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. Author manuscript; available in PMC: 2012 Feb 23.
Published in final edited form as: World J Pediatr Congenit Heart Surg. 2010 Apr;1(1):8–14. doi: 10.1177/2150135109360915

Table 1.

Questionnaire

  1. Name of institution where you practice

  2. Children recovering after congenital heart surgery in our program are most frequently admitted to:
    1. PICU
    2. CICU
  3. Primary responsibility for postoperative care in our program belongs to (more than one response was allowed):
    1. Cardiology
    2. Pediatric critical care
    3. Cardiothoracic surgery
    4. Either/both cardiology or pediatric critical care (combination of cardiology and pediatric critical care)
    5. Persons trained in both cardiology and pediatric critical care. (This could include those who are double-boarded, and those with advanced training but not board certified in both specialties).
  4. Working with attending physicians in our ICU are (more than one response was allowed):
    1. PICU fellows
    2. Cardiology fellows
    3. CICU fellows
    4. Pediatric residents
    5. Nurse practitioners
    6. Physician Assistants
  5. Surgeons at our center who operate on children with congenital heart disease:
    1. Operate only on children
    2. Operate on adults with congenital heart disease
    3. Operate on adults with acquired heart disease
  6. My hospital is a:
    1. Free standing children’s hospital
    2. Children’s hospital in a hospital
    3. Pediatric service in a hospital
  7. My hospital is a:
    1. University Hospital
    2. University affiliate
    3. Weak or no university affiliation
  8. My program is located in:
    1. Northeast
    2. Southeast
    3. Southwest
    4. Northwest
    5. West
    6. Midwest