Participant Survey (EPL Modules)

What is your specialty?

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In what country do you practice medicine? Please fill in the answer below.

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If you practice in the United States, do you practice in a rural, suburban, or urban setting? Please respond to the best of you knowledge.

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What best describes your practice setting?

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What best describes your practice setting?

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What proportion of your patients are women of reproductive age (15-44 years old)?

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What proportion of your patients are women of reproductive age (15-44 years old)?

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On average, how many women of reproductive age (15-44 years old) do you treat each week? Please answer to the best of your knowledge.

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Do you provide obstetric and prenatal care?

Yes. I provide both obstetric and prenatal care.
No. I provide neither obstetric and prenatal care.
No. I only provide prenatal care.
No. I only provide obstetric care.

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Do you perform uterine aspirations in your practice?

Yes
No

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Do you provide expectant management in your practice?

Yes
No

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If so, where do you perform uterine aspiration? Emergency department, operating room, and/or outpatient setting? Please list all that apply below. If you do not perform uterine aspiration please enter "0".

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Do you provide medication management in your practice?

Yes
No

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Does your practice refrain from providing any of the following treatment options?

Expectant managment
Medication management with misoprostol
Uterine aspiration in an outpatient setting
Uterine aspiration in an emergency room
Uterine aspiration in an operating room
N/A (We do not refrain from providing any of the following treatment options listed above)

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What proportion of your patients with early pregnancy loss choose expectant management?

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What proportion of your patients with early pregnancy loss choose medication management?

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What proportion of your patients with early pregnancy loss choose uterine aspiration?

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Up to what gestational age of early pregnancy loss do you provide expectant management? If you do not provide this care please enter 0.

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Up to what gestational age of early pregnancy loss do you provide uterine aspiration in an outpatient setting? If you do not provide this care please enter 0.

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Up to what gestational age of early pregnancy loss do you provide medication management? If you do not provide this care please enter 0.

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Up to what gestational age of early pregnancy loss do you provide uterine aspiration in an operating room? If you do not provide this care please enter 0.

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Up to what gestational age of early pregnancy loss do you provide uterine aspiration in the Emergency Department? If you do not provide this care please enter 0.

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If you do perform uterine aspiration in your practice, how many per month? If not, please leave blank.

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If you encounter major obstacles to providing uterine aspiration in an outpatient setting, please explain below.

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If you encounter major obstacles to providing uterine aspiration in your Emergency Department, please explain below.

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How helpful was this module in updating you about early pregnancy loss?

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After watching this module, are there changes you would like to make to your practice? If so, please describe below.

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What did you enjoy about this course? Please describe below.

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How can this course be improved? Please describe below.

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