Appendix B

ROBERT WOOD JOHNSON
GENERALIST PHYSICIAN INITIATIVE SURVEY


If you had to make a career choice today, please rank your top three choices for career specialties.

1=1st choice; 2=2nd choice; 3=3rd choice; leave other choices blank

[1] [2] [3] 1. General Internal Medicine
[1] [2] [3] 2. Internal Medicine Subspecialty
[1] [2] [3] 3. Family Medicine
[1] [2] [3] 4. General Pediatrics
[1] [2] [3] 5. Pediatrics Subspecialty
[1] [2] [3] 6. OB/GYN
[1] [2] [3] 7. Surgery
[1] [2] [3] 8. Psychiatry
[1] [2] [3] 9. Other (please specify) ________________________


What has been the impact of the following factors to date on your consideration of a specialty/subspecialty?

1=None; 2=Little; 3=Some; 4=Significant; 5=Great

[1] [2] [3] [4] [5] 10. Physician role models
[1] [2] [3] [4] [5] 11. Income potential
[1] [2] [3] [4] [5] 12. Level of indebtedness
[1] [2] [3] [4] [5] 13. Prestige
[1] [2] [3] [4] [5] 14. Intellectual content
[1] [2] [3] [4] [5] 15. Challenge
[1] [2] [3] [4] [5] 16. Encouragement of faculty
[1] [2] [3] [4] [5] 17. Encouragement of family
[1] [2] [3] [4] [5] 18. Encouragement of other students
[1] [2] [3] [4] [5] 19. Employment opportunities
[1] [2] [3] [4] [5] 20. Fit with your skills/ability
[1] [2] [3] [4] [5] 21. Length of graduate medical training
[1] [2] [3] [4] [5] 22. Opportunity to perform procedures
[1] [2] [3] [4] [5] 23. Opportunity for continuity of care
[1] [2] [3] [4] [5] 24. Controllable lifestyle


25. After completing your residency, in what type of community would you like to practice?

[1] [2] [3] [4] [5] 1=rural; 2=suburban; 3=urban; 4=inner-city; 5=undecided

26. After completing your residency, where would you like to locate?

[1] [2] [3] 1=Te xas; 2=Outside Texas; 3=Outside U.S.A.

27. If you answered "Outside Texas" to question #26, to what area of the U.S. would you relocate?

[1] [2] [3] [4] [5] 1=Northeast; 2=Northwest; 3=Central; 4=Southeast; 5=Southwest


For items 28-56, please use the following scale:

5=Strongly Agree; 4=Agree; 3=Not Sure; 2=Disagree; 1=Strongly Disagree

[1] [2] [3] [4] [5] 28. The diagnosis and treatment of illnesses in hospitalized patients is more difficult than similar problems in ambulatory patients.

[1] [2] [3] [4] [5] 29. Doctors who have large in-patient practices tend to be better doctors than those with small in-patient practices.

[1] [2] [3] [4] [5] 30. The primary care physician can provide the greatest service in following long-term health and adjustment of patients rather than in concentration on the treatment of their immediate complaints.

[1] [2] [3] [4] [5] 31. A wide variety of problems encompassing all age groups is interesting to me.

[1] [2] [3] [4] [5] 32. Subspecialists should assume long-term responsibility for patients with chronic illnesses.

[1] [2] [3] [4] [5] 33. Preventive medicine is more important than curative medicine.

[1] [2] [3] [4] [5] 34. Social and family environment of patients are a major influence on their state of health.

[1] [2] [3] [4] [5] 35. Medical education should concentrate primarily on recognition and treatment of specific disease processes.

[1] [2] [3] [4] [5] 36. A patient's ability to pay should influence quality of treatment given.

[1] [2] [3] [4] [5] 37. Epidemiological and preventive medicine research is interesting to me.

[1] [2] [3] [4] [5] 38. A primary care physician should use consultants for managing critically ill patients.

[1] [2] [3] [4] [5] 39. An emotional upset should be as valid an excuse for missing work as a bad cold.

[1] [2] [3] [4] [5] 40. The only way to practice good medicine is to do a complete history and physical examination each visit.

[1] [2] [3] [4] [5] 41. Treating an emotional disorder requires a lot of the doctor's time.

[1] [2] [3] [4] [5] 42. Health maintenance is not as interesting to me as curative medicine.

[1] [2] [3] [4] [5] 43. Disease prevention should be the responsibility of public health departments rather than the personal physician.

[1] [2] [3] [4] [5] 44. In order to provide the best care for patients, a doctor should personally perform as many of the direct patient-contact services as possible.

[1] [2] [3] [4] [5] 45. Consultants play a secondary role in the patient's total health care.

[1] [2] [3] [4] [5] 46. People with impaired mental health are as likely to get well as people with impaired physical health.

[1] [2] [3] [4] [5] 47. Except for certain diseases, specific knowledge pertaining to disease prevention is so fragmented that physician should limit his/her efforts to curative medicine.

[1] [2] [3] [4] [5] 48. The provision of services by subspecialty oriented physicians should be coordinated and controlled by primary care physicians.

[1] [2] [3] [4] [5] 49. There is no useful research work that can be done in primary care practice.

[1] [2] [3] [4] [5] 50. Primary care practices are not as profitable financially as specialty practices.

[1] [2] [3] [4] [5] 51. The demands of primary care practice leave little leisure time for family life or recreations.

[1] [2] [3] [4] [5] 52. Maintaining a complete medical and social data base on each patient is important to me.

[1] [2] [3] [4] [5] 53. Most patients' medical problems involve aspects of their coping mechanisms with life's daily challenges.

[1] [2] [3] [4] [5] 54. Physician's assistants will play an important role in future primary care.

[1] [2] [3] [4] [5] 55. I would prefer to spend my time dealing with patients' medical problems rather than their social or psychological problems.

[1] [2] [3] [4] [5] 56. Physician's assistants should handle the acute minor illness problems in primary care.