Implementing Recommended Back Pain Management Standards - Pre-activity questionnaire | UT Southwestern

In order to determine your familiarity with clinical practices regarding the management of lower back pain, and the effectiveness of currently available educational information, please answer each of the following questions.

Your participation is appreciated.

Current Recommendations *

	(1) Strongly Disagree	(2) Disagree	(3) Neither	(4) Agree	(5) Strongly Agree
I am familiar with the current recommendations for managing lower back pain, including the use of MRIs’.	I am familiar with the current recommendations for managing lower back pain, including the use of MRIs’. - (1) Strongly Disagree	I am familiar with the current recommendations for managing lower back pain, including the use of MRIs’. - (2) Disagree	I am familiar with the current recommendations for managing lower back pain, including the use of MRIs’. - (3) Neither	I am familiar with the current recommendations for managing lower back pain, including the use of MRIs’. - (4) Agree	I am familiar with the current recommendations for managing lower back pain, including the use of MRIs’. - (5) Strongly Agree

Rate your level of confidence for implementing the following practices: *

	(1) Strongly Disagree	(2) Disagree	(3) Neither	(4) Agree	(5) Strongly Agree
I am confident in my ability to evaluate and manage patients with lower back pain and make appropriate referrals to specialists.	I am confident in my ability to evaluate and manage patients with lower back pain and make appropriate referrals to specialists. - (1) Strongly Disagree	I am confident in my ability to evaluate and manage patients with lower back pain and make appropriate referrals to specialists. - (2) Disagree	I am confident in my ability to evaluate and manage patients with lower back pain and make appropriate referrals to specialists. - (3) Neither	I am confident in my ability to evaluate and manage patients with lower back pain and make appropriate referrals to specialists. - (4) Agree	I am confident in my ability to evaluate and manage patients with lower back pain and make appropriate referrals to specialists. - (5) Strongly Agree
I am confident in my ability to apply recommended best practices for the use of MRI’s in managing patients with lower back pain.	I am confident in my ability to apply recommended best practices for the use of MRI’s in managing patients with lower back pain. - (1) Strongly Disagree	I am confident in my ability to apply recommended best practices for the use of MRI’s in managing patients with lower back pain. - (2) Disagree	I am confident in my ability to apply recommended best practices for the use of MRI’s in managing patients with lower back pain. - (3) Neither	I am confident in my ability to apply recommended best practices for the use of MRI’s in managing patients with lower back pain. - (4) Agree	I am confident in my ability to apply recommended best practices for the use of MRI’s in managing patients with lower back pain. - (5) Strongly Agree
I am confident in my ability to communicate with patients regarding the limitations of using MRI’s for lower back pain.	I am confident in my ability to communicate with patients regarding the limitations of using MRI’s for lower back pain. - (1) Strongly Disagree	I am confident in my ability to communicate with patients regarding the limitations of using MRI’s for lower back pain. - (2) Disagree	I am confident in my ability to communicate with patients regarding the limitations of using MRI’s for lower back pain. - (3) Neither	I am confident in my ability to communicate with patients regarding the limitations of using MRI’s for lower back pain. - (4) Agree	I am confident in my ability to communicate with patients regarding the limitations of using MRI’s for lower back pain. - (5) Strongly Agree

Additional Comments *

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