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pdfImage-Assisted Cytology Workload Survey
Thank you for taking the time to complete this survey. The Centers for Disease Control and Prevention (CDC) has
contracted with ASCT Services (American Society for Cytotechnology Services) to conduct this survey.
Your feedback is important for assessing cytotechnologist workload and individual workload maximums. Please note
that all responses will remain completely anonymous.
Form Approved
OMB No. 09201000
Expiration Date: 12/03/14
This report was supported by a contract (200201357614) funded by the Centers for Disease Control and
Prevention/Agency for Toxic Substances and Disease Registry.
Public reporting burden of this collection of information is estimated to average 30 minutes per response, including the
time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and
completing and reviewing the collection of information. An agency may not conduct or sponsor, and a person is not
required to respond to a collection of information unless it displays a currently valid OMB control number. Send
comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for
reducing this burden to CDC/ATSDR Information Collection Review Office, 1600 Clifton Road NE, MS D74, Atlanta,
Georgia 30333; ATTN: PRA (09201000).
Image-Assisted Cytology Workload Survey
As you complete the survey questions, please refer to the following abbreviations and their defintions.
Abbreviation (Definition)
ASCH (Atypical squamous cells – cannot exclude HSIL)
ASCUS (Atypical squamous cells of undetermined significance)
CIN2 (Cervical intraepithelial neoplasia)
CT (Cytotechnologist, includes SCTs)
Cytospin® (Thermo Scientific Shandon Cytospin® nongyn thin layer centrifuge)
FMR (Full manual review)
FNA (Fine needle aspiration)
FOV (Fieldofview)
FTE (Fulltime equivalent)
GYN (Gynecological cytology)
HPV (Human papilloma virus)
HSIL (Highgrade squamous intraepithelial lesion)
LSIL (Lowgrade squamous intraepithelial lesion)
NILM (Negative for Intraepithelial Lesion or Malignancy)
NonGYN (Nongynecological cytology)
Image-Assisted Cytology Workload Survey
1. Where is your laboratory located?
State:
6
Image-Assisted Cytology Workload Survey
2. Please select the option that best desribes your laboratory.
j Nonprofit hospital
k
l
m
n
j Forprofit hospital
k
l
m
n
j City/County/State hospital
k
l
m
n
j University hospital/academic medical center
k
l
m
n
j Public health, nonhospital
k
l
m
n
j Veteran’s Administration hospital
k
l
m
n
j Department of Defense hospital
k
l
m
n
j Regional/local independent laboratory; group practice/clinic/physician office
k
l
m
n
j National/corporate laboratory (owned by a national corporation)
k
l
m
n
j Don’t Know
k
l
m
n
Image-Assisted Cytology Workload Survey
3. How many automated microscopes of the following imageassisted screening devices
are used in your laboratory, if any?
Not Used in
15
610
1115
1620
2125
c
d
e
f
g
c
d
e
f
g
c
d
e
f
g
c
d
e
f
g
c
d
e
f
g
c
d
e
f
g
c
d
e
f
g
c
d
e
f
g
c
d
e
f
g
c
d
e
f
g
c
d
e
f
g
c
d
e
f
g
c
d
e
f
g
c
d
e
f
g
c
d
e
f
g
c
d
e
f
g
Laboratory
Hologic ThinPrep®
26 or more Don't Know
Imaging
Becton Dickinson
Focal Point™ GS
Imaging System
Image-Assisted Cytology Workload Survey
4. Please enter the 10digit CLIA number for your laboratory as indicated on the CLIA
certificate.
Please note: this information will be used to describe the demographics of survey
respondents. No government agency (local, state or federal) will have the ability to identify
any individual laboratory nor have access to responses submitted.
Image-Assisted Cytology Workload Survey
5. What is the name of your laboratory?
Please note: this information will be used to describe the demographics of survey
respondents. No government agency (local, state or federal) will have the ability to identify
any individual laboratory nor have access to responses submitted.
Image-Assisted Cytology Workload Survey
6. Which accrediting body inspects your laboratory for CLIA certification purposes?
j College of American Pathologists
k
l
m
n
j The Joint Commission
k
l
m
n
j State surveyors for CMS (Centers for Medicare & Medicaid Services)
k
l
m
n
j Don’t Know
k
l
m
n
Image-Assisted Cytology Workload Survey
7. Are you male or female?
j Male
k
l
m
n
j Female
k
l
m
n
Image-Assisted Cytology Workload Survey
8. Which category lists your age?
j 2129
k
l
m
n
j 3039
k
l
m
n
j 4049
k
l
m
n
j 5059
k
l
m
n
j 60 or older
k
l
m
n
Image-Assisted Cytology Workload Survey
9. What is your position?
j Cytology Supervisor or Cytology Technical Supervisor
k
l
m
n
j Cytotechnologist (CT, SCT)
k
l
m
n
j I no longer perform cytology testing
k
l
m
n
j Other (please specify)
k
l
m
n
Image-Assisted Cytology Workload Survey
Supervisor Questions
10. Please provide current information on your laboratory’s cytology personnel.
Number of Full Time Equivalents (FTE)
Cytotechnologists (Total)
6
Cytotechnologists who screen ONLY gynecologic slides
6
Cytotechnologists who screen ONLY nongynecologic slides
6
Cytotechnologists who screen BOTH GYN and nonGYN slides
6
Pathologists who practice gynecologic cytopathology
6
Pathologists who perform primary screening of GYN slides
6
Image-Assisted Cytology Workload Survey
11. What were your laboratory’s annual cytology test volumes for 2013?
Total
GYN ThinPrep®
GYN SurePath™
GYN Conventional
NonGYN/FNA
Image-Assisted Cytology Workload Survey
12. How many cases did your laboratory screen by computerassisted screening in 2013?
Total
ThinPrep® Imaging
Focal Point™ GS Imaging System
GYN Focal Point™ Slide Profiler
Image-Assisted Cytology Workload Survey
13. What percent of your imaged assisted GYN cytology cases required Full Manual
Review (FMR) in 2013?
% FMR
% required FMR
6
Image-Assisted Cytology Workload Survey
14. Does your laboratory include a MINIMUM % of slides that a CT screens for Full Manual
Review (FMR)?
j No minimum % for FMR
k
l
m
n
j Yes, there is a minimum % for FMR
k
l
m
n
j Don’t Know
k
l
m
n
Image-Assisted Cytology Workload Survey
15. How is the MINIMUM Full Manual Review (FMR) determined?
Other
j Equal the % of abnormal cases in our laboratory
k
l
m
n
j Double the % of abnormal cases in our laboratory
k
l
m
n
j Depends on the ability of the CT
k
l
m
n
j Don’t Know
k
l
m
n
j Other (please specify)
k
l
m
n
Image-Assisted Cytology Workload Survey
16. Does your laboratory include a MAXIMUM % of slides that a CT screens for Full Manual
Review (FMR)?
j No maximum % for FMR
k
l
m
n
j Yes, there is a maximum % for FMR
k
l
m
n
j Don’t Know
k
l
m
n
Image-Assisted Cytology Workload Survey
17. How is the MAXIMUM Full Manual Review (FMR) based?
c Accuracy of CT interpretation
d
e
f
g
c Productivity of total cases interpreted
d
e
f
g
c Don’t Know
d
e
f
g
c Other (please specify)
d
e
f
g
Image-Assisted Cytology Workload Survey
18. What percent of the total number ASCUS cases also tested positive for high risk HPV
in 2013?
Percentage
% ASCUS cases
6
Image-Assisted Cytology Workload Survey
19. What percent of the total number of NILM slides were rescreened for quality
assessment in 2013? (Includes random 10% cases and patients that are high risk per
laboratory defined criteria)
%
% of NILM slides rescreened
6
Image-Assisted Cytology Workload Survey
20. What is the number of cases in each of the following interpretation categories that your
laboratory reported in 2013?
Total unsatisfactory cases
Total number of NILM cases
Total number of ASCUS cases
Total number of ASCH cases
Total number of LSIL cases
Total number of HSIL+ cases
Image-Assisted Cytology Workload Survey
21. What percent of the negative cases were reclassified on review into the following
diagnostic categories in 2013?
% negative reclassified
ASCUS cases
6
ASCH cases
6
LSIL cases
6
HSIL+ cases
6
22. Number of cases with corresponding LSIL+ or (CIN2) biopsy within 6 months of PAP?
ASCUS cases
ASCH cases
LSIL cases
HSIL+ cases
Image-Assisted Cytology Workload Survey
23. Please provide the following information for each CT working in the laboratory.
(Each response should correspond to one CT who screens/interprets cytological
preparations)
What is the maximum
What is the HOURLY
workload per 8 hours?
Maximum? (per hour)
Has the workload maximum
been altered in the last 2
years?
Cytotechnologist #1
6
6
6
Cytotechnologist #2
6
6
6
Cytotechnologist #3
6
6
6
Cytotechnologist #4
6
6
6
Cytotechnologist #5
6
6
6
Cytotechnologist #6
6
6
6
Cytotechnologist #7
6
6
6
Cytotechnologist #8
6
6
6
Cytotechnologist #9
6
6
6
Cytotechnologist #10
6
6
6
Cytotechnologist #11
6
6
6
Cytotechnologist #12
6
6
6
Cytotechnologist #13
6
6
6
Cytotechnologist #14
6
6
6
Cytotechnologist #15
6
6
6
Cytotechnologist #16
6
6
6
Cytotechnologist #17
6
6
6
Cytotechnologist #18
6
6
6
Cytotechnologist #19
6
6
6
Cytotechnologist #20
6
6
6
Image-Assisted Cytology Workload Survey
24. Please continue to provide the following information for each CT working in the
laboratory.
(Each response should correspond to one CT who screens/interprets cytological
preparations)
What is the maximum
What is the HOURLY
workload per 8 hours?
Maximum? (per hour)
Has the workload maximum
been altered in the last 2
years?
Cytotechnologist #21
6
6
6
Cytotechnologist #22
6
6
6
Cytotechnologist #23
6
6
6
Cytotechnologist #24
6
6
6
Other
Cytotechnologist #25
6
6
6
Cytotechnologist #26
6
6
6
Cytotechnologist #27
6
6
6
Cytotechnologist #28
6
6
6
Cytotechnologist #29
6
6
6
Cytotechnologist #30
6
6
6
Cytotechnologist #31
6
6
6
Cytotechnologist #32
6
6
6
Cytotechnologist #33
6
6
6
Cytotechnologist #34
6
6
6
Cytotechnologist #35
6
6
6
Cytotechnologist #36
6
6
6
Cytotechnologist #37
6
6
6
Cytotechnologist #38
6
6
6
Cytotechnologist #39
6
6
6
Cytotechnologist #40
6
6
6
Image-Assisted Cytology Workload Survey
25. Please continue to provide the following information for each CT working in the
laboratory.
(Each response should correspond to one CT who screens/interprets cytological
Other
preparations)
What is the maximum
What is the HOURLY
workload per 8 hours?
Maximum? (per hour)
Has the workload maximum
been altered in the last 2
years?
Cytotechnologist #41
6
6
6
Cytotechnologist #42
6
6
6
Cytotechnologist #43
6
6
6
Cytotechnologist #44
6
6
6
Cytotechnologist #45
6
6
6
Cytotechnologist #46
6
6
6
Cytotechnologist #47
6
6
6
Cytotechnologist #48
6
6
6
Cytotechnologist #49
6
6
6
Cytotechnologist #50
6
6
6
Cytotechnologist #51
6
6
6
Cytotechnologist #52
6
6
6
Cytotechnologist #53
6
6
6
Cytotechnologist #54
6
6
6
Cytotechnologist #55
6
6
6
Cytotechnologist #56
6
6
6
Cytotechnologist #57
6
6
6
Cytotechnologist #58
Discretion
6
6
6
Cytotechnologist #59
6
6
6
Cytotechnologist #60
6
6
6
Image-Assisted Cytology Workload Survey
Cytotechnologist Questions
26. What is your pay classification?
j Salary
k
l
m
n
j Hourly
k
l
m
n
Image-Assisted Cytology Workload Survey
27. On average, how many hours do you work in the laboratory per day?
j Less than 4
k
l
m
n
j 4
k
l
m
n
j 5
k
l
m
n
j 6
k
l
m
n
j 7
k
l
m
n
j 8
k
l
m
n
j 9
k
l
m
n
j 10
k
l
m
n
j More than 10
k
l
m
n
Image-Assisted Cytology Workload Survey
28. According to your laboratory practice, is lunch included in your paid hours?
Is lunch included in paid hours?
Lunch
6
How long is your lunch break?
6
Image-Assisted Cytology Workload Survey
29. According to your laboratory practice, are breaks included in your paid hours?
Included?
Breaks
6
How many breaks are included
in your paid hours?
6
How long is EACH break?
6
Image-Assisted Cytology Workload Survey
30. According to your laboratory practice, are the following activities (where you are free
from work related activities) included in your paid hours?
Yes
No
Don't Know
Continuing Education Activities
c
d
e
f
g
c
d
e
f
g
c
d
e
f
g
Able to leave when maximum number of slides are screened (paid for a
c
d
e
f
g
c
d
e
f
g
c
d
e
f
g
full day if less hours are worked)
Image-Assisted Cytology Workload Survey
31. How do you record your daily workload? Workload recording may include any
combination of the following (select all that are recorded separately in your laboratory)
c Total of all slides screened (GYN + NonGYN)
d
e
f
g
c Gyn total slides only
d
e
f
g
c NonGyn slides only
d
e
f
g
c Total of slides screened by image assisted – FOV only
d
e
f
g
c Total of slides screened by image assisted – FMR
d
e
f
g
c Don’t Know
d
e
f
g
c Other (please specify)
d
e
f
g
Image-Assisted Cytology Workload Survey
32. For the most recent month of complete data, provide an estimate of the average
number of slides you screen per day.
Number of slides
Total (GYN & nonGYN)
6
GYN slides – ImageAssisted FOV only
6
GYN slides – Full Manual Review
6
NonGYN/FNA
6
Image-Assisted Cytology Workload Survey
33. Which method best describes your workflow process for Field of View (FOV) screening
and Full Manual Review (FMR)?
j I screen the FOVs on all of my slides using the semiautomated screening device. I flag cells where a FMR is
k
l
m
n
indicated and I perform the FMR using a manual or nonautomated microscope.
j I screen the FOVs and perform an immediate FMR when indicated. Both reviews are performed using the semi
k
l
m
n
automated screening device.
j I screen the FOVs on all of my slides using the semiautomated screening device. I flag cells where a FMR is
k
l
m
n
indicated. A different CT performs the FMR.
j I screen the FOVs on all of my slides using the semiautomated screening device. I flag cells where a FMR is
k
l
m
n
indicated. A pathologist performs the FMR using a manual or nonautomated microscope.
j I only perform the FMR on slides where a different CT has flagged cells indicating a FMR is required. I perform
k
l
m
n
the FMR using the semiautomated screening device.
j I only perform the FMR on slides where a different CT has flagged cells indicating a FMR is required. I perform
k
l
m
n
the FMR using a manual or nonautomated microscope.
j I do not use a semiautomated screening device and perform a FMR on all of my slides using a manual or non
k
l
m
n
automated microscope.
Image-Assisted Cytology Workload Survey
34. How are screening activities defined by your laboratory? Please select all activities that
are considered screening activities.
Yes
No
Don't Know
Calibrating the microscope
c
d
e
f
g
c
d
e
f
g
c
d
e
f
g
Matching a slide with a requisition and/or
c
d
e
f
g
c
d
e
f
g
c
d
e
f
g
c
d
e
f
g
c
d
e
f
g
c
d
e
f
g
c
d
e
f
g
c
d
e
f
g
c
d
e
f
g
Screening a slide
c
d
e
f
g
c
d
e
f
g
c
d
e
f
g
Reviewing FOVS
c
d
e
f
g
c
d
e
f
g
c
d
e
f
g
Performing FMR when required
c
d
e
f
g
c
d
e
f
g
c
d
e
f
g
Marking cells, or “dotting” a slide
c
d
e
f
g
c
d
e
f
g
c
d
e
f
g
Record results of the test
c
d
e
f
g
c
d
e
f
g
c
d
e
f
g
barcode scan
Loading a slide onto a microscope stage and
focusing
Review a patient history and noting specific
instructions
Other screening activites (please specify)
Image-Assisted Cytology Workload Survey
35. Please use your personal workload recording data from the most recent month of
complete data to provide an average number of HOURS PER DAY spent on both
screening and nonscreening tasks.
Note: For the purposes of this survey, SCREENING includes any or all of the following
tasks:
a. calibrating the microscope
b. matching a slide with a requisition and/or barcode scan
c. loading a slide onto a microscope stage and focusing
d. review a patient history and noting specific instructions
e. screening a slide
f. reviewing FOVs
g. performing FMR when required
h. marking cells, or “dotting” a slide
i. record results of the test
NONSCREENING activities include everything else.
Average Number of SCREENING HOURS per day
Total (GYN plus NONGYN)
6
GYN slides – ImageAssisted FOV only
6
GYN slides –Full Manual Review
6
NonGYN/FNA
6
Image-Assisted Cytology Workload Survey
36. What is your maximum workload limit?
Has the workload
Per 8 hours?
Hourly Maximum?
maximum been altered in
the last 2 years?
Max Workload Limit
6
6
6
Image-Assisted Cytology Workload Survey
37. How would you describe your current workload maximum? Check all that apply.
c Guideline
d
e
f
g
c Expected productivity target
d
e
f
g
c Don’t Know
d
e
f
g
Image-Assisted Cytology Workload Survey
38. How do you feel about your current workload maximum?
j Comfortable
k
l
m
n
j Uncomfortable
k
l
m
n
j No opinion
k
l
m
n
Image-Assisted Cytology Workload Survey
Asked of Supervisor and Cytotechnologists
39. For workload recording, how does your laboratory count a GYN slide? Select all that
apply.
c Each slide screened for FOV is counted as one half (0.5) slide
d
e
f
g
c Each slide (either FOV or FMR) is counted as 1 slide
d
e
f
g
c Each slide that is screened for FOV and a FMR is performed, count as 1 slide
d
e
f
g
c Each slide that is screened for FOV and a FMR is performed, count as1.5 slides
d
e
f
g
c Don’t Know
d
e
f
g
c Other (please specify)
d
e
f
g
Image-Assisted Cytology Workload Survey
40. For workload recording, how does your laboratory count a NonGYN slide? Select all
that apply.
c Each case counts as 1 slide
d
e
f
g
c Each slide counts as 1 slide
d
e
f
g
c Each slide prepared by Cytospin® counts as 1 slide
d
e
f
g
c Each slide prepared by Cytospin® counts as 0.5 slide
d
e
f
g
c Each slide prepared by automated methods (other than Cytospin®) counts as 1 slide
d
e
f
g
c Each slide prepared by automated methods (other than Cytospin®) counts as 0.5 slide
d
e
f
g
c Each cell block slide counts as 1 slide
d
e
f
g
c Each cell block slide counts as 0.5 slide
d
e
f
g
c Each smear counts as 1 slide
d
e
f
g
c Each smear counts as 0.5 slide
d
e
f
g
c Don’t Know
d
e
f
g
c Other (please specify)
d
e
f
g
Image-Assisted Cytology Workload Survey
41. Does your laboratory have a written policy that defines when a FMR is required?
j Yes, there is a written policy
k
l
m
n
j No written policy
k
l
m
n
j Don't Know
k
l
m
n
Image-Assisted Cytology Workload Survey
42. Which of the following are reasons listed in the policy that defines when a FMR is
required? Select all that apply.
c Reactive cells seen in the FOVs
d
e
f
g
c Abnormal cells seen in the FOVs
d
e
f
g
c Patients with a history of being high risk
d
e
f
g
c No endocervical component seen in the FOVs
d
e
f
g
c Scant cellularity seen in the FOVs
d
e
f
g
c Evidence of infection is seen in the FOVs
d
e
f
g
c Don’t Know
d
e
f
g
c Discretion of CT. Please explain:
d
e
f
g
Image-Assisted Cytology Workload Survey
43. Does your laboratory have a process that describes how the Technical Supervisor
determines a CT’s individual workload maximum?
j No process to determine individual workload maximum
k
l
m
n
j Yes, there is a process to determine individual workload maximum
k
l
m
n
j Don’t Know
k
l
m
n
Image-Assisted Cytology Workload Survey
44. What criteria are used for INCREASING a CT’s workload maximum? Select all that
apply.
c CT consistently screens their workload maximum in less than 8 hours
d
e
f
g
c CT states they are able or want to screen more than their maximum
d
e
f
g
c Technical Supervisor determines that the CT is qualified to screen more, based on rescreening of at least 10%
d
e
f
g
of negative cases interpreted as NILM
c Technical Supervisor determines that the CT is qualified to screen more, based on comparison of CT
d
e
f
g
interpretation with technical supervisor’s confirmation
c Don’t Know
d
e
f
g
Other. Please describe your criteria:
Image-Assisted Cytology Workload Survey
45. What criteria are used for DECREASING a CT’s workload maximum? Select all that
apply.
c CT consistently is unable to screen their workload maximum
d
e
f
g
c CT states they are unable to screen at their maximum
d
e
f
g
c Technical Supervisor determines that the CT should screen less, based on rescreening of at least 10% of
d
e
f
g
negative cases interpreted as NILM
c Technical Supervisor determines that the CT should screen less, based on comparison of CT interpretation with
d
e
f
g
technical supervisor’s confirmation
c Don’t Know
d
e
f
g
Other. Please describe your criteria:
Image-Assisted Cytology Workload Survey
46. Would you be willing to participate in a study to measure the amount of time spent
screening Pap test slides and workload assessment? This study will take place in 2014
and 2015.
j Yes
k
l
m
n
j No
k
l
m
n
j Maybe
k
l
m
n
Image-Assisted Cytology Workload Survey
47. Please provide an email address to contact you about the upcoming study. This email
address will not be used for any other purposes.
Email Address:
Image-Assisted Cytology Workload Survey
48. In appreciation of your time in completing this survey, you will be entered into a
drawing selecting 50 individuals to WIN a variety of prizes. Prizes include educational
materials.
If you haven't already, please provide your email below to be contacted if you win a PRIZE.
As noted previously, email addresses will remain completely anonymous.
Email Address:
Image-Assisted Cytology Workload Survey
49. Please provide any additional comments about cytology workload or this survey.
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Image-Assisted Cytology Workload Survey
Final Screen
THANK YOU for completing the survey. We appreciate your time.
Please forward the survey link (http://www.surveymonkey.com/s/WorkloadSurveyPilot) to other cytotechnologists and
supervisors so that we collect as much valuable information as possible about cytology workload.
Please direct any specific questions to [email protected]
| File Type | application/pdf |
| File Modified | 2014-01-09 |
| File Created | 2014-01-06 |