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Resident Survey: Review of Training Program
Resident Name: Select Achanta, Latha Ahmed, Irfan Ayub, Bilal Azari, Amir Baker, Lauren Bhaskar, Nutan Chen, Andy Dago, Joseph Dave, Rishi Degapudi, Bhargavi Ediae, Jude Edo-Ohonba, Osaze Go, Mylene Gujja, Deepa Jagadeesh, Simha Kane, Jean Marie Karur, Vinit Koneru, Kalyana Liu, Ping Mahboob, Hina Malik, Anuj Manchikalapudi, Rama Manda, Yugandhar Mishra, Richa Moghbelpour, May Mueller, Donna Nair, Seema Olofsson, Beatrix Osinusi, Olukemi Padmanabhuni, Amitha Pandit, Trailokya Pieleanu, Adrian Pieleanu, Irina Pramick, Michelle Rai, Manish Ramachandran, Swetha Ramanakumar, Ajay Restrepo, Ricardo Rothkopf, Jay Rutkowski, Paul Sai, Karhikayan Shah, Pranav Shah, Roshani Sheth, Nirav Shih, Yu-chen Shrivastava, Aseem Siddiqui, Salim Sister, Igor Sorathia, Lubna Swehla, Brian Tangri, Sabrena Veeraputhiran, Muthu Wu, Willis Yarlagadda, Madhavi
Please rate how well the following met your expectations and the defined goals and objectives
Poor Average Excellent
1 2 3 4 5
4. Morning report Select 1 2 3 4 5
Comments
5. Noon conference Select 1 2 3 4 5
6. GMF Attending rounds Select 1 2 3 4 5
Comments=
7. CCU Attending rounds Select 1 2 3 4 5
8. ICU Attending rounds Select 1 2 3 4 5
9. Grand rounds Select 1 2 3 4 5
10. Board Review Select 1 2 3 4 5
Please rate the overall quality of the following rotations
Rating
10. GMF Select 1 2 3 4 5 Comments
11. ICU Select 1 2 3 4 5 Comments
12. CCU Select 1 2 3 4 5 Comments
13. EIP Select 1 2 3 4 5 Comments
How helpful was the videotaping Select 1 2 3 4 5 How helpful was the feedback on quality metrics Select 1 2 3 4 5 How helpful was the bedside teaching Select 1 2 3 4 5
14. OPS/OPM (R1s) Select 1 2 3 4 5 Comments
15. OPS (R3s) Select 1 2 3 4 5 Comments
17. Geriatrics Select 1 2 3 4 5 Comments
18. ER Select 1 2 3 4 5 Comments
19. Nightfloat Select 1 2 3 4 5 Comments
20. AO Select 1 2 3 4 5 Comments
21. Plaza Firm Select 1 2 3 4 5 Comments
22. IMAA Firm Select 1 2 3 4 5 Comments
23. Electives Select 1 2 3 4 5 Elective Name and Comments
24. Quality R3 Select 1 2 3 4 5 Comments
25. DOM Hospitalists Select 1 2 3 4 5 Comments
The following set of questions pertains to your ambulatory preceptors. If you have more than one preceptor, please complete this entire form once, submit it and then complete just this section for your other preceptor: Definitely No Unsure Definitely YES 1 2 3 4 5
Did your ambulatory preceptor 1. Establish an active role for you in the office: Select 1 2 3 4 5 2 Prepared you for patient encounters by: Reviewing patient history with you Select 1 2 3 4 5 Prioritizing pertinent issues Select 1 2 3 4 5 Assigning pertinent issues to read Select 1 2 3 4 5 Making follow up appointments when you were available Select 1 2 3 4 5 3. Listen to you Select 1 2 3 4 5 4. Made sure that you learned something from each patient Select 1 2 3 4 5 5. Asked questions to enhance your learning Select 1 2 3 4 5 6. Created an environment in which you felt comfortable accepting Select 1 2 3 4 5 challenges, even at the risk of making mistakes
Strongly Disagree Strongly Agree 1 2 3 4 5
7. Gave you specific feedback geared towards skill development in Case presentation Select 1 2 3 4 5 History taking Select 1 2 3 4 5 Physical exam Select 1 2 3 4 5 Assessment and clinical decision making Select 1 2 3 4 5 Documentation Select 1 2 3 4 5 Patient education Select 1 2 3 4 5 8. Increased your independence in caring of for patients Select 1 2 3 4 5 9. Included participation in History taking Select 1 2 3 4 5 Physical exams Select 1 2 3 4 5 Assessment and clinical decision making Select 1 2 3 4 5 Documentation Select 1 2 3 4 5 Patient education Select 1 2 3 4 5
The following questions relate to the ambulatory practice site as learning environment
Not at all Very much 1 2 3 4 5
10. The office environment was well suited to involve residents in patient care Select 1 2 3 4 5 11. I found that the office staff helped residents learn Select 1 2 3 4 5 12. I felt like an integral part oft he health care team Select 1 2 3 4 5 13. I felt that my time in the office was being wasted Select 1 2 3 4 5 14. In relation to effective learning, I felt that the pace of patient care was Select 1 2 3 4 5
Please comment on the faculty’s effectiveness
24. Program Director
25. Other faculty
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Please feel free to comment about any aspect of the program. Your feedback will help in the process of our continued efforts to improve the program
Copyright © 2006, Abington Memorial Hospital Department of Medicine
