Narrative Medicine Project-Credentials & Knowledge Survey

Contact Information

Name(Required)

First Last Suffix

Phone

Country Phone Number

Professional Credentials

Specialty(Required)

# of Years in Practice(Required)

<5 years

5-10 years

11-15 years

>15 years

# Years as a Vestibular Specialist(Required)

<5 years

5-10 years

11-15 years

>15 years

% Vestibular clients you see in your practice(Required)

Credentials-Other

Please list your credentials and certifications (e.g., residencies, competencies, etc.).

Knowledge Assessment-Clinical Presentation

A patient reports persistent dizziness that worsens in grocery stores, shopping malls, and other visually complex environments. Which diagnosis is MOST consistent with this presentation?(Required)

Bilateral vestibular hypofunction

Vestibular neuritis

Persistent postural-perceptual dizziness (PPPD)

Ménière’s disease

Which feature is MOST useful for distinguishing BPPV from vestibular migraine?(Required)

Nausea

Motion sensitivity

Female sex

Vertigo that is consistently triggered by specific head position changes and lasts less than one minute

Which of the following symptoms would raise the GREATEST concern that dizziness may not be due to a peripheral vestibular disorder?(Required)

Motion sensitivity

Oscillopsia during walking

Progressive limb weakness or other focal neurological deficits

Positional vertigo

Which statement about vestibular migraine is MOST accurate?(Required)

Headache is required during every vertigo episode.

Vestibular testing is usually diagnostic.

Patients may experience recurrent vertigo with or without headache.

Hearing loss is required for diagnosis.

Knowledge Assessment-Diagnosis & Management

Which statement best reflects current best practice in diagnosing vestibular disorders?(Required)

Vestibular testing usually establishes the diagnosis independently.

MRI identifies the cause in most patients with chronic dizziness.

Diagnosis often depends on integrating patient history, physical examination, and targeted testing because symptoms overlap across disorders.

Blood tests should be obtained before vestibular testing.

A patient with chronic unilateral vestibular hypofunction continues to experience imbalance months after the acute event. Which intervention has the strongest evidence for improving function?(Required)

Long-term vestibular suppressants

Strict avoidance of symptom-provoking movement

Repeated canalith repositioning maneuvers

Individualized vestibular rehabilitation that promotes central compensation

Which statement best explains why vestibular disorders are frequently misdiagnosed?(Required)

Most vestibular disorders require invasive diagnostic procedures.

Vestibular disorders are too rare for clinicians to recognize.

Symptoms overlap with neurological, cardiovascular, psychological, and other medical conditions, making diagnosis highly dependent on a careful clinical history.

Most vestibular disorders produce normal neurological examinations.

Knowledge Assessment-Burden of Disease

Which statement is MOST consistent with current evidence regarding the impact of vestibular disorders?(Required)

Most patients recover completely within a few weeks.

Symptoms primarily affect gait and balance.

Vestibular disorders mainly affect older adults.

Vestibular disorders can substantially affect mobility, vision, cognition, emotional well-being, work, and participation in daily life.

Which statement best describes the diagnostic journey experienced by many patients with vestibular disorders?(Required)

Most receive an accurate diagnosis during their first healthcare visit.

Patients are usually referred directly to vestibular specialists.

Many patients see multiple healthcare providers before receiving a diagnosis, which may or may not be accurate, and some do not receive a diagnosis.

Diagnostic delays primarily occur because vestibular disorders are untreatable.

Which statement regarding vestibular disorders is MOST accurate?(Required)

They affect approximately 5% of adults during their lifetime.

They affect roughly one in three adults during their lifetime, making them a common but often underrecognized group of disorders.

They are uncommon outside older adults.

Most patients require hospitalization during the initial episode.

Bonus

Which factor is thought to contribute MOST to frustration reported by many vestibular patients during the diagnostic process?

Most vestibular disorders require hospitalization.

Symptoms are usually visible to others.

Symptoms often fluctuate, are invisible, and overlap with many other conditions, contributing to delayed diagnosis and misunderstanding.

Effective treatments are unavailable for most vestibular disorders.