understand, and explain procedures required for my

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Self Study Graduating Internal Medicine Residents 2015 1. The program provided adequate EDUCATION/EXPOSURE for me to know, understand, and explain procedures required for my specialty Strongly Agree Agree Neutral Disagree Strongly Disagree 2. The program provides adequate TRAINING in performing procedures required for my specialty. Strongly Agree Agree Neutral Disagree Strongly Disagree 3. My procedure training took place in the following settings (must add up to 100%): % of procedure training Simulation Center task training HandsOn with "real" patients Observation Other: If other (please specify) 4. I received education in the following domains of the Business of Medicine Guralinck S, Hernandez T, Corapi M, Yedowitz- Freeman J, Klek S, Rodriguez J, et al. The ACGME Self-Study --An Opportunity, Not a Burden. J Grad Med Educ. 2015;7(3):502-505. Downloaded from http://meridian.allenpress.com/jgme/article-supplement/117012/pdf/guralnick_resource+07_self-study+graduating+residents by guest on 22 October 2021

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7/22/2015 [SURVEY PREVIEW MODE] Self Study Graduating Internal Medicine Residents 2015 Survey

https://www.surveymonkey.com/r/?sm=wnKnVaXkgO5Xqlav9AXmgoET0w8v9Zzw4YYZwHWrLyB1pNPcMHcT00FpQfl7RJqVX1RbjaZScoKgUns%2bdDj19zh… 1/7

Self Study Graduating Internal Medicine Residents 2015

1. The program provided adequate EDUCATION/EXPOSURE for me to know,understand, and explain procedures required for my specialty

Strongly Agree

Agree

Neutral

Disagree

Strongly Disagree

2. The program provides adequate TRAINING in performing procedures required formy specialty.

Strongly Agree

Agree

Neutral

Disagree

Strongly Disagree

3. My procedure training took place in the following settings (must add up to 100%):

% of procedure training

Simulation Center­task training

Hands­On with"real" patients

Observation

Other:

If other (please specify)

4. I received education in the following domains of the Business of Medicine

Guralinck S, Hernandez T, Corapi M, Yedowitz-Freeman J, Klek S, Rodriguez J, et al. The ACGME Self-Study --An Opportunity, Not a Burden. J Grad Med Educ. 2015;7(3):502-505.

Dow

nloaded from http://m

eridian.allenpress.com/jgm

e/article-supplement/117012/pdf/guralnick_resource+07_self-study+graduating+residents by guest on 22 O

ctober 2021

7/22/2015 [SURVEY PREVIEW MODE] Self Study Graduating Internal Medicine Residents 2015 Survey

https://www.surveymonkey.com/r/?sm=wnKnVaXkgO5Xqlav9AXmgoET0w8v9Zzw4YYZwHWrLyB1pNPcMHcT00FpQfl7RJqVX1RbjaZScoKgUns%2bdDj19zh… 2/7

Received Some Received None Would like to Receive

Documentation(Compliance)

Billing and Coding

Job Contract

Health Insurances

Health Care DeliverySystems

Legal Issues

Healthcare Policy

Negotiation

Credentialing andPrivileges

Accountable CareOrganizations

5. Quality of conferences

Excellent Good Poor Not Available

Advances inMedicine

Grand Rounds

Clinical Case

Core Curriculum

QualityImprovement

Sub­specialty

Interdisciplinary(tumor board,pathology,radiology…)

Journal Club

Morning Report

Guralinck S, Hernandez T, Corapi M, Yedowitz-Freeman J, Klek S, Rodriguez J, et al. The ACGME Self-Study --An Opportunity, Not a Burden. J Grad Med Educ. 2015;7(3):502-505.

Dow

nloaded from http://m

eridian.allenpress.com/jgm

e/article-supplement/117012/pdf/guralnick_resource+07_self-study+graduating+residents by guest on 22 O

ctober 2021

7/22/2015 [SURVEY PREVIEW MODE] Self Study Graduating Internal Medicine Residents 2015 Survey

https://www.surveymonkey.com/r/?sm=wnKnVaXkgO5Xqlav9AXmgoET0w8v9Zzw4YYZwHWrLyB1pNPcMHcT00FpQfl7RJqVX1RbjaZScoKgUns%2bdDj19zh… 3/7

Board Review

Other (please specify)

6. The level of supervision on clinical rotations has been (mark all that apply)

Always appropriate

At times too little (too much independence)

At times too much (not enough independence)

7. Research opportunities are/were available to me

Agree

Disagree

8. Participation in research during my current residency/fellowship (mark all thatapply)

I published a paper

I published an abstract

I presented a platform (oral presentation) at a national meeting

I presented a platform (oral presentation) at a regional meeting (outside of WUH)

I presented a poster at a national meeting

I presented a poster at a regional meeting (outside of WUH)

I have ongoing research

I completed research that was not presented or published

I did not participate in research

9. Barriers to my involvement in research include (mark all that apply)

The IRB process

Mentorship

Available Projects

Guralinck S, Hernandez T, Corapi M, Yedowitz-Freeman J, Klek S, Rodriguez J, et al. The ACGME Self-Study --An Opportunity, Not a Burden. J Grad Med Educ. 2015;7(3):502-505.

Dow

nloaded from http://m

eridian.allenpress.com/jgm

e/article-supplement/117012/pdf/guralnick_resource+07_self-study+graduating+residents by guest on 22 O

ctober 2021

7/22/2015 [SURVEY PREVIEW MODE] Self Study Graduating Internal Medicine Residents 2015 Survey

https://www.surveymonkey.com/r/?sm=wnKnVaXkgO5Xqlav9AXmgoET0w8v9Zzw4YYZwHWrLyB1pNPcMHcT00FpQfl7RJqVX1RbjaZScoKgUns%2bdDj19zh… 4/7

Other (please specify)

Patient Population

Research Skills/Knowledge

10. How have you received feedback about your performance? (mark all that apply)

Other (please specify)

Written Evaluation

Verbal Feedback

Program Director Meetings

Formative Feedback during the rotations

Summative Feedback after rotations

11. The impact other learners have had on my education?

Positive Neutral Negative

Medical Student

PA Student

Nursing Student

Pharmacy Student

Resident fromanother specialty

12. There is a good balance of complex and simple (“bread and butter”) cases

Comment

Yes

No

13. There is a good balance of service and education

Guralinck S, Hernandez T, Corapi M, Yedowitz-Freeman J, Klek S, Rodriguez J, et al. The ACGME Self-Study --An Opportunity, Not a Burden. J Grad Med Educ. 2015;7(3):502-505.

Dow

nloaded from http://m

eridian.allenpress.com/jgm

e/article-supplement/117012/pdf/guralnick_resource+07_self-study+graduating+residents by guest on 22 O

ctober 2021

7/22/2015 [SURVEY PREVIEW MODE] Self Study Graduating Internal Medicine Residents 2015 Survey

https://www.surveymonkey.com/r/?sm=wnKnVaXkgO5Xqlav9AXmgoET0w8v9Zzw4YYZwHWrLyB1pNPcMHcT00FpQfl7RJqVX1RbjaZScoKgUns%2bdDj19zh… 5/7

Comment

Yes

No

14. There is a good balance between inpatient and outpatient experiences

Comment

Yes

No

15. The diversity of patients seen in my program

Good Diversity Some Diversity Poor Diversity

Ethnicity

Insurance Status

Age

Gender

16. I can readily find a computer to perform patient care activities (notes, orders, labreview, etc...)

Almost Always

Sometimes

Rarely

17. The computers I use for patient care include:

Use often Use Rarely Never Use None Available

Desktop

Laptop

Wall­A­Roo

“Vitals” machines

Guralinck S, Hernandez T, Corapi M, Yedowitz-Freeman J, Klek S, Rodriguez J, et al. The ACGME Self-Study --An Opportunity, Not a Burden. J Grad Med Educ. 2015;7(3):502-505.

Dow

nloaded from http://m

eridian.allenpress.com/jgm

e/article-supplement/117012/pdf/guralnick_resource+07_self-study+graduating+residents by guest on 22 O

ctober 2021

7/22/2015 [SURVEY PREVIEW MODE] Self Study Graduating Internal Medicine Residents 2015 Survey

https://www.surveymonkey.com/r/?sm=wnKnVaXkgO5Xqlav9AXmgoET0w8v9Zzw4YYZwHWrLyB1pNPcMHcT00FpQfl7RJqVX1RbjaZScoKgUns%2bdDj19zh… 6/7

Other (please specify)

18. My education regarding ethical issues in medicine has been

Adequate

Inadequate

19. My education regarding telephone medicine (telephone interactions with patientsand family members) has been

Adequate

Inadequate

20. The program prepared me well to pass the Board Certification exam

Strongly Agree

Agree

Neutral

Disagree

Strongly Disagree

21. Upon graduation I will be prepared to practice in my specialty without supervision

Strongly Agree

Agree

Neutral

Disagree

Strongly Disagree

22. What type of practice are you entering upon graduation?

Private Practice – Single Specialty

Private Practice – Multi­Specialty

Academic Practice

Guralinck S, Hernandez T, Corapi M, Yedowitz-Freeman J, Klek S, Rodriguez J, et al. The ACGME Self-Study --An Opportunity, Not a Burden. J Grad Med Educ. 2015;7(3):502-505.

Dow

nloaded from http://m

eridian.allenpress.com/jgm

e/article-supplement/117012/pdf/guralnick_resource+07_self-study+graduating+residents by guest on 22 O

ctober 2021

7/22/2015 [SURVEY PREVIEW MODE] Self Study Graduating Internal Medicine Residents 2015 Survey

https://www.surveymonkey.com/r/?sm=wnKnVaXkgO5Xqlav9AXmgoET0w8v9Zzw4YYZwHWrLyB1pNPcMHcT00FpQfl7RJqVX1RbjaZScoKgUns%2bdDj19zh… 7/7

Powered by SurveyMonkeyCheck out our sample surveys and create your own now!

If other (please specify)

Community Clinic Practice

Global Health Position

Other

23. I would recommend this program to future applicants

Comment

Strongly Agree

Agree

Neutral

Disagree

Strongly Disagree

Done

Guralinck S, Hernandez T, Corapi M, Yedowitz-Freeman J, Klek S, Rodriguez J, et al. The ACGME Self-Study --An Opportunity, Not a Burden. J Grad Med Educ. 2015;7(3):502-505.

Dow

nloaded from http://m

eridian.allenpress.com/jgm

e/article-supplement/117012/pdf/guralnick_resource+07_self-study+graduating+residents by guest on 22 O

ctober 2021