DEMOGRAPHIC AND BACKGROUND INFORMATION

 2.  Please type in your email address so your pre and post course survey 
      information may be compared.  This information is confidential.

 5.  Please choose your role:

  Resident     Fellow      Attending 

 7.  How many years have you been practicing as an Attending?

  Please select appropriate response 5 years or less 6 years or more does not apply, I am a fellow or resident

 8.  What has been your training to perform Prenatal Consultation 
      for Urology?

 9.  Which type of training is most useful to you?

  Please select appropriate response Online teaching module self study by reading lecture practical, "hands on" experience

 10.  If practical experience were not available, which learning method  
       would you prefer?

  Please select appropriate response Online teaching module self study by reading lecture

CONSULTATION COMFORT

  13.  Please rate how comfortable you are performing Prenatal Consultation 
        for Urology.

    Uncomfortable                                                      Comfortable   
 1      2       3      4       5       6    7

 14.  Please briefly describe how you currently perform 
       Prenatal Consultation for Urology.

ULTRASOUND ASSESSMENT INVENTORY  

How important is the following information to 
your consultation for "pyelectasis"?

Not Important At All                                                    Very Important

 15.  Personal review of images, not relying only on the printed report.

  1     2     3     4     5     6     7  

 16.  Working with my MFM / Urology consultant to be certain the 
       necessary views are taken.

1     2     3     4     5     6     7

 Hold down the CTRL key and select all that apply:
 (Mac users - Command key):

  Longitudinal view of the kidney Transverse view  of the kidney Longitudinal view of the bladder Transverse view of the bladder

 18.  If "pyelectasis" is diagnosed at 23 weeks GA, what interval(s) for 
      follow up ultrasound exams do you suggest be done?

 Click the best choice:
  no further imaging is warranted
  imaging at 28, 32, & 36 weeks GA
  imaging at 32 weeks GA only
  only needs newborn care by pediatrician

 19.  Fetal cases of isolated unilateral "pyelectasis" which progress to
        unilateral hydronephrosis likely represent?

  Please select appropriate response A. Posterior Urethral Valves B. UPJ obstruction C. Vesico-ureteral Reflux D. Megaureter E.    A., B., C., or D. F. i do not know with confidence  

 20.  Which of these factors influence your diagnosis of "pyelectasis"?

 Hold down the CTRL key and select all that apply:
 (Mac users - Command key):

  AP width of pelvis Coronal width of pelvis Gestational age Polar kidney length Parity

 21.  The diagnosis of "pyelectasis" applies to cases of:

 Hold down the CTRL key and select all that apply:
  (Mac users - Command key):

  Single moiety kidney Duplex kidney Dilated bladder Only bilateral renal changes

22.  Case 1.  You are asked to consult for a pregnancy (28 wks GA) of a
                    male fetus which shows left "pyelectasis" at 12mm.  

                   What is the likelihood that the baby will need active 
                   treatment for significant urological concerns such as 
                   reflux or UPJ obstruction? 

  Please select appropriate response about 40% significant needs about 70% significant needs can't tell i do not know with confidence does not  warrant newborn testing

23. Case 2.   You are asked to consult for a pregnancy (33 wks GA) of   
                    a male fetus which shows left "pyelectasis" at 7mm.  

                   What is the likelihood that the baby will need active 
                   treatment for significant urological concerns such as 
                   reflux or UPJ obstruction? 

  Please select appropriate response does not warrant newborn testing about 30% significant needs about 70% significant needs\ can't tell i do not know with confidence

Submitting the survey links you to the e-learning module.

          

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CEVL Copyright © 2012  All Rights Reserved.  Revised: March 06, 2012