley
Mercy Toledo
Kaiser LA
Tyler
Las Vegas
Fresno
Springfield
Glasgow
Lexington (clustered appointments for flexible sigmoidoscopy)
OSHU Portland
SD I.13k(3.3) If you do provide gastroenterology, are these services provided during special clinics? Yes __ No __
If the answer to I.13k(3.3) is yes, what is the number of patients seen? What revenues are generated in each specialty service?
Yes:
Klamath Falls (3 week at hospital for gastro-scopy)
Fresno (Hepatitis C clinic is offered for 4-6 patients/wk. Revenues of $30/patient)
No:
Natividad
Lehigh Valley
Mercy Toledo
Kaiser LA
Tyler
Las Vegas
Springfield
Glasgow
Lexington
OSHU Portland
NPCB P2 I.132k(30) (SD I.13k(3.4)) Describe the kinds of gastroenterology that typically takes place within the family medicine center (whether as normal appointments or during special clinics):
Natividad (hepatitis C; peptic ulcer disease; gastritis; GERD; infectious diarrhea; inflammatory bowel disease; Crohn’s disease)
Klamath Falls (assessment of malabsorbtive GERD; peptic ulcer disease; liver disease; irritable, inflammatory bowel disease; infectious diarrhea)
Lehigh Valley (GERD; hepatitis B and C; cancer screening, diagnosis and treatment)
Mercy Toledo (infectious etiology; motility disorders; infectious gastro diarrhea; constipation; IBS; post-cancer surgery; cancer screening; no invasive procedures)
Kaiser LA (GI bleeding; ulcers; liver disease)
Tyler (occult blood; nasal gastric tube insertion; GERD management; enoscopies; I and D of lombosed external hemorrhoids)
Las Vegas (peptic ulcer; liver disease; esophagitis; IBS; enoscopy; hemorrhoids; rectal bleeding; constipation)
Fresno (non-interventional gastro and paracentesis)
Springfield (ulcers; reflux; diarrhea; constipation; Crohn’s; hemorrhoids)
Glasgow (GERD; Crohn’s disease; ulcerative colitis; peptic ulcer disease; gall bladder disease; colon cancer screening; diverticulosis; hepatitis C; NASH)
Lexington (ulcer disease; GERD: colitis; IBS; GI bleeding; hemorrhoids; post-operative colo-rectal cancer care; infectious diarrhea; acute gastroenteritis; malabortive sydsomas; gall bladder disease; pancreatitis)
OHSU Portland (treatment of ulcers; esophagitis; IBS; hemorrhoids; constipation; diarrhea)
Phase 2 Responses:
Sparrow (Reflux; irritable bowel management; acute diarrhea; nausea; vomiting; rectal bleeding; abdominal pain; Crohn’s disease; other inflammatory bowel diseases; scopes – endoscope, flex sig)
Huntsville (GERD; diabetic gastroporesis; peptic ulcer disease; various types of hernias; liver failure; cirrhosis; hepatitis)
Ventura (paitents with peptic disease; chronic liver disease; IBS; inflammatory bowel disease; chronic pancreatis; GERD; typical county patient problems)
Long Beach (IBS; gastritis; H-pylori testing; flex-sigs; evaluation of diarrhea; constipation; abdominal pain; nausea; vomiting)
U Penn (Normal appointments)
Crozer-Keystone (GERD; IBS; hepatitis B and C; alcoholic liver disease)
Jefferson (Reflux; ulcers; gastroparesis; hiatal hernias; chronic diarrhea; constipation; celiac spew; cirrhosis, hepatitis)
McKeesport (Evaluation of GI problems; stool exams and cultures; testing for blood; no procedures)
Oahu (Regular evaluation and managements of abdominal pain, bowel-related complaints; flex-sig; we manage cirrhosis patients)
NPCB P2 I.13.2k(31) For what conditions would your residency program refer patients to gastroenterologists? What is the expected wait time before the patient in seen?
Sparrow (Significant GI bleeding workup; difficult abdominal pain patients; scope needs and screening; EGDs; colonoscopies)
Huntsville (Colonoscopy and GI Bleeding; H-pylori testing; biopsies for liver; colon cancers; some hepatitis; a week or two turnaround)
Ventura (endoscopy; colonoscopy with polypectomy; hepatitis C initial referral, although we may do the ongoing management; any transplant candidates)
Long Beach (failed medical management; or if there is a need for EGD or colonoscopy; diagnostic dilemmas)
U Penn (Physician specific – 1 week to 1 month turnaround)
Crozer-Keystone (hepatitis C treatment; screening and evaluation; cancers; 1 month time)
Jefferson (Hepatitis C; some cirrhosis; chronic Hepatitis B; rectal bleeding; 1-4 months)
McKeesport (Scoping for GI bleeding; colonoscopy for patients over 50; less than a week to be seen, depending on insurance)
Oahu (Referrals fro EGDs, colonoscopies; suspected stomach cancer; ERCP (usually identified in hospital); severe cirrhoses; liver biopsies; referrals to hepatologists for Hepatitis C or B patients needing treatment; huge shortage of GI specialists in Hawai’i– 4 months wait, otherwise we refer to general surgeons that do those procedures)
*NPCB P2 I.6b(1) Does your residency program manage the following GI disorders
for your family medicine center patients either in the inpatient or outpatient settings or both?
a) irritable bowel syndrome? Yes __ No __
Yes:
Shadyside
Johnstown
Altoona
St Margaret
Fairfax
Santa Rosa
Reading
York
Lebanon
Billings
Monroeville
Beaver
Latrobe
Erie
Lawton
*NPCB P2 I.6b(1) Does your residency program manage the following GI disorders
for your family medicine center patients either in the inpatient or outpatient settings or both?
b) peptic disease? Yes __ No __
Yes:
Shadyside
Johnstown
Altoona
St Margaret
Fairfax
Santa Rosa
Reading
York
Lebanon
Billings
Monroeville
Beaver
Latrobe
Erie
Lawton
*NPCB P2 I.6b(1) Does your residency program manage the following GI disorders
for your family medicine center patients either in the inpatient or outpatient settings or both?
c) GI bleeding? Yes __ No __
Yes:
Shadyside
Johnstown
Altoona
St Margaret
Fairfax
Santa Rosa
Reading
York
Lebanon
Billings
Monroeville
Beaver
Latrobe
Erie
Lawton
*NPCB P2 I.6b(1) Does your residency program manage the following GI disorders
for your family medicine center patients either in the inpatient or outpatient settings or both?
d) GERD? Yes __ No __
Yes:
Shadyside
Johnstown
Altoona
St Margaret
Fairfax
Santa Rosa
Reading
York
Lebanon
Billings
Monroeville
Beaver
Latrobe
Erie
Lawton
*NPCB P2 I.6b(2) Does your residency program participate in colorectal screening and surveillance programs consistent with professional guidelines? Yes __ No __
Yes:
Shadyside (We have flex sig available and a health maintenance module)
Johnstown
Altoona
St Margaret
Fairfax
Santa Rosa
Reading
York
Lebanon
Billings
Monroeville
Beaver
Latrobe
Erie
Lawton
*NPCB P2 I.6b(3) Does your residency program participate in the identification, management, referral and follow-up care of patients requiring the following tertiary care services:
a. end stage liver disease? Yes __ No __
Yes:
Shadyside
Johnstown
Altoona
St Margaret
Fairfax
Santa Rosa
Reading
York
Lebanon
Billings
Monroeville
Beaver
Latrobe
Erie
Lawton
*NPCB P2 I.6b(3) Does your residency program participate in the identification, management, referral and follow-up care of patients requiring the following tertiary care services:
b. colon cancer? Yes __ No __
Yes:
Shadyside
Johnstown
Altoona
St Margaret
Fairfax
Santa Rosa
Reading
York
Lebanon
Billings
Monroeville
Beaver
Latrobe
Erie
Lawton
*NPCB P2 I.6b(3) Does your residency program participate in the identification, management, referral and follow-up care of patients requiring the following tertiary care services:
c. pancreatitis? Yes __ No __
Yes:
Shadyside (we would refer advanced pancreatitis)
Johnstown
Altoona
St Margaret
Fairfax
Santa Rosa
Reading
York
Lebanon
Billings
Monroeville
Beaver
Latrobe
Erie
Lawton
*NPCB P2 I.VII.4 Are you 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. endoscopy? Yes __ No __
Yes:
Shadyside (through consults)
Johnstown
Altoona
St Margaret
Fairfax
Santa Rosa
Reading
York
Lebanon
Billings
Monroeville
Beaver
Latrobe
Erie
Lawton
*NPCB P2 I.VII.4 Are you 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. liver biopsy? Yes __ No __
Yes:
Shadyside (through consults)
Johnstown
Altoona
St Margaret
Fairfax
Santa Rosa
Reading
York
Lebanon
Billings
Monroeville
Beaver
Latrobe
Erie
Lawton
*NPCB P2 I.VII.4 Are you 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. imaging studies? Yes __ No __
Yes:
Shadyside
Johnstown
Altoona
St Margaret
Fairfax
Santa Rosa
Reading
York
Lebanon
Billings
Monroeville
Beaver
Latrobe
Erie
Lawton
*NPCB P2 I.VII.4 Are you 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. stool/occult blood tests? Yes __ No __
Yes:
Shadyside
Johnstown
Altoona
St Margaret
Fairfax
Santa Rosa
Reading
York
Lebanon
Billings
Monroeville
Beaver
Latrobe
Erie
Lawton
Last Updated (04 September 2006 17:50)