PAC Notes: Taxonomy Section I Part VI-B

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

NATIONAL PROJECT ON THE COMMUNITY BENEFITS

OF FAMILY MEDICINE RESIDENCY PROGRAMS

CUMULATIVE QUESTIONNAIRE RESPONSES

Taxonomy Section I Part VI-B

Gastroenterology

(Reviewed by the Policy Analysis Committee Team Task Force

April 28, 2006, San Francisco)

Present: Henley, Ross, Burnett, Wilke

The following series of iterative questions by were last discussed in the PAC Notes for the review of Taxonomy I Part II April 11, 2005.  The first set of questions appears in Site Visit Surveys between September, 2004 and March, 2005.   

SD I.13k(3.1) (new) Does your residency provide the following kinds of specialty care:  k(3.1) gastroenterology? Yes __ No __

SD I.13k(3.2) If you do provide gastroenterology, are these services provided as normal family medicine center appointments? Yes __ No __

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?

The following question appeared in Site Visit Surveys conducted between September, 2004 and April, 2006.  The PAC subcommittee replaced this question (and the succeeding one) with a new group of iterative questions, below:

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):

The following question appeared in Site Visit Surveys conducted between July, 2005 and April, 2006.  The PAC subcommittee replaced this question (and the preceding one) with a new group of iterative questions, below:

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?

At the suggestion of Doctors Henley and Pugno, the open-ended questions for each of the specialties being reviewed at this time, should be replaced by iterative questions that reflect “systems of care” and management by the family medicine residency programs of their patients’ health care needs.  The following set of questions, developed for the Cardiology section, was also modified in subsequent subcommittee meetings for Gastroenterology, Pulmonary Medicine, Nephrology, ENT, Ophthalmology and Pain Medicine.  It is the intention of the subcommittee, after field-testing these new questions in May, 2006 Survey Site Visits, that they be administered by electronic survey to all Profiled Residency Programs in the National Project:

*NPCB P2 I I.VII.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 __

b.      Peptic Disease?  Yes __ No __

c.       GI Bleeding? Yes __ No __

d.      GERD? Yes __ No __

*NPCB P2 I.VII.2 Does your residency program participate in colorectal screening and surveillance programs consistent with professional guidelines?

Yes __ No __

*NPCB P2 I.VII.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 __

b.      Colon Cancer? Yes __ No __

c.       Pancreatitis? Yes __ No __

*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 __

b.      Liver biopsy? Yes __ No __

c.       Imaging studies? Yes __ No __

d.      Stool/occult blood tests? Yes __ No __

[Appendix: questions asked previously about flexible sigmoidoscopy and colonoscopy are organized in an appendix to this section.]

The following question was in the Second National Workshop (Louisville) Questionnaire and field test site visits in July, 2003:

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?)

The following questions were used in Site Visit Surveys between April, 2004 and March, 2005:

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 __

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?

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 __

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?

Last Updated (04 May 2006 17:41)

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