Skip to content

11955 DALLAS PKWY, FRISCO | 214-396-5200

LOG-IN
PAYMENTS
CONTACT
JOIN OUR TEAM

APPOINTMENTS
NEW PATIENTS
- New Patients: Call 214-396-5200
- New Parents
LEARN MORE

Appointment Scheduler
Ear Piercing
Portal Login
New Patients
- New Patients: Call 214-396-5200
- New Parents
Contact
Locate
- 11955 Dallas Parkway, Frisco
Hours
- M-F 8-6 | Sat 9-12 | Sun 2-4
Learn More
Make a Payment

Provider Skills Survey

Provider Skills SurveyMichael2019-01-03T14:13:54-06:00

Provider Name:*
Date of Completion*
MM slash DD slash YYYY
Date of meeting scheduled with Dr Linck
MM slash DD slash YYYY
What type of patient visit do you enjoy the most?*
What type of patient care do you feel that you are or want to be an "expert" in?*
- Obesity
- Mental Health / ADHD
- Asthma
- Preventative Care
- Diabeties
- Injuries
- Other
If other, explain.*
What type of patient visit have you identified that you would like additional training in?*
What type of patient do you enjoy but feel the need for additional CME / training to provide?*
Are there any additional resources that you need to be able to perform your job (such as equipment, additional educational resources / textbooks / websites, CME opportunities, one-on-one trainings with another provider)?*
Is there a particular age group of children you enjoy caring for the most?*
- Yes
- No
If yes, please explain.*
Is there a particular age group that you find most challenging (add additional information if it also includes a particular type of medical problem you feel challenged managing)?*
What size sterile gloves do you wear?*
Is there a part of your daily work-flow that is a problem for you?*
- Yes
- No
If yes, please explain.*
Is there a BluePrint that you wish we had in HealthFusion that is currently not available?*
- Yes
- No
If yes, please explain.*
Please rate your confidence in treating ASTHMA:*
Least Confident Somewhat Confident Neutral Confident Most Confident
Please mark any items that you are requesting additional assistance /guidance in providing:
- Interpreting PFT
- Formulating and Asthma Action Plan
- Managing an Asthma Exacerbation
- Completion of Asthma paperwork for ISD
Please list any items that you enjoy providing:
Please rate your confidence in treating CONCUSSION:*
Least Confident Somewhat Confident Neutral Confident Most Confident
Please mark any items that you are requesting additional assistance /guidance in providing:
- Administering SCAT form for Concussion
- Interpreting SCAT form for Concussion
- Formulating Return to play following a Concussion
- Providing a complete Neuro exam on a child following a Concussion
Please list any items that you enjoy providing:
Please rate your confidence in treating FOOD ALLERGY:*
Least Confident Somewhat Confident Neutral Confident Most Confident
Please mark any items that you are requesting additional assistance /guidance in providing:
- Teaching the use of epinephrine to the patient and family
- How to prescribe EpiPen/Auvi-Q
- Completion of FARE allergy action plan
- Completion of Allergy paperwork for ISD
Please list any items that you enjoy providing:
Please rate your confidence in treating FOREIGN BODY REMOVAL:*
Least Confident Somewhat Confident Neutral Confident Most Confident
Please mark any items that you are requesting additional assistance /guidance in providing:
- Embedded Earlobe Earring removal
- Removal of foreign body from the external auditory canal
- Removal of Impacted Ear wax with currette
- Removal of foreign body from the nose
- Removal of a splinter from soft tissue
Please list any items that you enjoy providing:
Please rate your confidence in treating CIRCUMCISION:*
Least Confident Somewhat Confident Neutral Confident Most Confident
Please mark any items that you are requesting additional assistance /guidance in providing:
- Ability providing a circumcision
- Which type of circumcision do you feel most adequately trained on providing (PlastiBell, Gompco, Mogen)
Please list any items that you enjoy providing:
How long of an appointment would you prefer if you want to provide this service?
Please rate your confidence in treating LACERATION REPAIR:*
Least Confident Somewhat Confident Neutral Confident Most Confident
Please mark any items that you are requesting additional assistance /guidance in providing:
- Closure of a laceration by Staple
- Closure of a laceration by Glue
- Closure of a laceration by Suture
- Closure of a laceration by Steri Strip
- Suture removal
- Staple removal
Please list any items that you enjoy providing:
Please rate your confidence in treating TONGUE TIE ANKYLOGLOSSIA:*
Least Confident Somewhat Confident Neutral Confident Most Confident
Please mark any items that you are requesting additional assistance /guidance in providing:
- Frenulotomy (Tongue Tie release)
Please list any items that you enjoy providing:
Please rate your confidence in treating MANAGEMENT OF AN UMBILICAL GRANULOMA:*
Least Confident Somewhat Confident Neutral Confident Most Confident
Please mark any items that you are requesting additional assistance /guidance in providing:
- Cautery of umbilicus for an umbilical granuloma
Please list any items that you enjoy providing:
Please rate your confidence in treating MANAGEMENT OF A NURSEMAIDS ELBOW:*
Least Confident Somewhat Confident Neutral Confident Most Confident
Please mark any items that you are requesting additional assistance /guidance in providing:
- Ability to currently reduce a nursemaids elbow
- Ability to identify a nursemaids elbow
Please list any items that you enjoy providing:
Please rate your confidence in treating MANAGEMENT OF A WART:*
Least Confident Somewhat Confident Neutral Confident Most Confident
Please mark any items that you are requesting additional assistance /guidance in providing:
- Cryotherapy of a wart
- Cryotherapy with shaving of a callus with a plantar wart
Please list any items that you enjoy providing:
Please rate your confidence in treating MANAGEMENT OF A FRACTURE:*
Least Confident Somewhat Confident Neutral Confident Most Confident
Please mark any items that you are requesting additional assistance /guidance in providing:
- Taking an Xray of upper extremity (MD or DO only)
- Taking an Xray of lower extremity (MD or DO only)
- How to validate and send Xray to radiologist
- How to burn a CD of an Xray for the patient
- Knowledge of what type of splint is needed depending on injury
- Placement of an aluminum finger splint
- Placement of a posterior lower leg splint
- Placement of an ulnar gutter
- Placement of a thumb spica
- Placement of a posterior upper arm splint
Please list any items that you enjoy providing:
Please rate your confidence in treating MANAGEMENT OF MINOR BURNS:*
Least Confident Somewhat Confident Neutral Confident Most Confident
Please mark any items that you are requesting additional assistance /guidance in providing:
- Ability to triage burns that need referral
- Ability to manage simple burns
Please list any items that you enjoy providing:
Please rate your confidence in treating MENTAL HEALTH MANAGEMENT:*
Least Confident Somewhat Confident Neutral Confident Most Confident
Please mark any items that you are requesting additional assistance /guidance in providing:*
- Ability to initially manage an ADHD/ADD patient not previously diagnosed and never on medications
- Ability to initially manage an ADHD / ADD patient previously already on medications
- Ability to manage an established ADHD /ADD patient already on medications
- Ability to interpret Vanderbilt forms
- Ability to assist in obtaining 504 / IEP
- Experience managing ADHD / ADD in the past
- Interest in managing ADHD / ADD patients in the future
- Understanding of ADHD / ADD evaluation process at Pediatric People
- Understanding of Mental Health resources at Pediatric People
Please list any items that you enjoy providing:
Please rate your confidence in treating MANAGEMENT OF INFANT JAUNDICE:*
Least Confident Somewhat Confident Neutral Confident Most Confident
Please mark any items that you are requesting additional assistance /guidance in providing:
- Comfort with utilizing bili tool to formulate care plan
- Process for ordering a serum bilirubin
- Interpreting transcutaneous bilirubin meter results
- Process for ordering home phototherapy from Cooks Home Health
Please list any items that you enjoy providing:
Please rate your confidence in treating PREVENTATIVE CARE FOR A CHILD UNDER 2 YEARS:*
Least Confident Somewhat Confident Neutral Confident Most Confident
Please mark any items that you are requesting additional assistance /guidance in providing:
- Ability interpreting ASQ results in this age group
- Ability in referral process for therapies
- Ability interpreting MCHAT results
- Ability interpreting SPOT results
- Ability interpreting hemoglobin results
- Ability interpreting lead results
- Ability providing anticipatory guidance
- Ability providing sleep training guidance
- Ability providing nutritional guidance
- Ability providing dental care guidance (dental varnish)
Please list any items that you enjoy providing:
Please rate your confidence in treating PREVENTATIVE CARE FOR A CHILD OLDER THAN 2 YEARS - 9 YEARS:*
Least Confident Somewhat Confident Neutral Confident Most Confident
Please mark any items that you are requesting additional assistance /guidance in providing:
- Ability interpreting ASQ results in this age group
- Ability interpreting hearing screen / vision results
- Ability interpreting lipid panel results
- Ability providing anticipatory guidance
- Ability providing enuresis guidance
- Ability providing nutrition guidance
- Ability providing toilet training guidance
- Ability providing sleep training guidance
Please list any items that you enjoy providing:
Please rate your confidence in treating PREVENTATIVE CARE FOR A CHILD OLDER THAN 10 YEARS - 18 YEARS:*
Least Confident Somewhat Confident Neutral Confident Most Confident
Please mark any items that you are requesting additional assistance /guidance in providing:
- Ability interpreting PHQ results / HEADs screening
- Ability providing anticipatory guidance
- Ability providing nutritional guidance
- Ability providing sleep training guidance
Please list any items that you enjoy providing:

Conditions of Use | Health Care Privacy | Privacy Policy | Careers
Copyright 2012 – Pediatric People, PLLC | All Rights Reserved.