TABLE 2.

Survey of Access to GastroEnterology (SAGE) – clinician demographics

Physician name (optional) E-mail address (optional) Physician sex □ Male □ Female Postal code of the institution where you do the majority of your procedures (endoscopy, liver biopsies, etc) Affiliation □ Predominantly teaching hospital based □ Predominantly community based, with hospital privileges □ Predominantly community based, without hospital privileges Your practice is □ Luminal □ Liver □ Both luminal and liver Your practice is □ Adult □ Pediatric Your practice is □ Full-time □ Part-time: If part-time, what percentage of time do you work? What percentage of your work week is spent in clinical care? Please round to the nearest 10% Have you limited new patient referrals because of the length of your wait list? □ No □ Yes