Form 10-0439 Learners' Perceptions Survey - AH

Primary Care LPS

_{1. Introduction}

2016 Learners' Perceptions Survey

(Associated Health, Dentistry, and Nursing only)

Why take the survey?

We value and need your input! The information you provide will help us to improve the educational experience for you and your fellow trainees at your VA facility. Your responses will be held in strict confidence. Please take the time to complete this survey. Survey completion time averages 15 minutes. Thank you!

OMB Control Number 2900-0691 Estimated Burden: 15 minutes Expiration date: xx/xx/xxxx

Public Reporting Burden Statement

The Paperwork Reduction Act of 1995 requires us to notify you that this information collection is in accordance with the clearance requirements of section 3507 of the Paperwork Reduction Act of 1995. The public reporting burden for this collection of information is estimated to average 15 minutes per response. No person will be penalized for failing to furnish this information if it does not display a currently valid OMB control number. The collection of information is sponsored by the Department of Veterans Affairs (VA). The results of the survey will be used to improve the clinical training that takes place at VA medical centers. Response to this survey is voluntary and failure to respond will have no effect on your future employment or any claim you may file with the Department of Veterans Affairs.

If you have any questions about how to complete the survey, contact [email protected].

Please select the VA facility where you had your most recent clinical training experience on or after July 1, 2015.

[ drop down list ]

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

O Associated Health Program (e.g., laboratory, optometry, pharmacy, podiatry, psychology, rehabilitation)

O Dentistry Program

O Nursing Program

3

1.1.	{if Associated Health Program}. What is the discipline or specialty of your CURRENT or MOST RECENT clinical training program in Associated Health at the VA medical facility you identified for this survey?
	Audiology	Pharmacy
	Blind Rehabilitation	Physical Therapy
	Chaplaincy	Physician Assistant
	Chiropractic	Podiatry
	Dietetics	Psychology
	Medical Imaging	Radiation Therapy
	Laboratory	Recreation / Manual Arts Therapy
	Licensed Professional Mental Health Counselor	Rehabilitation / Other
	Marriage & Family Therapist	Respiratory Therapy
	Medical / Surgical Support Tech	Social Work
	Occupational Therapy	Speech Pathology
	Optometry	Surgical Technician / Technologist
	Orthotics / Prosthetics	Other

2.1.	{if Associated Health Program}. What is the level of your CURRENT or MOST RECENT health professions education program in Associated Health?
	Clinical hours for Certificate (Pre-Baccalaureate)	Predoctoral or Doctoral clinical hours, Externship, or Practicum
	Clinical hours for Diploma (Pre-Baccalaureate)	Predoctoral or Doctoral Internship
	Clinical hours for Associate Degree	Postdoctoral Residency or Fellowship Year 1
	Clinical hours for Baccalaureate Degree	Postdoctoral Residency or Fellowship Year 2
	Post-Baccalaureate clinical hours	Postdoctoral Residency or Fellowship Year 3
	Clinical hours for Masters Degree or Fellowship	Postdoctoral Residency or Fellowship Year 4
	Post-Masters clinical hours	Postdoctoral Residency or Fellowship Year 5
		Postdoctoral Residency or Fellowship Year 6

1.2.	{if Dentistry Program}. What is the discipline or specialty of your CURRENT or MOST RECENT clinical training program in Dentistry at the VA medical facility you identified for this survey?
	Dental Assistant	Oral and Maxillofacial Surgery
	Dental Hygiene	Oral and Maxillofacial Cosmetics
	Dentist	Oral and Maxillofacial Craniofacial
	Craniofacial Special Care Orthodontics	Oral and Maxillofacial Oncology
	Anesthesiology	Oral Medicine
	Public Health	Orthodontics & Dentofacial Orthopedics
	Endodontics	Orthodontics / Periodontics
	General Practice	Pediatric
	Maxillofacial Prosthetics	Periodontics
	Oral and Maxillofacial Pathology	Prosthodontics
	Oral and Maxillofacial Radiology	Prosthodontics / Maxillofacial Prosthetics

2.2.	{if Dentistry Program}. What is the level of your CURRENT or MOST RECENT health professions education program in Dentistry?
	Certificate (Pre-Baccalaureate)	Postdoctoral Residency or Fellowship Year 1
	Diploma (Pre-Baccalaureate)	Postdoctoral Residency or Fellowship Year 2
	Associate Degree	Postdoctoral Residency or Fellowship Year 3
	Baccalaureate Degree	Postdoctoral Residency or Fellowship Year 4
	Post-Baccalaureate Internship	Postdoctoral Residency or Fellowship Year 5
	Masters Degree	Postdoctoral Residency or Fellowship Year 6
	Post-Masters Internship or Fellowship	Postdoctoral Residency or Fellowship Year 7
	Dental Student - 1st Year
	Dental Student - 2nd Year
	Dental Student - 3rd Year
	Dental Student - 4th Year

1.3.	{if Nursing Program}. What is the discipline or specialty of your CURRENT or MOST RECENT clinical training program in Nursing at the VA medical facility you identified for this survey?
	Nurse Aide / Assistant	Nurse Administration
	Certified Registered Nurse Anesthetist	Nurse Educator
	Clinical Nurse Leader	Nurse Midwifery
	Clinical Nurse Specialist - Acute Care	Registered Nurse
	Clinical Nurse Specialist - Adult-Gerontology	Nurse Practitioner - Acute Care
	Clinical Nurse Specialist - Family / Individual Across Lifespan	Nurse Practitioner - Adult-Gerontology
	Clinical Nurse Specialist - Neonatal	Nurse Practitioner - Family / Individual Across Lifespan
	Clinical Nurse Specialist - Pediatrics	Nurse Practitioner - Neonatal
	Clinical Nurse Specialist - Psychiatric-Mental Health	Nurse Practitioner - Pediatrics
	Clinical Nurse Specialist - Women’s Health / Gender-Related	Nurse Practitioner - Psychiatric-Mental Health
	Licensed Practical Nurse	Nurse Practitioner - Women’s Health / Gender-Related
	Licensed Vocational Nurse

2.3.	{if Nursing Program}. What is the level of your CURRENT or MOST RECENT health professions education program in Nursing?
	Certificate (Pre-Baccalaureate)	Pre-Doctoral Research Fellowship
	Diploma (Pre-Baccalaureate)	Pre-Doctoral Clinical Fellowship
	Associate Degree	Doctoral / PhD
	Baccalaureate Degree	Doctoral / DNS, DNSc
	Post-Baccalaureate Residency	Doctoral / DNP
	Masters Degree	Postdoctoral Research Fellowship
	Post-Masters	Postdoctoral Clinical Fellowship
	Post-Masters Residency	Post-Doctoral Residency

3.	If you are in a VA ADVANCED FELLOWSHIP Program ­ Please indicate from the list below your CURRENT training program at the VA medical facility you identified for this survey.
	NOT APPLICABLE	Multiple Sclerosis
	Addiction Treatment	Parkinson’s Disease (PADRECC)
	Advanced Geriatrics	Patient Safety
	Clinical Simulation	Polytrauma / Traumatic Brain Injury Rehabilitation (1 year clinical track)
	Dental Research	Polytrauma / Traumatic Brain Injury Rehabilitation (2 year research track)
	Geriatric Neurology	Psychiatric Research / Neurosciences
	Health Professions Education Evaluation and Research	Psycho-Social Rehab Physicians Fellow
	Health Services Research and Development	Quality Scholars
	Health Systems Engineering (1 year practitioner track)	The Robert Wood Johnson (RWJ) Clinical Scholars
	Health Systems Engineering (2 year research track)	Spinal Cord Injury Research
	Medical Informatics	War Related and Unexplained Illness
	Mental Illness Research and Treatment (Advanced Psychiatry)	Women's Health
	Mental Illness Research and Treatment (Advanced Psychology)	Other

4. What will be the total length of time of your CURRENT CLINICAL training program / experience? Enter the number of WEEKS or MONTHS or YEARS (use only one unit of time).

Weeks_____ Months_____ Years_____

5. How much of the time listed in the previous question have you completed? Enter the number of WEEKS or MONTHS or YEARS (use only one unit of time).

Weeks_____ Months_____ Years_____

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 in the following areas. Please check one box for each line below, including overall satisfaction.		Very Satisfied	Somewhat Satisfied	Neither Satisfied nor Dissatisfied	Somewhat Dissatisfied	Very Dissatisfied	Not Applicable
	a.	Clinical skills	o	o	o	o	o	o
	b.	Teaching ability	o	o	o	o	o	o
	c.	Interest in teaching	o	o	o	o	o	o
	d.	Research mentoring	o	o	o	o	o	o
	e.	Accessibility / Availability	o	o	o	o	o	o
	f.	Approachability / Openness	o	o	o	o	o	o
	g.	Timeliness of feedback	o	o	o	o	o	o
	h.	Fairness in evaluation	o	o	o	o	o	o
	i.	Being role models	o	o	o	o	o	o
	j.	Mentoring by faculty	o	o	o	o	o	o
	k.	Patient-oriented	o	o	o	o	o	o
	l.	Quality of faculty	o	o	o	o	o	o
	m.	Evidence-based clinical practice	o	o	o	o	o	o
	n.	OVERALL SATISFACTION WITH YOUR CLINICAL FACULTY / PRECEPTORS	o	o	o	o	o	o

8.	Please rate your satisfaction with the LEARNING ENVIRONMENT at the VA facility in the following areas. Please check one box for each line below, including overall satisfaction.		Very Satisfied	Somewhat Satisfied	Neither Satisfied nor Dissatisfied	Somewhat Dissatisfied	Very Dissatisfied	Not Applicable
	a.	Time working with patients	o	o	o	o	o	o
	b.	Degree of supervision	o	o	o	o	o	o
	c.	Degree of autonomy	o	o	o	o	o	o
	d.	Amount of non-educational (“scut”) work	o	o	o	o	o	o
	e.	Interdisciplinary approach	o	o	o	o	o	o
	f.	Preparation for clinical practice	o	o	o	o	o	o
	g.	Preparation for future training	o	o	o	o	o	o
	h.	Preparation for business aspects of clinical practice	o	o	o	o	o	o
	i.	Time for learning	o	o	o	o	o	o
	j.	Access to specialty expertise	o	o	o	o	o	o
	k.	Teaching conferences	o	o	o	o	o	o
	l.	Quality of care	o	o	o	o	o	o
	m.	Culture of patient safety	o	o	o	o	o	o
	n.	Spectrum of patient problems	o	o	o	o	o	o
	o.	Diversity of patients	o	o	o	o	o	o
	p.	OVERALL SATISFACTION WITH THE LEARNING ENVIRONMENT	o	o	o	o	o	o

9.	Please rate your satisfaction with the WORKING ENVIRONMENT at the VA facility in the following areas. Please check one box for each line below, including overall satisfaction.		Very Satisfied	Somewhat Satisfied	Neither Satisfied nor Dissatisfied	Somewhat Dissatisfied	Very Dissatisfied	Not Applicable
	a.	Ancillary / support staff morale	o	o	o	o	o	o
	b.	Laboratory services	o	o	o	o	o	o
	c.	Radiology services	o	o	o	o	o	o
	d.	Ancillary / support staff	o	o	o	o	o	o
	e.	Call Schedule	o	o	o	o	o	o
	f.	Computerized Patient Record System	o	o	o	o	o	o
	g.	Access to online journals, resources, references	o	o	o	o	o	o
	h.	Computer access	o	o	o	o	o	o
	i.	Workspace	o	o	o	o	o	o
	j.	OVERALL SATISFACTION WITH THE WORKING ENVIRONMENT	o	o	o	o	o	o

10.	Please rate your satisfaction with the PHYSICAL ENVIRONMENT at the VA facility in the following areas. Please check one box for each line below, including overall satisfaction.		Very Satisfied	Somewhat Satisfied	Neither Satisfied nor Dissatisfied	Somewhat Dissatisfied	Very Dissatisfied	Not Applicable
	a.	Convenience of facility location	o	o	o	o	o	o
	b.	Parking	o	o	o	o	o	o
	c.	Personal safety	o	o	o	o	o	o
	d.	Availability of needed equipment	o	o	o	o	o	o
	e.	Facility maintenance / upkeep	o	o	o	o	o	o
	f.	Facility cleanliness / housekeeping	o	o	o	o	o	o
	g.	Call rooms	o	o	o	o	o	o
	h.	Availability of food at the medical center when on call	o	o	o	o	o	o
	j.	OVERALL SATISFACTION WITH THE PHYSICAL ENVIRONMENT	o	o	o	o	o	o

11.	Please rate your satisfaction with YOUR PERSONAL EXPERIENCE at the VA facility in the following areas. Please check one box for each line below, including overall satisfaction.		Very Satisfied	Somewhat Satisfied	Neither Satisfied nor Dissatisfied	Somewhat Dissatisfied	Very Dissatisfied	Not Applicable
	a.	Personal reward from work	o	o	o	o	o	o
	b.	Balance of personal and professional life	o	o	o	o	o	o
	c.	Level of job stress	o	o	o	o	o	o
	d.	Level of fatigue	o	o	o	o	o	o
	e.	Continuity of relationship with patients	o	o	o	o	o	o
	f.	Ownership / personal responsibility for your patients’ care	o	o	o	o	o	o
	g.	Enhancement of your clinical knowledge and skills	o	o	o	o	o	o
	h.	OVERALL SATISFACTION WITH YOUR PERSONAL EXPERIENCE	o	o	o	o	o	o

12.	Please rate your satisfaction with the CLINICAL ENVIRONMENT at the VA facility in the following areas. Please check one box for each line below, including overall satisfaction.		Very Satisfied	Somewhat Satisfied	Neither Satisfied nor Dissatisfied	Somewhat Dissatisfied	Very Dissatisfied	Not Applicable
	a.	Hours at work	o	o	o	o	o	o
	b.	Number of inpatients admitted for your care	o	o	o	o	o	o
	c.	Number of outpatients / clinic patients seen	o	o	o	o	o	o
	d.	How well physicians and nurses work together	o	o	o	o	o	o
	e.	How well physicians and other clinical staff work together	o	o	o	o	o	o
	f.	Ease of getting patient records	o	o	o	o	o	o
	g.	Backup system for electronic health records	o	o	o	o	o	o
	h.	OVERALL SATISFACTION WITH THE CLINICAL ENVIRONMENT	o	o	o	o	o	o

13a. What level of patient care quality did you expect to find at the VA facility BEFORE starting your VA training experience?	Excellent	Very Good	Good	Fair	Poor
	o	o	o	o	o

13b. 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
	o	o	o	o	o

14.	Thinking about your MOST RECENT VA CLINICAL EXPERIENCE, please rate your level of agreement with the following statements:		Strongly Agree	Agree	Neither Agree nor Disagree	Disagree	Strongly Disagree	Not Applicable
	a.	Members of the clinical team of which I was a part are able to bring up problems and tough issues	o	o	o	o	o	o
	b.	I feel free to question the decisions or actions of those with more authority	o	o	o	o	o	o

15.	Thinking about your MOST RECENT VA CLINICAL EXPERIENCE, please rate your level of agreement with the following statements:		Strongly Agree	Agree	Neither Agree nor Disagree	Disagree	Strongly Disagree	Unable to Judge
	a.	Patients and families are engaged with clinicians in collaborative goal setting	o	o	o	o	o	o
	b.	Patient transitions from one level of care to another, such as hospital discharge, are well-coordinated	o	o	o	o	o	o
	c.	Patients and families are listened to, respected, and treated as partners in care	o	o	o	o	o	o
	d.	Families are actively involved in care planning and transitions	o	o	o	o	o	o
	e.	Web portals provide specific health-related, patient education resources for patients and families	o	o	o	o	o	o
	f.	Clinicians use e-mail to communicate with patients and families	o	o	o	o	o	o
	g.	Clinicians use telemedicine or telehealth technology to evaluate or interact with patients or other practitioners who are off-site	o	o	o	o	o	o
	h.	Other than e-mail or telemedicine / telehealth, clinicians use additional electronic means of communicating with patients	o	o	o	o	o	o
	i.	Educational materials are routinely provided to patients and families	o	o	o	o	o	o
	j.	Assistance is provided for patients who have difficulty accessing health care services	o	o	o	o	o	o
	k.	Patients have access to their health records	o	o	o	o	o	o
	l.	Environment encourages family presence	o	o	o	o	o	o
	m.	Families are treated as members of the treatment team	o	o	o	o	o	o
	n.	I follow a defined panel of patients longitudinally	o	o	o	o	o	o
	o.	Patients or cohorts of patients with chronic disease are identified who might benefit from additional intervention or coordination of care between clinic visits	o	o	o	o	o	o
	p.	For patients with chronic disease such as diabetes or mental illness, I review lists of patients in order to identify and better manage patients not meeting treatment goals	o	o	o	o	o	o
	q.	OVERALL, VA PRACITITIONERS PROVIDE PATIENT AND FAMILY CENTERED CARE	o	o	o	o	o	o

16. Thinking about your MOST RECENT VA CLINICAL EXPERIENCE, please rate your OVERALL SATISFACTION with PATIENT AND FAMILY CENTERED CARE at the VA.

Very Satisfied

Somewhat Satisfied

Neither Satisfied nor Dissatisfied

Somewhat Dissatisfied

Very Dissatisfied

Unable to Judge

o

o

o

o

o

o

17.

Thinking about your MOST RECENT VA CLINICAL EXPERIENCE, please rate your level of agreement with the following statements:

Strongly Agree

Agree

Neither Agree nor Disagree

Disagree

Strongly Disagree

I participate regularly in team meetings (formal or informal) with members of different professions to:

a.

discuss and coordinate care of patients

o

o

o

o

o

b.

discuss performance improvement

o

o

o

o

o

c.

discuss clinical operational issues

o

o

o

o

o

d.

Practitioners from different settings (inpatient, outpatient, extended care) communicate with me about my patients and their transitions from one level of care to another, such as hospital discharge

o

o

o

o

o

VA Staff work well together among:

e.

primary and specialty care practitioners

o

o

o

o

o

f.

physicians and nurses

o

o

o

o

o

g.

physicians and other health professionals (e.g., optometry, pharmacy, podiatry, psychology, rehabilitation, social work)

o

o

o

o

o

h.

nurses and other health professionals

o

o

o

o

o

i.

clinical and administrative support staff

o

o

o

o

o

j.

OVERALL, VA PRACTITIONERS PROVIDE INTERPROFESSIONAL TEAM CARE

o

o

o

o

o

18. Thinking about your MOST RECENT VA CLINICAL EXPERIENCE, please rate your OVERALL SATISFACTION with INTERPROFESSIONAL TEAM CARE at your VA.	Very Satisfied	Somewhat Satisfied	Neither Satisfied nor Dissatisfied	Somewhat Dissatisfied	Very Dissatisfied
	o	o	o	o	o

19.	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%
	a.	Age 65 or older	o	o	o	o	o	o
	b.	Female gender	o	o	o	o	o	o
	c.	Chronic mental illness	o	o	o	o	o	o
	d.	Chronic medical illness	o	o	o	o	o	o
	e.	Multiple medical illnesses	o	o	o	o	o	o
	f.	Alcohol / substance dependent	o	o	o	o	o	o
	g.	Low income / socioeconomic status	o	o	o	o	o	o
	h.	Lack of social / family support	o	o	o	o	o	o

20. Based on your experience to date, if you had a choice, how likely would you be to CHOOSE THIS TRAINING EXPERIENCE AGAIN?

O Definitely would choose this clinical experience again

O Probably would choose this clinical experience again

O Probably would not choose this clinical experience again

O Definitely would not choose this clinical experience again

21. 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
	o	o	o	o	o
22. AS A RESULT of this VA clinical training experience, how likely would you be to consider a future employment opportunity at a VA medical facility?	Very Likely	Somewhat Likely	Had Not Thought About It	Somewhat Unlikely	Very Unlikely
	o	o	o	o	o

23. Would you consider the VA as a future employer?

O Yes

O No

24. What is your gender?

O Male

O Female

25. Are you currently on Active Duty in the military?

O Yes

O No

LPS
	CERTIFICATE OF COMPLETION This respondent has successfully completed the VHA's Learners' Perceptions Survey Your participation in this survey provides valuable information to help improve the learning experience of clinical health professionals at the Department of Veterans Affairs.

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