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INFORMATION SHEET COMBINING POLICY AND IMPLEMENTATION SCIENCE TO OPTIMIZE CLINICAL PRACTICE HUM00224157

Principal Investigator: Dana Telem, MD, MPH

You are invited to participate in a research study (HUM00224157) about your experiences and opinions of this training program.

If you agree to be part of the research study, you will be asked questions about your opinions and confidence with certain aspects of hernia management as well as questions about your experience using this training tool.

Benefits of the research: results from this study will be used to improve this training and the way quality
improvement is shared across Michigan. Your responses will also inform the development of ongoing quality improvement initiatives in hernia surgery. All data collected in this study will be securely stored on HIPAA complaint servers according to state-of-the-art data security practices. Information collected in this study will not be shared outside of the study team, and your responses can not and will not be able to either negatively or positively impact your employment or reputation.

The risks of participating in this study are minimal to non-existent. The only risk associated with a potential data breach is that your participation in the study could be revealed.

Participating in this study is completely voluntary. Even if you decide to participate now, you may change your mind and stop at any time. You may choose not to answer any question and/or withdraw participation for any reason.

If you have questions about this research study, please contact the study team at СOHRegistry@umich.edu.

The University of Michigan Medical School Institutional Review Board (IRBMED) has reviewed and approved this study.

Pre-Training Self-Assessment

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In the following questions, we will begin by asking you about yourself and your work experience.

What is your role in your organization?
In what year did you begin medical practice after completing your training?
Did you complete a fellowship?
In what specialty?
Which of the following best describes your primary practice setting?
Approximately how many ventral incisional (non inguinal) abdominal wall hernia repairs do you perform per year?
What is your age?
How do you currently describe yourself?
Have you received formal training on preoperative optimization?

Pre-Training Self-Assessment

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Before we get started we would like to ask you some questions about your confidence in communicating with your patients undergoing abdominal wall hernia repair.

On a scale of 1 to 7, 1 being not confident and 7 being extremely confident, how confident are you in each of the following:

Unsure

Not
Confident

Somewhat
Confident

Very
Confident

Extremely
Confident

0 1 2 3 4 5 6 7

You can have a conversation with a patient about:

a) Smoking Cessation

b) Weight Management

c) Glycemic Control

You can counsel your patient to delay an operation if they

a) Are an active tobacco user

b) Are overweight or obese

c) Have Poor glycemic control

Pre-Training Self-Assessment

0%
/

Before we get started we would like to ask you some questions about your confidence in communicating with your patients undergoing abdominal wall hernia repair.

On a scale of 1 to 7, 1 being not confident and 7 being extremely confident, how confident are you in each of the following:

Unsure

Not
Confident

Somewhat
Confident

Very
Confident

Extremely
Confident

0 1 2 3 4 5 6 7

You can change your practice related to preoperative optimization?

You know what resources to share with patients for

a) Smoking Cessation

b) Weight management

c) Glycemic control

That a risk calculator can help you communicate with your patients about the aforementioned risk factors?