Q1 What is your age?

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1 Q1 What is your age? Answ ered: 310 Skipped: 2 Under Under % % % % % 4 Total / 55

2 Q2 What is your gender? Answ ered: 305 Skipped: 7 Male Female Male Female 61.97% % 116 Total / 55

3 Q3 What is your current level of training as of June 2012? Answ ered: 312 Skipped: 0 Intern / PGY1 PGY 2 or 3 PGY 4 or 5 PGY 6 or greater Fellow Intern / PGY1 PGY 2 or 3 PGY 4 or 5 PGY 6 or greater Fellow 18.59% % % % % 1 Total / 55

4 Q4 Please select the region in which you live: Answ ered: 312 Skipped: 0 New England (CT, MA, ME,... Mid Atlantic (DC, DE, MD,... South Atlantic (AL, FL, GA,... South Central (AR, LA, MS,... Midwest - East (IL, IN, KY,... Midwest - West (IA, KS, MN,... Mountain (AZ, CO, ID, MT,... Pacific (CA, HI, OR, WA, AK) New England (CT, MA, ME, NH, RI, VT) Mid Atlantic (DC, DE, MD, NJ, NY, PA, VA, WV) South Atlantic (AL, FL, GA, MS, NC, SC, TN) South Central (AR, LA, MS, OK, TX) Midwest - East (IL, IN, KY, MI, OH, WI) Midwest - West (IA, KS, MN, MO, ND, NE, SD) Mountain (AZ, CO, ID, MT, NM, NV, UT, WY) Pacific (CA, HI, OR, WA, AK) 3.53% % % % % % % % 43 Total / 55

5 Q5 How much dedicated research time do you have during your residency? Answ ered: 302 Skipped: 10 None 1-3 months 4-6 months More than 6 months None 1-3 months 4-6 months More than 6 months 4.97% % % % 12 Total / 55

6 Q6 What do you feel is the minimum amount of dedicated research time needed to complete a research project during residency? Answ ered: 300 Skipped: 12 None 1-3 months 4-6 months More than 6 months None 1-3 months 4-6 months More than 6 months 4.00% % % % 39 Total / 55

7 Q7 How many publications have you submitted that have been accepted for publication (including retrospective reviews, case reports, etc.)? Answ ered: 299 Skipped: 13 None One None One % % % % 42 Total / 55

8 Q8 Does your program pay for your membership dues to the AAO-HNSF? Answ ered: 286 Skipped: 26 Yes No Yes No 80.07% % 57 Total / 55

9 Q9 Does your program pay for attendance at meetings, such as the AAO-HNS/F Annual Meeting & OTO EXPO? Answ ered: 288 Skipped: 24 Yes Yes, if I present an o... Yes, if I present a... No Yes Yes, if I present an oral presentation Yes, if I present a poster presentation No 22.92% % % % 8 Total / 55

10 Q10 How would you describe your department's financial support for residents for educational resources such as textbooks, digital/electronic resources, subscriptions, meeting attendance, etc.? Answ ered: 288 Skipped: 24 Very strong support Some support Inadequate support No support Very strong support Some support Inadequate support No support 33.33% % % % 4 Total / 55

11 Q11 How much is your yearly stipend for textbooks, digital/electronic resources, subscriptions, meeting attendance, research presentations, etc.? Answ ered: 286 Skipped: 26 $0 300 $ $501 1,000 $1,001+ $0 300 $ $501 1,000 $1, % % % % 60 Total / 55

12 Q12 Please indicate your training in each of the following clinical areas: Answ ered: 284 Skipped: 28 Otology/Neuroto logy Allergy Rhinology Laryngology Facial Plastic and... Facial Plastic and... Pediatrics Head and Neck Surgery Skull Base Surgery... Sleep Geriatrics Practice Management Not enough Just right Too much N/A Total Av erage Rating Otology/Neurotology 18.31% % % % Allergy 51.41% % % % Rhinology 21.20% % % % Laryngology 21.20% % % % Facial Plastic and Reconstructive Surgery Cosmetics 41.55% % % % Facial Plastic and Reconstructive Surgery Reconstruction 14.08% % % % Pediatrics 14.08% % % % Head and Neck Surgery 2.46% 70.07% 25.35% 2.11% 12 / 55

13 Head and Neck Surgery 2013 SRF: Residents Survey 2.46% % % % Skull Base Surgery (Anterior & Lateral) 33.80% % % % Sleep 40.85% % % % Geriatrics 28.87% % % % Practice Management 54.58% % % % / 55

14 Q13 The Inservice exam is representative of what residents should know about our specialty and has questions that are up-todate testing current knowledge: Answ ered: 282 Skipped: 30 I strongly agree I mostly agree I somew hat agree I disagree I strongly agree I mostly agree I somewhat agree I disagree 2.84% % % % 60 Total / 55

15 Q14 How do you prefer to learn new information (select all that apply)? Answ ered: 286 Skipped: 26 Hard copy textbooks E-textbooks/Ele ctronic access Mobile Dev ices Online Education Home Study Course Simulation/Hand s-on Experience Attend Professional... Informal netw orks/dis... Hard copy textbooks E-textbooks/Electronic access Mobile Devices Online Education Home Study Course Simulation/Hands-on Experience Attend Professional Education Meetings Informal networks/discussion groups with other residents 64.34% % % % % % % % 93 Total Respondents: / 55

16 Q15 How do you prefer to prepare for the Inservice or Board exam (select all that apply)? Answ ered: 284 Skipped: 28 Hard copy textbooks E-textbooks/Ele ctronic access Online Education Home Study Course Simulation/Hand s-on Experience Attend Meetings Practice quizzes/self... Informal netw orks/dis... Hard copy textbooks E-textbooks/Electronic access Online Education Home Study Course Simulation/Hands-on Experience Attend Meetings Practice quizzes/self-assessment exam Informal networks/discussion groups with other residents 65.85% % % % % % % % 91 Total Respondents: / 55

17 Q16 How often do you visit the AAO-HNS/F website to access educational material? Answ ered: 263 Skipped: 49 Nev er Rarely Sometimes Often Never Rarely Sometimes Often 19.77% % % % 8 Total / 55

18 Q17 Please indicate your awareness of AAO-HNSF developed clinical practice guidelines: Answ ered: 263 Skipped: 49 I am aw are of AAO-HNSF... I am aw are of AAO-HNSF... I am not aw are of AAO-HNSF... I am aware of AAO-HNSF clinical practice guidelines and they influence my patient care. I am aware of AAO-HNSF clinical practice guidelines but they do not influence my patient care, or do not apply to my patients. I am not aware of AAO-HNSF clinical practice guidelines % % % 68 Total / 55

19 Q18 What AAO-HNS/F education products do you find most valuable (choose 2)? Answ ered: 252 Skipped: 60 Home Study Course AcademyQ: Know ledge... COCLIA (Comprehensi... COOL (Clinical Otolaryngolo... ebooks ENT Exam Video Series PMP (Patient Management... SIPACS (Self Instructiona... Coding & Reimbursemen... I do not use AAO-HNS/F... Other (please specify) Home Study Course AcademyQ: Knowledge Assessment Tool COCLIA (Comprehensive Otolaryngologic Curriculum Learning through Interactive Approach) COOL (Clinical Otolaryngology Online) ebooks ENT Exam Video Series PMP (Patient Management Perspectives in Otolaryngology) SIPACS (Self Instructional Packages) Coding & Reimbursement Workshops I do not use AAO-HNS/F educational products Other (please specify) 50.00% % % % % % % % % % % 6 Total Respondents: / 55

20 20 / 55

21 Q19 From your experience, which do you feel are the most important internship (PGY-1) rotations for residents entering an otolaryngology training program (please choose up to 5)? Answ ered: 264 Skipped: 48 Anesthesia Emergency Medicine General Surgery General Medicine Neurosurgery Ophthalmology Otolaryngology Pathology-Head and Neck... Pediatric Surgery Plastic Surgery Radiology-Head and Neck... Trauma/Critical Care Anesthesia Emergency Medicine General Surgery General Medicine Neurosurgery Ophthalmology Otolaryngology 64.77% % % % % % % / 55

22 Pathology-Head and Neck Surgery Pediatric Surgery Plastic Surgery Radiology-Head and Neck Surgery Trauma/Critical Care 15.53% % % % % 160 Total Respondents: / 55

23 Q20 Are there important intern (PGY-1) rotations you feel were lacking from your program (please choose up to 5)? Answ ered: 219 Skipped: 93 Anesthesia Emergency Medicine General Surgery General Medicine Neurosurgery Ophthalmology Otolaryngology Pathology-Head and Neck... Pediatric Surgery Plastic Surgery Radiology-Head and Neck... Trauma/Critical Care Anesthesia Emergency Medicine General Surgery General Medicine Neurosurgery Ophthalmology Otolaryngology Pathology-Head and Neck Surgery Pediatric Surgery 1.83% % % % % % % % % / 55

24 Plastic Surgery Radiology-Head and Neck Surgery Trauma/Critical Care 13.24% % % 20 Total Respondents: / 55

25 Q21 From where do residents in your program take primary/first call? Answ ered: 263 Skipped: 49 In-house call Home call A mix of both In-house call Home call A mix of both 18.25% % % 44 Total / 55

26 Q22 How comfortable are you about accurately reporting your duty hours? Answ ered: 261 Skipped: 51 Very Comfortable Somew hat Comfortable Uncomfortable Very Uncomfortable Very Comfortable Somewhat Comfortable Uncomfortable Very Uncomfortable 60.15% % % % 6 Total / 55

27 Q23 How much support or education does your program provide to combat burnout? Answ ered: 263 Skipped: 49 A Lot Just Right Not Enough None at All A Lot Just Right Not Enough None at All 7.98% % % % 22 Total / 55

28 Q24 What method(s) does your program currently use for the transfer of care for patients ("signouts")? (Check all that apply) Answ ered: 262 Skipped: 50 Phone call discussion... Face-to-face meeting betw... Face-to-face ev aluation o... Direct faculty superv ision... Set time (and location if... Maintenance of an "electron... Phone call discussion between covering residents Face-to-face meeting between covering residents 82.06% 61.07% Face-to-face evaluation of critical patients during the transfer of care Direct faculty supervision of the transfer process between residents Set time (and location if in person) for the transfer of care 37.40% % % 40 Maintenance of an "electronic list" of patients for each transfer of care, including pertinent patient condition information and a "to do" list Total Respondents: % / 55

29 Q25 Have you felt penalized for taking time off during residency (separate from vacation/meetings)? Answ ered: 262 Skipped: 50 Did not hav e to take time... Yes No Prefer not to answ er Did not have to take time off Yes No Prefer not to answer 33.59% % % % 9 Total / 55

30 Q26 What practice setting do you currently plan to pursue? Answ ered: 258 Skipped: 54 Priv ate practice Academic Military Other (please specify) Private practice Academic Military Other (please specify) 43.80% % % % 16 Total / 55

31 Q27 Does the current status of healthcare reform efforts impact your decision to pursue academic medicine vs. private practice? Answ ered: 260 Skipped: 52 Yes No Yes No 38.46% % 160 Total / 55

32 Q28 Rank the most important factors in determining your choice of practice (with 1 being the most important and 10 being least important)? Answ ered: 253 Skipped: 59 Location Academic setting 32 / 55

33 Family Quality of research 33 / 55

34 Local competition... Educational debt 34 / 55

35 Malpractice climate Lifestyle/call schedule Salary 35 / 55

36 Contractual obligation Total Av erage Ranking Location 43.87% % % % % % % % % % Academic setting 18.18% % % % % % % % % % Family 24.51% % % % % % % % % % Quality of research 0.40% % % % % % % % % % Local competition for subspecialty care 1.58% % % % % % % % % % / 55

37 Educational debt 0.79% % % % % % % % % % Malpractice climate 0.00% % % % % % % % % % Lifestyle/call schedule 7.91% % % % % % % % % % Salary 1.19% % % % % % % % % % Contractual obligation 1.58% % % % % % % % % % / 55

38 Q29 What is your total current educational debt? Answ ered: 258 Skipped: 54 No debt <$50,000 $50,001-$100,00 0 $101,000-$150,0 00 $151,000-$200,0 00 $201,000-$250,0 00 >$250,001 No debt <$50,000 $50,001-$100,000 $101,000-$150,000 $151,000-$200,000 $201,000-$250,000 >$250, % % % % % % % 49 Total / 55

39 Q30 What are your plans regarding a fellowship? Answ ered: 255 Skipped: 57 I hav e been matched for... I plan to pursue a... I do not plan to pursue a... I have been matched for a fellowship I plan to pursue a fellowship I do not plan to pursue a fellowship 15.69% % % 69 Total / 55

40 Q31 Does the current status of healthcare reform efforts impact your decision to participate in a fellowship? Answ ered: 255 Skipped: 57 Yes No Yes No 25.10% % 191 Total / 55

41 Q32 If you have matched already or plan to pursue a fellowship, please identify your subspecialty choice: Answ ered: 142 Skipped: 170 Head and Neck Otology/Neuroto logy Skull Base General Plastics Facial Plastics Pediatrics Rhinology/Sinus /Allergy Laryngology Sleep Medicine Head and Neck Otology/Neurotology Skull Base General Plastics Facial Plastics Pediatrics Rhinology/Sinus/Allergy Laryngology Sleep Medicine 19.72% % % % % % % % % 1 Total / 55

42 Q33 What is the most important factor in determining which fellowship you decide to pursue? Answ ered: 218 Skipped: 94 Type of surgical cases Nature of clinical and... Lifestyle Financial considerations Personality of people w ithi... Other (please specify) Type of surgical cases Nature of clinical and medical problems Lifestyle Financial considerations Personality of people within the subspecialty Other (please specify) 55.05% % % % % % 3 Total / 55

43 Q34 Please indicate your exposure to the following basic management principles: Answ ered: 252 Skipped: 60 Outpatient EMR ICD9/ICD10/CPT coding Determining the lev el of... Managed care contracting... Personnel management 43 / 55

44 Requirements for... Not Enough Just Right Too Much N/A Not Enough Just Right Too Much N/A Total Outpatient EMR 11.51% % % % ICD9/ICD10/CPT coding 51.59% % % % Determining the level of service for an encounter 48.41% % % % Managed care contracting (i.e., negotiating a contract) 76.59% % % % Personnel management 66.27% % % % Requirements for demonstrating/documenting performance in practice 55.56% % % % / 55

45 Q35 Have you taken time to participate in humanitarian efforts, either in the USA or overseas? Answ ered: 253 Skipped: 59 Yes, in the USA Yes, ov erseas Both No Yes, in the USA Yes, overseas Both No 7.91% % % % 149 Total / 55

46 Q36 How knowledgeable do you believe you are about requirements and resources for continuing medical education and maintenance of certification? Answ ered: 254 Skipped: 58 Very Very little Somew hat Not at all Very Very little Somewhat Not at all 4.33% % % % 30 Total / 55

47 Q37 How knowledgeable do you believe you are about local, state, and federal legislative/regulatory processes? Answ ered: 254 Skipped: 58 Very Somew hat Very little Not at all Very Somewhat Very little Not at all 1.57% % % % 52 Total / 55

48 Q38 How knowledgeable do you believe you are about ongoing local, state, or federal healthcare reform efforts and its impact on otolaryngology and/or the general delivery of medical care? Answ ered: 255 Skipped: 57 Very Somew hat Very little Not at all Very Somewhat Very little Not at all 2.35% % % % 42 Total / 55

49 Q39 Have you ever participated in advocacy efforts at the local, state, or federal levels on behalf of otolaryngology and/or medicine in general (check all that apply)? Answ ered: 254 Skipped: 58 Yes, locally Yes, in my state capitol Yes, in Washington, DC None of the abov e Yes, locally Yes, in my state capitol Yes, in Washington, DC None of the above 9.84% % % % 210 Total Respondents: / 55

50 Q40 How often do you use social media outlets (Facebook, Twitter, LinkedIn, etc.)? Answ ered: 253 Skipped: 59 Nev er 1-5 times per w eek Daily Multiple times per day Never 1-5 times per week Daily Multiple times per day 18.58% % % % 34 Total / 55

51 Q41 What type of activities do you use social media for? (Check all that apply) Answ ered: 245 Skipped: 67 Personal Work Education I don t use social media Personal Work Education I don t use social media 84.90% % % % 36 Total Respondents: / 55

52 Q42 What social media platforms do you use in medical, education, or work settings? (Check all that apply) Answ ered: 140 Skipped: 172 Facebook Tw itter LinkedIn Facebook Twitter LinkedIn 92.86% % % 23 Total Respondents: / 55

53 Q43 When you transition out of residency/fellowship and into practice, do you anticipate continuing involvement with the AAO-HNS beyond dues (e.g., committee participation, advocacy efforts, etc)? Answ ered: 251 Skipped: 61 Yes No Yes No 65.34% % 87 Total / 55

54 Q44 If Yes to question #4, what opportunities do you find most interesting? Please specify Answ ered: 98 Skipped: / 55

55 Q45 If No to questions #4, what do you anticipate would be the barriers to involvement? Please specify Answ ered: 45 Skipped: / 55

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