Post-Study Provider Survey Please enter your birthday. * We will only use this information to link your pre-study survey responses to these survey responses. MM DD YYYY Which of the following best describes your gender? * Male Female Non-binary Transgender Which of the following best describes your race? * American Indian or Alaska Native Asian Black or African American Native Hawaiian or Other Pacific Islander White Other Which of the following best describes your ethnicity? * Hispanic or Latino Not Hispanic or Latino Control Survey * Please rate your agreement with the following statements. Treating non-cancer pain patients is a problem in my practice. Strongly Disagree Disagree Neutral Agree Strongly Agree I prescribe opioids to pain patients when other palliative treatments are ineffective. Strongly Disagree Disagree Neutral Agree Strongly Agree I am satisfied with the transition notes from referring prescribers. Strongly Disagree Disagree Neutral Agree Strongly Agree I can identify patients at risk for misuse of opioids. Strongly Disagree Disagree Neutral Agree Strongly Agree I worry about patients misusing opioids (e.g., taking them in higher doses or more frequently than prescribed). Strongly Disagree Disagree Neutral Agree Strongly Agree I worry about patients becoming dependent on opioids (e.g., developing tolerance and the potential for withdrawal on discontinuation). Strongly Disagree Disagree Neutral Agree Strongly Agree I worry about patients becoming addicted to opioids. Strongly Disagree Disagree Neutral Agree Strongly Agree I often feel manipulated by patients to whom I prescribe opioids. Strongly Disagree Disagree Neutral Agree Strongly Agree Concerns about patient satisfaction influence my decision to prescribe opioids. Strongly Disagree Disagree Neutral Agree Strongly Agree I am confident in my ability to manage chronic pain patients. Strongly Disagree Disagree Neutral Agree Strongly Agree I follow an opioid practice protocol. Strongly Disagree Disagree Neutral Agree Strongly Agree The consistent approach of my practice helps me feel comfortable prescribing opioids when indicated. Strongly Disagree Disagree Neutral Agree Strongly Agree I fear that I may become the subject of a criminal or civil investigation due to opioid prescribing. Strongly Disagree Disagree Neutral Agree Strongly Agree Regulatory and civil/criminal legal pressures keep me from prescribing opioids. Strongly Disagree Disagree Neutral Agree Strongly Agree I am confident that my chart documentation meets the medical/legal standards of legitimate opioid prescribing. Strongly Disagree Disagree Neutral Agree Strongly Agree I have a good understanding of federal and state guidelines governing opioid prescribing. Strongly Disagree Disagree Neutral Agree Strongly Agree I am confident in my ability to treat patients who misuse opioids. Strongly Disagree Disagree Neutral Agree Strongly Agree I am confident in my ability to treat patients who have opioid use disorder. Strongly Disagree Disagree Neutral Agree Strongly Agree My clinic has the resources I need to properly monitor patients on opioids. Strongly Disagree Disagree Neutral Agree Strongly Agree I am a: * Physician prescriber Nurse practitioner prescriber Physician assistant prescriber Other My specialty is: * Family medicine Primary care Internal medicine Orthopedics Anesthesiology Pain Management Physical medicine and rehabilitation Other What percentage of your patients are on opioid therapy? * <10% 10-25% 26-50% 51-75% >75% I have been in practice for: * <3 years 3-5 years 6-10 years 11-15 years 16-20 years >20 years Thank you for your feedback. We appreciate your help in making the Care Continuity Program better.
