Thank you for electing to participate in ACEP's EM-PRN network. We do not need to collect any personal information other than your name to include you as a participant in the EM-PRN. The data will be compiled and aggregated with no connection to you. To stay up-to-date with EM-PRN news and updates, visit www.acep.org/em-prn

Please complete the following and click submit below.
 
 
 
Cinical Practice
 
 
 
1. Estimate the PERCENT of patients you see for chronic pain (an acute exacerbation or medication need).* 
 
 
 
  
  
2. In the past month have you seen any patients who have ingested the designer drug popularly called bath salts?* 
Yes
No
 
 
If yes, approximate NUMBER? 
 
 
 
  
  
3. In the past month have you seen any patients who have used the synthetic marijuana products such as K2 or Spice?* 
Yes
No
 
 
If yes, approximate number? 
 
 
 
  
  
4. Which imaging study do you routinely use FIRST to evaluate PEDIATRIC patients with possible appendicitis?* 
 
 
If other, please describe. 
 
 
 
  
  
5. In the past month, have you experienced a shortage or absence of a critical medicine?* 
Yes
No
 
 
If yes, please choose which medication class or action was involved (check all that apply)* 
Airway control
Pain control
Infection treatment
Cardiac care/rhythm control
Seizure control
Procedural sedation
Treatment of drug reaction/overdose
Migraine treatment
Other
 
 
 
  
  
6. Are you aware of any patients who have been harmed by a drug shortage?* 
Yes
No
 
 
 
  
  
7. Has your emergency department run out of one or more medications due to the inability to obtain the medication(s) from a supplier?* 
Yes
No
 
 
If yes to the above, how much time elapsed before the medication deficit was corrected? 
 
 
 
  
  
8. Has your institution attempted to mitigate a medication shortage by obtaining medications from a source other than your normal supply chain?* 
Yes, from a health care facility
Yes, from an alternate supplier
Yes, from another source
No, we have not obtained medications from another source
I don't know
 
 
If yes, how often in the past six months? 
 
 
 
  
  
9. Has your ED had to use an alternative to a medication that was unavailable because of a supply shortage?* 
Yes
No
 
 
 
  
  
Research
 
 
 
10. What clinical research questions would you like this research network to address?* 
 
 
 
  
  
Professional Practice
 
 
 
11. Are you ABEM or AOBEM certified?* 
Yes
No
 
 
If yes, what year do you anticipate re-certifying? 
 
 
 
  
  
12. Are you seriously considering leaving the clinical practice of emergency medicine in the next 5 years?* 
Yes
No
 
 
 
  
  
13. Does your group participate in PQRI (Physician Quality Reporting Initiative)?* 
Yes
No
Not Sure
 
 
 
  
  
14. Do you receive patient satisfaction scores related to your patient care?* 
Yes
No
Not Sure
 
 
 
  
  
15. Is your individual compensation directly tied to your performance on quality measures or patient satisfaction?* 
Yes
No
Maybe
 
 
 
  
  
To complete and submit the survey, please enter your name, select 'Yes' to agree to the Survey Participation Terms and click submit. Your name is NOT matched or recorded to your survey answers. Submitting your name is only used to enroll you as a participant in the EM-PRN. 
 
 
16. Your full name.* 
 
 
 
  
  
I agree to the EM-PRN Survey Participation Terms.* 
Yes
No