2026 SMSNA APP Pre-Fundamentals Course Assessment

2026 SMSNA APP Pre-Fundamentals Course Assessment

Please take a few minutes to fill out this assessment.
Name

First NameLast Name
Email
example@example.com
1. During your PA/NP education and on-the-job training, how much training did you receive in the following areas? (Please list number of hours).
A. Male Sexual Dysfunction:
hours
B. Female Sexual Dysfunction:
hours
C. Menopause and HRT:
hours
D. Male Incontinence:
hours
E. Male Infertility:
hours
F. Male Hypogonadism:
hours
G. BPH:
hours
H. Peyronie's Disease:
hours
I. Erectile Dysfunction:
hours
J. Gender Affirming Care:
hours
2. How would you rate your confidence in your ability to perform the following procedures independently? On a scale of 1 (not confident) to 5 (highly confident).
A. Intralesions (Xiaflex) Injections

1

2

3

4

5

1 is Not confident, 5 is Highly confident
B. Intracavernosal Injection

1

2

3

4

5

1 is Not confident, 5 is Highly confident
C. Insertion of Testosterone pellets

1

2

3

4

5

1 is Not confident, 5 is Highly confident
D. IPP inflation/deflation teaching

1

2

3

4

5

1 is Not confident, 5 is Highly confident
E. Corporal aspiration for priapism management

1

2

3

4

5

1 is Not confident, 5 is Highly confident
F. Penile Duplex Doppler

1

2

3

4

5

1 is Not confident, 5 is Highly confident
3. Which of the following procedures do you currently perform in your practice? (Check all that apply).

Other
Other:
4. How comfortable/confident are you with treating female sexual dysfunction and hormone deficiency in your practice? On a scale of 1 (not confident) to 5 (highly confident).

1

2

3

4

5

1 is Not confident, 5 is Highly confident
5. How comfortable/confident are you with treating male sexual dysfunction and hormone deficiency in your practice? On a scale of 1 (not confident) to 5 (highly confident).

1

2

3

4

5

1 is Not confident, 5 is Highly confident
6. How comfortable/confident are you with treating gender identity disorder in your practice? On a scale of 1 (not confident) to 5 (highly confident).

1

2

3

4

5

1 is Not confident, 5 is Highly confident
7. What type of practice are you currently working in?

Other
Other:
8. Have you completed or are you currently enrolled in a fellowship/preceptorship in urology or sexual medicine?
9. If you have completed a preceptorship/fellowship in sexual medicine, how would you rate how beneficial this additional training was? On a scale from 1 (least beneficial) to 10 (most beneficial).

1

2

3

4

5

6

7

8

9

10

1 is Least beneficial, 10 is Most beneficial
10. What region of the country/state do you practice in?
11. Are there any specific areas of sexual medicine, incontinence, or BPH that you are most looking forward to learning more about at the APP Fundamentals Course?
12. Please rate your overall confidence in billing/coding. On a scale of 1 (not confident) to 5 (highly confident).

1

2

3

4

5

1 is Not confident, 5 is Highly confident
13. How likely are you to incorporate social media into your practice? On a scale of 1 (very unlikely) to 5 (very likely).

1

2

3

4

5

1 is Very unlikely, 5 is Very likely
14. On a scale from 1 (not interested) to 5 (very interested), my interest in becoming a future leader in the SMSNA is:

1

2

3

4

5

1 is Not interested, 5 is Very interested
15. As an APP, do you feel that you are currently being utilized to the highest level of your education?
If not, please describe ways in which you would like to see improvement in your practice model. Otherwise, answer N/A.
Type N/A if does not apply
16. Do you agree that APPs should be able to perform clinic procedures such as cystoscopy, Xiaflex, vasectomy, etc.?
17. Do you have a PDE5 inhibitor that you prefer to prescribe?
18. Do you have a preferred vacuum erection device that you recommend to patients?
19. Do you have a preferred penile traction device that you recommend to patients?
20. Is there anything not listed above that should be covered or discussed in the APP Fundamentals Course?
21. Why did you pick andrology or sexual medicine as your specialty?
22. What percentage of your time do you spend doing procedures?
23. On an average clinic day how many patients to you see:
Independently
With supervision
24. The biggest components of job satisfaction and career longevity as an APP for me are: (Rank in order from 1 being most important to 10 being least important). Drag-and-drop to your order of importance.
Comment from "other" above
Type N/A if does not apply
25. The current biggest dissatisfiers in my job are: (Rank in order from 1 being most dissatisfied to 11 being least dissatisfied). Drag-and-drop to your order of importance.
Comment from "other" above
Type N/A if does not apply
1. What are your top three priorities for learning at this weekend’s APP Fundamentals Course?
2. Please rate your comfort level with educating patients about ED and all the treatment options, including penile implants? On a scale of 1 (not at all comfortable) to 5 (extremely comfortable).

1

2

3

4

5

1 is Not comfortable, 5 is Extremely comfortable
3. Please rate your comfort level with educating patients on the use of their prosthetic implant? On a scale of 1 (not at all comfortable) to 5 (extremely comfortable).

1

2

3

4

5

1 is Not comfortable, 5 is Extremely comfortable
Areas of Interest in Patient Care Pathway
From the pre-operative phase through post-operative care, which specific aspects of patient care in urology/ED are you most interested in enhancing your knowledge about during this training?
Challenges in Urological Patient Management
Are there any particular challenges or areas of difficulty you have encountered in managing urological/ED patients pre-op or post-op that you would like to address with our experts during the training?
Desired Outcomes from Training
What specific skills or knowledge in the field of urology/ED would you like to gain from this training to improve your patient care practices?
What are you hoping to learn at the APP Fundamentals Course as it relates to Xiaflex?
What are the gaps that exist around the treatment of Xiaflex?
Should be Empty: