Submitted by Jeffrey Lake on Wed, 02/24/2016 - 5:28pm 1. Please rate your familiarity with the role/rationale for the use of JAK kinase inhibitors in the treatment of ulcerative colitis. * Not at all familiar Somewhat familiar Very familiar Extremely familiar 2. Please rate your familiarity with the role/rationale for the use of sphingosine -1-phosphate inhibitors in the treatment of ulcerative colitis. * Not at all familiar Somewhat familiar Very familiar Extremely familiar 3. Please rate your familiarity with the role/rationale for the use of biosimilars in the treatment of ulcerative colitis. * Not at all familiar Somewhat familiar Very familiar Extremely familiar 4. How many of your patients with moderate-to-severe ulcerative colitis are currently receiving treatment with a TNF-alpha inhibitor? * <10% 11% - 25% 26% - 50% >50% 5. How many of your patients with moderate-to-severe ulcerative colitis are currently receiving treatment with vedolizumab? * <10% 11% - 25% 26% - 50% >50% 6. Have you developed and implemented a performance improvement plan to overcome barriers to the optimal management of ulcerative colitis in clinical practice? * Yes No 7. How adequate are the ulcerative colitis patient education materials within your Electronic Health Record (EHR)? * Very good Good Fair Poor Very poor Not applicable 8. Please rate the extent of your typical patient's compliance with your recommended treatment strategies for ulcerative colitis. * Most of the time Some of the time Seldom Never 9. How often do you discuss taking medications appropriately as part of the ulcerative colitis treatment plan? * Most of the time Some of the time Seldom Never 10. From the following list, please indicate the challenges you have experienced when you provided counseling and education to your ulcerative colitis patients (Please select all that apply): * Obtaining an accurate health history Getting patients to value suggestions for improving their health Patients who are not ready to make lifestyle changes Patients who have low health literacy (e.g., do not understand medical terminology) Patients who are unable or unwilling to adhere to their treatment plan Lack of sufficient time for counseling and education Additional competing priorities during the visit Not applicable Other...(please describe) 10. From the following list, please indicate the challenges you have experienced when you provided counseling and education to your ulcerative colitis patients (Please select all that apply): Other...(please describe) 11. Select your specialty: * Gastroenterology Primary Care Other... 11. Select your specialty: Other... 12. What is your profession? * Physician Nurse Practitioner Physician Assistant Nurse Other... 12. What is your profession? Other... Enter for a chance to win an amazon gift card: Name Email Address Leave this field blank
