|
*Year of
Residency Graduation: |
[i.e. 2008] |
|
*Current Practice: |
Community
Academic
Mixed |
|
*Population Served: |
Urban
Suburban
Rural |
|
*Percentage of census that are
pediatric: |
Less than 10%
10% to 30%
30% to 50%
Greater
than 50% |
|
*ED Volume: |
Less
than 20,000
20,000 to 40,000
40,000 to 60,000
Greater than 60,000 |
|
Please use this scale to rate
the following 26 comments: |
|
5
Strongly Agree 4
Agree 3 Neutral
2 Disagree 1
Strongly Disagree 0
Not Applicable |
|
|
|
1.) My program prepared
me adequately for my current clinical practice. |
5
4
3
2
1
0 |
|
2.) My program prepared me for the ABEM written exam. |
5
4
3
2
1
0 |
|
3.) My program prepared me for the ABEM
oral exam. |
5
4
3
2
1
0 |
|
4.) My program prepared me with an
adequate knowledge base for clinical practice. |
5
4
3
2
1
0 |
|
5.) I was prepared to incorporate
evidence based medicine into my practice. |
5
4
3
2
1
0 |
|
6.) My program prepared me to manage
multiple patients efficiently. |
5
4
3
2
1
0 |
|
7.) My program prepared me to manage
critically ill adult patients. |
5
4
3
2
1
0 |
|
5
Strongly Agree 4
Agree 3 Neutral
2 Disagree 1
Strongly Disagree 0
Not Applicable |
|
8.) My program prepared me to manage
critically ill pediatric patients. |
5
4
3
2
1
0 |
|
9.) My program prepared me to manage
trauma patients. |
5
4
3
2
1
0 |
|
10.) My program taught me to utilize
diagnostic studies efficiently. |
5
4
3
2
1
0 |
|
11.) My program prepared me to handle
coding/billing and documentation. |
5
4
3
2
1
0 |
|
12.) My program prepared me to be an
educator. |
5
4
3
2
1
0 |
|
13.) My program prepared me to make the
transition into my career - managing finances/debt, obtaining a
license, etc.. |
5
4
3
2
1
0 |
|
14.) My program prepared me to
communicate effectively with colleagues, staff and patients from all
backgrounds. |
5
4
3
2
1
0 |
|
15.) My program prepared me to be a
lifelong learner and critically assess the quality of my practice
style. |
5
4
3
2
1
0 |
|
16.) My program taught the importance of
wellness and balance between career and family/life. |
5
4
3
2
1
0 |
Answer questions 17 thru 27,
according to this statement:
I was adequately prepared to perform the following procedures: |
|
5
Strongly Agree 4
Agree 3 Neutral
2 Disagree 1
Strongly Disagree 0
Not Applicable |
|
17.) Ultrasound: |
5
4
3
2
1
0 |
|
18.) Chest tube: |
5
4
3
2
1
0 |
|
19.) Thoracotomy: |
5
4
3
2
1
0 |
|
20.) Airway management: |
5
4
3
2
1
0 |
|
21.) IO: |
5
4
3
2
1
0 |
|
22.) Pericardiocentesis: |
5
4
3
2
1
0 |
|
23.) Vaginal delivery: |
5
4
3
2
1
0 |
|
24.) Procedural sedation: |
5
4
3
2
1
0 |
|
25.) Orthopedic reductions: |
5
4
3
2
1
0 |
|
26.) Central line placement |
5
4
3
2
1
0 |
|
27.) Defibrillation/ Cardioversion/ Pacing: |
5
4
3
2
1
0 |
|
We value your input, so please comment on the
following: |
|
Strengths of training: |
|
|
Areas needing improvement: |
|
|
Other: |
|
|
Before submitting your survey,
please be sure that you have answered the required *demographic
information at the top of the survey, and then type "yes" in the box
below. |
| |
|
*type
yes |
|
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| |
|
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