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2005 Learners' Perceptions Survey

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2005 Learners' Perceptions Survey
VHAAIMMCKAYE
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2007-07-16
2026-11-13
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200X Learners' Perceptions Survey
(Physician Residents/Fellows, Medical Students, and VA Physician) 



1. Please select and complete one of the following Learners' Perceptions Surveys that is appropriate to your Clinical Training:

___ Physician Residents/Fellows, Medical Students, and VA Physician 
       Special Fellows
___ Associated/Allied Health Professions including Dentistry, 
       Optometry & Podiatry

2. Please indicate the level of training of the most recent program at the VA medical facility you identified for this survey.

Medical Student - 1st year
Medical Student - 2nd year
Medical Student - 3rd year
Medical Student - 4th year
Residency/Fellowship - PGY1
Residency/Fellowship - PGY2
Residency/Fellowship - PGY3
Residency/Fellowship - PGY4
Residency/Fellowship - PGY5
Residency/Fellowship - PGY6
Residency/Fellowship - PGY7
Post-residency Physician in a VA Special Fellowship

3. PHYSICIAN RESIDENTS (PGY 1 to PGY 7) - Please indicate your Residency Specialty by selecting from the list below.








4. If you are a VA POST-RESIDENCY SPECIAL FELLOW - Please indicate your Fellowship Training Program by selecting from the list below.

5. Are you rotating at this facility now?
Yes ___   No ___

6. What PERCENT of the time in your current clinical training program/experience has been spent at THIS VA facility?
_____ %

7. Please rate your satisfaction with your CLINICAL FACULTY/PRECEPTORS at the VA facility as a group in the following areas:

Very
satisfied
Somewhat
satisfied
Neither
Somewhat dissatisfied
Very
dissatisfied
Not
applicable
Clinical skills






Teaching ability






Interest in teaching






Research mentoring






Accessibility/Availability






Approachability/Openness 






Timeliness of feedback 






Fairness in evaluation 






Being role models 






Mentoring by faculty 






Patient-oriented 






Quality of faculty 






Evidence-based clinical practice 






OVERALL SATISFACTION WITH CLINICAL FACULTY/ PRECEPTORS







8. Please rate your satisfaction with the LEARNING ENVIRONMENT at the VA facility in the following areas:

Very
satisfied
Somewhat
satisfied
Neither
Somewhat dissatisfied
Very
dissatisfied
Not
applicable
Time working with patients






Degree of supervision






Degree of autonomy 






Amount of non-educational (''scut'') work 






Interdisciplinary approach 






Preparation for clinical practice 






Preparation for future training 






Preparation for business aspects of clinical practice 






Time for learning 






Access to specialty expertise 






Teaching conferences 






Quality of care 






Culture of patient safety 






Spectrum of patient problems 






Diversity of patients 






OVERALL SATISFACTION WITH THE LEARNING ENVIRONMENT







9. Please rate your satisfaction with the WORKING ENVIRONMENT at the VA facility in the following areas:

Very
satisfied
Somewhat
satisfied
Neither
Somewhat dissatisfied
Very
dissatisfied
Not
applicable
Faculty/preceptor morale 






Ancillary/support staff morale 






Peer group morale 






Laboratory services 






Radiology services 






Ancillary/support staff 






Call Schedule 






Computerized Patient Record System (CPRS) 






Orientation program 






Library services 






Computer access 






Internet access 






Workspace 






OVERALL SATISFACTION WITH THE WORKING ENVIRONMENT







10. Please rate your satisfaction with the CLINICAL ENVIRONMENT at the VA facility in the following areas:

Very
satisfied
Somewhat
satisfied
Neither
Somewhat dissatisfied
Very
dissatisfied
Not
applicable
Hours at work 






Number of inpatients admitted for your care 






Number of outpatients/clinic patients seen 






Timely availability of outpatient appointments 






Timely performance of necessary procedures/surgeries 






Admitting patients in a timely fashion 






Ability to use emerging therapies/pharmaceuticals 






How well physicians and nurses work together 






How well physicians and ancillary staff work together 






Getting tests done in a timely fashion on weekdays 






Getting tests done in a timely fashion on nights and weekends 






Ease of getting patient records 






Backup system for electronic medical records 






Amount of ''paper work''






Ability to work within the system to get the best care for your patients 






OVERALL SATISFACTION WITH THE CLINICAL ENVIRONMENT








11. Please rate your satisfaction with the AVAILABILITY & TIMELINESS of STAFF AND SERVICES at the VA facility in the following areas:

Very
satisfied
Somewhat
satisfied
Neither
Somewhat dissatisfied
Very
dissatisfied
Not
applicable
Attending/supervisory staff: weekdays 






Attending/supervisory staff: nights and weekends 






Outpatient nursing staff: weekdays 






Inpatient nursing staff: weekdays 






Inpatient nursing staff: 
nights and weekends 






Ancillary/support staff: weekdays 






Ancillary/support staff: 
nights and weekends 






Pharmacy services: 
weekdays 






Pharmacy services: 
nights and weekends 






Radiology services: 
weekdays 






Radiology services:
nights and weekends 






Laboratory services: 
weekdays 






Laboratory services: 
nights and weekends 







OVERALL SATISFACTION WITH AVAILABILITY AND TIMELINESS OF STAFF 
AND SERVICES 







12. Please rate your satisfaction in the following areas with the QUALITY of STAFF & SERVICES when available at the VA facility.

Very
satisfied
Somewhat
satisfied
Neither
Somewhat dissatisfied
Very
dissatisfied
Not
applicable
Attending/supervisory staff 






Nursing staff 






Ancillary/support staff 






Pharmacy services 






Radiology services 






Laboratory services 






OVERALL SATISFACTION WITH QUALITY OF STAFF 
AND SERVICES







13. Please rate your satisfaction with the following SYSTEMS AND PROCESSES dealing with medical errors at the VA facility in the following areas:

Very
satisfied
Somewhat
satisfied
Neither
Somewhat dissatisfied
Very
dissatisfied
Not
applicable
Prevent/reduce medical errors 






Assure medication safety 






Report medical/medication errors 






Assure confidentiality of error reporting 






Facilitate discussion of medical/medication errors 






Facilitate analysis of medical/medication errors as a learning experience 






OVERALL SATISFACTION WITH SYSTEMS AND PROCESSES DEALING WITH MEDICAL ERRORS







14. What level of patient care quality did you expect to find at the VA facility BEFORE starting your residency?
Excellent ___  Very Good ___  Good ___  Fair ___  Poor ___

15. How do you rate the quality of patient care at the VA facility NOW, based on your actual experience?
Excellent ___  Very Good ___  Good ___  Fair ___  Poor ___


16. Please rate your satisfaction with the PHYSICAL ENVIRONMENT at the VA facility in the following areas:

Very
satisfied
Somewhat
satisfied
Neither
Somewhat dissatisfied
Very
dissatisfied
Not
applicable
Convenience of facility location 






Parking






Personal safety 






Availability of phones 






Availability of needed equipment 






Maintenance of equipment 






Facility maintenance/upkeep 






Lighting 






Heating and air conditioning






Facility cleanliness/housekeeping






Call rooms






Availability of food at the medical center when on call






OVERALL SATISFACTION WITH THE  PHYSICAL ENVIRONMENT







17. Please rate your satisfaction with YOUR PERSONAL EXPERIENCE at the VA facility in the following areas:

Very
satisfied
Somewhat
satisfied
Neither
Somewhat dissatisfied
Very
dissatisfied
Not
applicable
Personal support from colleagues 






Personal reward from work






Relationship with patients






Appreciation of your work by faculty






Appreciation of your work by patients






Balance of personal and professional life






Enjoyment of your work






Level of job stress






Level of fatigue






Continuity of relationship with patients






Ownership/personal responsibility for your patients' care






Quality of care your patients receive






Enhancement of your clinical knowledge and skills






OVERALL SATISFACTION WITH YOUR PERSONAL EXPERIENCE







18. In July 2003, the Accreditation Council for Graduate Medical Education instituted changes in requirements in DUTY HOURS/SCHEDULING for resident education. 
In your opinion, what effect have these changes had on your educational experience at the VA facility in the following areas:

Very positive effect
Somewhat positive effect
Had no effect
Somewhat negative effect
Very negative effect
Not applicable
Personal support from colleagues 






Personal reward from work






Relationship with patients






Appreciation of your work by faculty






Appreciation of your work by patients






Balance of personal and professional life






Enjoyment of your work






Level of job stress






Level of fatigue






Continuity of relationship with patients






Ownership/personal responsibility for your patients' care






Quality of care your patients receive






Enhancement of your clinical knowledge and skills






OVERALL EFFECT OF CHANGES IN REQUIREMENTS IN DUTY HOURS/SCHEDULING









19. Compared to previous years, how have the duty hours/schedule changes affected your OVERALL educational experience?
Made a lot better ___  Made somewhat better ___  Had no effect___  
Made somewhat worse___  Made a lot worse___   Unable to judge ___


20. Approximately what percent of the patients you see in an average WEEK, at the VA facility, fall into each of the following categories?

Less than 10%
10-
24%
25-
49%
50-
74%
75-
89%
90-
100%
Age 65 or older 






Chronic mental illness






Chronic medical illness






Multiple medical illnesses






Alcohol/substance dependent






Low income/socio-economic status






Lack of social/family support 









21. Have you ever had a clinical training experience at the same or equivalent level as your most recent VA training at a community or university hospital or other setting outside the VA?
Yes ___   No ___   If NO Skip to question 24.


22. How would you compare your most recent VA clinical training experience to other NON-VA clinical training experiences you have had at the same or equivalent level?

VA a lot better
VA somewhat
better
VA about the same
VA somewhat
worse
VA a lot worse
Not applicable
VA clinical faculty and preceptors 






VA facility staff 






VA learning environment 






VA working environment 






VA physical environment 






Degree of autonomy 






Degree of supervision 






Quality of care 






Usefulness of what you learned 






OVERALL EXPERIENCE AT VA COMPARED TO NON-VA







23. On a scale of 0 to 100, where 100 is a perfect score and 70 is a passing score, what NUMERICAL SCORE would you give the NON-VA clinical training you have had?
Non-VA Score ___



24. How would you RATE THE VALUE of your MOST RECENT CLINICAL TRAINING EXPERIENCE at this VA facility?
Excellent ___  Very Good ___  Adequate ___  Fair ___  Poor ___

25. Based on your experience to date, if you had a choice, how likely would you be to CHOOSE THIS TRAINING EXPERIENCE AGAIN?
___ Definitely would choose this clinical experience again
___ Probably would choose this clinical experience again
___ Probably would not choose this clinical experience again
___ Definitely would not choose this clinical experience again 

26. Would you RECOMMEND this VA CLINICAL TRAINING EXPERIENCE TO OTHER LEARNERS in your discipline of study?
Yes___   No ___

27. On a scale of 0 to 100, where 100 is a perfect score and 70 is a passing score, what NUMERICAL SCORE would you give your MOST RECENT VA clinical training experience?
VA Score ____

28. BEFORE this clinical training experience, how likely were you to consider a future employment opportunity at a VA medical facility?
Very likely ___   Somewhat likely ___   Had not thought about it ___   
Somewhat unlikely ___   Very unlikely ___

29. AS A RESULT of this clinical training experience, how likely would you be to consider a future employment opportunity at a VA medical facility?
A lot more likely ___   Somewhat more likely ___   No difference ___   
Somewhat less likely ___    A lot less likely ___

30. Would you consider the VA as a future employer?
Yes___   No ___

31. What is your gender?
Male___   Female ___

32. In what year did you/will you graduate from medical school?
1995 OR Earlier
1995
1996…
   …
2010 or later

33. Did you/will you graduate from a medical school in the United States?
Yes___   No ___