Survey – Ontario Rheumatology Association

Question

Do you have hospital privileges?

REQUIRED

Answer

Yes
No

Question

Which hospital(s) do you have privileges at?

OPTIONAL

Answer

Question

Do you do general internal medicine calls?

REQUIRED

Answer

Yes
No

Question

Do you do rheumatology call?

REQUIRED

Answer

Yes
No

Question

If you have hospital privileges, please indicate what type:

OPTIONAL

Answer

I have courtesy hospital privileges
I have active hospital privileges
I have cross-coverage arrangements with other colleagues
I don't have hospital privileges

Question

If you do rheumatology call, please indicate where

OPTIONAL

Answer

Question

Are you a community rheumatologist?

REQUIRED

Answer

Yes
No

Question

Please indicate how many years you have been working as a rheumatologist:

REQUIRED

Question

Are you a university-affiliated rheumatologist?

REQUIRED

Answer

Yes
No

Question

Do you see pediatric patients (i.e. under 18?)

REQUIRED

Answer

Yes
No

Question

Are you working in team based care?

REQUIRED

Answer

Yes
No

Question

Who do you work with as part of your team—check all that apply:

OPTIONAL

Answer

Not Applicable
Registered Nurse
Nurse practitioner
ACPAC trained Physiotherapist
ACPAC trained Occupational therapist
Arthritis Society therapist
Pharmacist
Social worker
Other

Question

How do you fund your Model of Care? Check all that apply:

OPTIONAL

Answer

Not Applicable
Personally
Research grant
Industry grant
University
Ministry
Other

Question

Are you on EMR?

REQUIRED

Answer

Yes
No

Question

If you are on EMR/EHR, which system do you use?

REQUIRED

Question

How do you store your data?

REQUIRED

Answer

Local Server
Cloud-based (ASP)
Not applicable

Question

If you are providing virtual care, which platform do you use?

REQUIRED

Question

If you answered that you store your data on a local server, do you have an IT or admin person with database privileges?

OPTIONAL

Answer

Yes
No
Not applicable

Question

Are you planning to attend the Ontario Rheumatology Association Annual Scientific Meeting May 28-30, 2021?

REQUIRED

Answer

Yes
No

Question

Are you interested in joining a committee within the ORA?

REQUIRED

Answer

Yes
No

Question

Have you retired or are you considering retiring in the next 5 years?

REQUIRED

Answer

Yes
No

Question

To support members who are close to retirement and ready to "transition" their practice, we are planning a workshop. Would you be interested in participating in a "practice transition" workshop?

OPTIONAL

Answer

Yes
No

Question

Are you considering doing a locum in the next year?

REQUIRED

Answer

Yes
No

Question

Are you considering a long-term leave where you require a locum to work in your office during your absence?

REQUIRED

Answer

Yes
No

Question

Which languages do you speak?

REQUIRED

Answer

English
French
Other (please list below)

Question

Please list other languages you speak.

OPTIONAL

Answer

Question

Please confirm that you have reviewed the ORA Code of Ethics and Professional Conduct.

REQUIRED

Answer

I have reviewed the ORA Code of Ethics and Professional Conduct on the ORA Website

Hidden: User ID

Hidden Field: User Level

Email

Is profile