CPU Site Date Lead Preceptor Other Preceptors % time % time Community Culture and Health Care 1. What opportunity did you have to experience the lifestyle and culture of the community? Very little 1 2 3 4 5 A lot 2. What kinds of opportunities did you have to experience the community? (Mark all that apply) I explored the community and area on my own. My preceptor or other staff offered to take me to community activities or events. My preceptor offered to include me in some family activities. I mostly spent my time working and staying in my house or apartment. I often felt lonely or isolated. 3. What opportunity did you have to interact with other community health care/social service agencies and providers? Very little 1 2 3 4 5 A lot 4. Indicate the agencies or providers with whom you interacted. (Mark all that apply) County or public health department Social service agencies or schools Emergency Medical Services, e.g., fire department's rescue unit Physicians outside my preceptor's practice Allied health care providers outside me preceptor's practice Hospital Quality Assurance Committee or similar hospital group Other 5. If you made a presentation(s) to a community group (e.g. Lions Club, high school class) while on your rotation, what was the topic(s)? (Mark all that apply) The AHEC program generally The Rural Clerkship Medical education at OHSU Rural health care A clinical topic Your community project Other Community Oriented Primary Care Project 6. Indicate your experience with the community project. Strongly Disagree Strongly Agree I readily found a topic to investigate 1 2 3 4 5 My preceptor helped me with topic selection 1 2 3 4 5 My preceptor discussed the project with me along the way 1 2 3 4 5 My preceptor supported me in completing the project 1 2 3 4 5 I was provided adequate time to work on my project 1 2 3 4 5 The project helped me understand population-based medicine 1 2 3 4 5 7. Did you use the Corel or Office Suite? Corel Office 8. How well did it work? Adequate Inadequate Didn't Use Word Processing Spreadsheets Database Presentations 9. I used my computer's telecommunication software to: (Mark all that apply) Searched medical databases at OHSU Search databases at other sites (e.g., ERIC, CARL) Order articles Communicate with my peers via email Access the Internet 10. What was your experience with support from the BICC Help Desk/Library: (Mark all that apply) I didn't need to call I found it difficult to get through I had little difficulty getting through It was not very helpful It was helpful 11. Regarding the Telecommunications Orientation you received that first day, which part(s) helped you better use the computer and network services? (Mark all that apply) Opportunity to ask questions about OVID How to order articles Hands-on practice dialing into OHSU Information Services Handouts Other 12. Even with orientation, I needed to know about: (Mark all that apply) Windows OVID E-mail Ordering Articles Printing Remote communications Corel or Office Suite Compass PPP Tools Meaning of Life Dude, what orientation? Other 13. How much of what was covered in the orientation did you already know? (Mark only one) All of it Most of it A little of it None of it, but I could follow what was taught Too much was covered and I got lost Logistics 14. Was this clerkship site your 1st, 2nd, 3rd or 4th choice? 1st 2nd 3rd 4th 15. What was your primary reason for selecting this site? (Mark only one) Practice specialty (FM, IM, Peds) Geographic area Commute site Type of community Housing and accomodations Time of year available To work with a specific preceptor Other How were your housing accomodations? (Mark all that apply) 16. When I arrived: Everything was fine The house/apartment was not clean The house/apartment was inadequately furnished or supplied I had difficulty locating the key 17. While I was there: I had no problems I reported problems to the landlord I reported problems to the AHEC in my area I reported problems to the AHEC program at OHSU Reported problems were not resolved satisfactorily Please comment on the specific nature of problems encountered during your stay: Confidential Comments If there are things about your clerkship experience that the Rural Clerkship directors should know, but that you prefer to be kept confidential, please provide them below. These comments will not be included with the evaluation results returned to the CPU, but will be reviewed by the clerkship directors. Preceptor Evaluation Preceptor name: Strongly Strongly Disagree Agree 1. The clerkship experiences selected for me were purposeful and appropriate 2. Teaching discussions of most issues were clear and well organized 3. The responsibility levels afforded me were appropriate 4. Teaching was geared appropriately to my knowledge and experience 5. Feedback on my learning and performance was provided often enough 6. Appropriate changes in scheduling and emphasis resulted from the feedback 7. The preceptor stimulated my desire to learn 8. The preceptor's teaching style was engaging, motivating 9. The preceptor was an excellent role model of a primary care physician 10. Care was shown to include me in appropriate activities and experiences 11. Consideration was given to my interests and learning objectives 12. I felt welcome and a part of the practice 13. Sufficient time was made available for teaching opportunities 14. Concern and support for my learning was evident 15. Teaching roles and responsibilities were taken seriously 16. I was asked only to perform procedures within my abilities 17. Feedback on my performance was fair and constructive 18. Expectations of my time and effort commitments were reasonable 19. I was treated in a professional respectful manner 20. The preceptor's attitude and conduct was professional 21. I was well supervised when providing clinical patient care 22. The overall teaching I received was excellent 23. I would be very comfortable with my preceptor as my personal physician Based on your clerkship experience, what do your feel are your preceptors strong qualities as a teacher and learning facilitator? To the extent you view your preceptor as a role model for a practicing physician, which qualities do you want to emulate in your own career? What could the preceptor have done differently to make your clerkship an even more valuable learning experience?
I explored the community and area on my own. My preceptor or other staff offered to take me to community activities or events. My preceptor offered to include me in some family activities. I mostly spent my time working and staying in my house or apartment. I often felt lonely or isolated.
County or public health department Social service agencies or schools Emergency Medical Services, e.g., fire department's rescue unit Physicians outside my preceptor's practice Allied health care providers outside me preceptor's practice Hospital Quality Assurance Committee or similar hospital group Other
The AHEC program generally The Rural Clerkship Medical education at OHSU Rural health care A clinical topic Your community project Other
Searched medical databases at OHSU Search databases at other sites (e.g., ERIC, CARL) Order articles Communicate with my peers via email Access the Internet
I didn't need to call I found it difficult to get through I had little difficulty getting through It was not very helpful It was helpful
Opportunity to ask questions about OVID How to order articles Hands-on practice dialing into OHSU Information Services Handouts Other
Windows OVID E-mail Ordering Articles Printing Remote communications Corel or Office Suite Compass PPP Tools Meaning of Life Dude, what orientation? Other
All of it Most of it A little of it None of it, but I could follow what was taught Too much was covered and I got lost
Practice specialty (FM, IM, Peds) Geographic area Commute site Type of community Housing and accomodations Time of year available To work with a specific preceptor Other
16. When I arrived: Everything was fine The house/apartment was not clean The house/apartment was inadequately furnished or supplied I had difficulty locating the key
Everything was fine The house/apartment was not clean The house/apartment was inadequately furnished or supplied I had difficulty locating the key
17. While I was there: I had no problems I reported problems to the landlord I reported problems to the AHEC in my area I reported problems to the AHEC program at OHSU Reported problems were not resolved satisfactorily
I had no problems I reported problems to the landlord I reported problems to the AHEC in my area I reported problems to the AHEC program at OHSU Reported problems were not resolved satisfactorily
