Are you currently working or have ever worked as an orthopaedic surgeon (including training)?
Yes
No
Are you currently practicing in the United States of America? If you are retired, did you practice in the United States of America?
Yes
No
If not, what country do you practice in?
Have you previously completed this survey in 2023/2024?
Yes
No
Year of Birth Gender Which of the following racial designations best describes you? (More than one choice is acceptable.)
Do you consider yourself Hispanic/Latino or not Hispanic/Latino?
Have you smoked at least 100 cigarettes in your entire life? How often do you have a drink containing alcohol? Height (inches) Weight (pounds)
Male
Female
Prefer not to answer
Male
Female
Prefer not to answer
Which of the following racial designations best describes you? (More than one choice is acceptable.)
Do you consider yourself Hispanic/Latino or not Hispanic/Latino?
Have you smoked at least 100 cigarettes in your entire life?
Yes
No
Do you NOW smoke cigarettes every day, some days, or not at all?
Do you NOW smoke cigarettes every day, some days, or not at all?
Not at All
Some Days
Every Day
Not at All
Some Days
Every Day
Total number of years that you have smoked?
Total number of years that you have smoked?
How many packs of cigarettes per day did/do you smoke?Use decimals for fractions, e.g., enter 0.5 for 1/2
How many packs of cigarettes per day did/do you smoke?
Use decimals for fractions, e.g., enter 0.5 for 1/2
How often do you have a drink containing alcohol?
Never
Monthly or less
2-4 times per month
2-3 times per week
4 or more times a week
Never
Monthly or less
2-4 times per month
2-3 times per week
4 or more times a week
inches
lbs
Are you a resident, fellow, attending, or retired?
Resident
Fellow
Attending
Retired
Resident
Fellow
Attending
Retired
In what year did you begin your orthopaedic residency? Are you currently in training?
Have you ever had training or education on the risks of radiation exposure within orthopaedics as a resident or staff? (Please note this does not include state mandated radiation training)
Do you use standard fluoroscopy on a weekly basis? On average, within the past 5 years, how often do you use standard fluoroscopy?
Do you use mini fluoroscopy on a weekly basis?
On average, within the past 5 years, how often do you use mini fluoroscopy?
What is the average length of standard fluoroscopy during your operative cases?
What type of protection do you use? Choose all that apply
Have you had a problem with radiation lead apron protection availability at your operating room?
Do you wear a dosimeter?
How often do you use PMMA cement in your practice?
In what year did you begin your orthopaedic residency?
year
Are you currently in training?
Yes
No
Do you work full-time or part-time?
Do you work full-time or part-time?
Full-time
Part-time
What is your subspecialty?
What is your subspecialty?
Have you ever had training or education on the risks of radiation exposure within orthopaedics as a resident or staff? (Please note this does not include state mandated radiation training)
Yes
No
What type of training did you attend?
What type of training did you attend?
Do you use standard fluoroscopy on a weekly basis?
Yes
No
Which year did you start using standard fluoroscopy (C-arm image intensification) on a weekly basis?
Which year did you start using standard fluoroscopy (C-arm image intensification) on a weekly basis?
year
On average, within the past 5 years, how often do you use standard fluoroscopy?
< 6 times a year
1-2 times a month
3-4 times a month
>1 time a week
< 6 times a year
1-2 times a month
3-4 times a month
>1 time a week
Do you use mini fluoroscopy on a weekly basis?
Yes
No
Which year did you start using mini fluoroscopy on a weekly basis?
Which year did you start using mini fluoroscopy on a weekly basis?
On average, within the past 5 years, how often do you use mini fluoroscopy?
< 6 times a year
1-2 times a month
3-4 times a month
>1 time a week
< 6 times a year
1-2 times a month
3-4 times a month
>1 time a week
What is the average length (in seconds) of standard fluoroscopy during your operative cases?
seconds
What type of protection do you use? Choose all that apply
Have you had a problem with radiation lead apron protection availability at your operating room?
Yes
No
Yes
No
Are you aware of the annual radiation readings from your dosimetry badge?
Are you aware of the annual radiation readings from your dosimetry badge?
Yes
No
How often do you use PMMA cement in your practice?
>1 time a week
1-2 times a month
3-4 times a month
<6 times a year
>1 time a week
1-2 times a month
3-4 times a month
<6 times a year
Have you had thyroid dysfunction? Have you had cataracts? Have you had a colonoscopy? Have you ever had cancer, other than basal cell or squamous cell of the skin?
Have any members of your family been diagnosed with cancer?
Have you had thyroid dysfunction?
Yes No
What type of dysfunction?
What type of dysfunction?
Hypothyroid Hyperthroid Euthryroid Viral -Hashimoto Other
Yes No
Have you had a colonoscopy?
Yes No
Was this a screening colonoscopy, or for an active medical condition?
Was this a screening colonoscopy, or for an active medical condition?
Screening
Active medical condition
Screening
Active medical condition
Have you ever had cancer, other than basal cell or squamous cell of the skin?
Yes No
What stage was the cancer?
What stage was the cancer?
Localized
Regional
Distant
Don't Know or Don't Recall
Localized
Regional
Distant
Don't Know or Don't Recall
When were you first diagnosed?
When were you first diagnosed?
M-D-Y
What was your age at diagnosis?
What was your age at diagnosis?
Have any members of your family been diagnosed with cancer?
Yes
No
At what age did you begin your first menstrual period?
At what age did you begin your first menstrual period?
<12
12
13
>/=14
Don't remember
<12
12
13
>/=14
Don't remember
Have you menstruated in the past 12 months?
Have you menstruated in the past 12 months?
Yes
No
Have you ever used hormone replacement therapy?
Have you ever used hormone replacement therapy?
Yes
No
How long have you used hormone replacement therapy?
<1 year
1-3 years
>3 years
How many children have you given birth to?
How many children have you given birth to?
None
1
2
>/=3
How old were you when you had your first child/pregnancy?
How old were you when you had your first child/pregnancy?
Younger than 25
25-29
30-34
35 or older
Younger than 25
25-29
30-34
35 or older
Have you ever had a mammogram?
Have you ever had a mammogram?
Yes No
At what age was your first mammogram?
At what age was your first mammogram?
Have you ever had a breast biopsy?
Have you ever had a breast biopsy?
Yes No
At what age was your first breast biopsy?
At what age was your first breast biopsy?
Younger than 40
40-44
45-49
50-54
55 or older
Younger than 40
40-44
45-49
50-54
55 or older