Form 10 NIH-NMA Feedback Form

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NIH/ NMA Feedback Form
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2015 NIH/NMA Fellows Program Feedback Form

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2015 NIH/NMA Fellows Program Feedback Form
Career Development Workshop

* 1. Overall Impression of the following:
Poor

Fair

Good

Very Good

Excellent

The Academic Career
Development
Workshop
Interaction with
research scientist and
academicians
The Panel
Discussions
The small group
discussions with
faculty
USB flash drive with
program binders and
handouts
Overall
communication from
NIDDK
Travel support

* 2. Additional comments regarding your overall experience with the above components of the
program:

* 3. Please rate the quality of the components of the Academic Career Workshop.

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Poor

Fair

Good

Very Good

Excellent

Diversity in Research
and Academia – an
NIH Perspective, Dr.
Hannah Valentine
Executive Skills in
Academic
Management, Ms. Pat
Rush
Introduction to the NIH
Funding Mechanism
and Opportunities:
Support for Early
Years in Academia, Dr.
Sherry Mills
Academic Career
Development
Opportunities at NIH: A
Panel Discussion
Next Steps, 8 Years
Later: Dr. Kirk
Campbell
Navigating the NIH
Grant Application and
Review Processes, Dr.
Cheryl Kitt
NH Grant Applications:
Conception to
Submission Dr. Keith
Norris
Academic Career
Development, Dr. Cato
Laurencin
Understanding the
Mentoring Process for
Success in Academic
Medicine, Dr. Joan
Reede
Lunch with the Dean –
Insight into Academia,
Dr. Albert Reece
Finding your Path –
Panel Discussion
Small Group
Discussions

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Poor

Fair

Good

Very Good

Excellent

Women in Research,
Dr. Vivian Pinn

* 4. Listed below are the major topics areas discussed during the program. Given where you are
currently in your career, rate how important the following topic areas are to you:
Least Important

Somewhat Important

Important

Very Important

Career development
strategies
Time management
strategies
How to network
effectively
Effective
communication and
negotiation skills
How to identify
appropriate NIH
funding opportunities
Components and
applying to NIH
funding opportunities
Strategies to balance
work and family

* 5. What other topic areas would be particularly useful for you that was not covered during the
workshop.

* 6. What components of the Career Development Workshop did you think were most helpful?

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* 7. What components of the Career Development Workshop did you think were least helpful?

* 8. What components of the Career Development Workshop would you change and how?

* 9. Overall, did the workshop meet your expectations?
Below expectations
Met expectations
Exceeded my expectations

* 10. How likely are you to pursue a career in academic medicine?
Unlikely
Somewhat Unlikely
Undecided
Somewhat likely
Extremely likely

* 11. How would you rate the influence of the Career Development Workshop on previous response?
Very little influence
Some Influence
Great deal of Influence
Unsure

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12. Any other comments?

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2015 NIH/NMA Fellows Program Feedback Form
Research Funding & Membership

* 13. To date, have you been supported by an NIH grant or contract?
Yes
No

* 14. If no, have you ever applied for an NIH funding opportunity but were not awarded?

* 15. Are you member of the National Medical Association?
Yes
No

* 16. Does participation in this workshop make you more likely to become a member if not a member
already?
Yes
No

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2015 NIH/NMA Fellows Program Feedback Form
Demographic Information

* 17. How would you classify your current career status?
Resident
Fellow
Instructor
Assistant Professor
Post-doctoral Researcher

* 18. What is your primary specialty?

* 19. How would you describe your gender?
Male
Female
Prefer not to answer

* 20. Please describe your race.
African American/Black
American Indian/Alaska Native
Asian
Native Hawaiian/Pacific Islander
White
Other (please specify)

* 21. Are you Hispanic or Latino?
Yes
No

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Thank you! Your input will help to improve future NIH-NMA Academic Career Development Programs.

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