Survey Templates Surveys Genetic Needs Assessment

Genetic Needs Assessment

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Hello:

You are invited to participate in our survey: A NEEDS ASSESSMENT OF GENETICS EDUCATION AND LEARNING STYLES: PERSPECTIVES OF MEDICAL STUDENTS, RESIDENTS AND FACULTY ACROSS SPECIALTIES IRB# U060513 PI: Dr. Charles Macri 202-741-2578
It will take approximately 5 minutes to complete the questionnaire. Your participation in this study is completely voluntary. There are no foreseeable risks associated with this project. However, if you feel uncomfortable answering any questions, you can withdraw from the survey at any point. Your survey responses will be stricyly confidential and data from this research will be reported only in the aggregate. Your information will be coded and will remain confidential. If you have questions at any time about the survey or the procedures, you may contact Dr. Charles Macri at 202-741-2578. Thank you very much for your time and support. Please start with the survey now by clicking on the Continue button below.

Age

<23

24-29

30-39

40-49

50-59

>60

Gender

Male

Female

Degree/s Held

Ed.M

Phd

EDD

MBA

Other

Year of graduation for highest degree held.

Major department/ specialty affiliation

Working Towards

Ed.M

Phd

EDD

MBA

Other

Currently

MSI

MSII

MSIII

MSIV

PGY1

PGY2

PGY3

PGY4

Expected Year of Graduation

2005

2006

2007

2008

2009

2010

Primary Career Path

2. Background Assessment

Directions: Mark the circle that most accurately represents your current knowledge/comfort with the following topics in genetics. Note: If you have already been formally trained in an area, please indicate this by marking the last column.

	No knowledge of this topic	Minimal knowledge of this topic	Some knowledge of this topic	High level of knowledge of this topic	Extremely comfortable explaining this topic to others	Have previous formal training
DNA Structure/Function	No knowledge of this topic	Minimal knowledge of this topic	Some knowledge of this topic	High level of knowledge of this topic	Extremely comfortable explaining this topic to others	Have previous formal training

RNA Structure/Function	No knowledge of this topic	Minimal knowledge of this topic	Some knowledge of this topic	High level of knowledge of this topic	Extremely comfortable explaining this topic to others	Have previous formal training

DNA Replication	No knowledge of this topic	Minimal knowledge of this topic	Some knowledge of this topic	High level of knowledge of this topic	Extremely comfortable explaining this topic to others	Have previous formal training

Mitosis	No knowledge of this topic	Minimal knowledge of this topic	Some knowledge of this topic	High level of knowledge of this topic	Extremely comfortable explaining this topic to others	Have previous formal training

Meiosis	No knowledge of this topic	Minimal knowledge of this topic	Some knowledge of this topic	High level of knowledge of this topic	Extremely comfortable explaining this topic to others	Have previous formal training

Transcription	No knowledge of this topic	Minimal knowledge of this topic	Some knowledge of this topic	High level of knowledge of this topic	Extremely comfortable explaining this topic to others	Have previous formal training

Translation	No knowledge of this topic	Minimal knowledge of this topic	Some knowledge of this topic	High level of knowledge of this topic	Extremely comfortable explaining this topic to others	Have previous formal training

Protein Synthesis	No knowledge of this topic	Minimal knowledge of this topic	Some knowledge of this topic	High level of knowledge of this topic	Extremely comfortable explaining this topic to others	Have previous formal training

Mutations	No knowledge of this topic	Minimal knowledge of this topic	Some knowledge of this topic	High level of knowledge of this topic	Extremely comfortable explaining this topic to others	Have previous formal training

Autosomal Dominant Inheritance Patterns	No knowledge of this topic	Minimal knowledge of this topic	Some knowledge of this topic	High level of knowledge of this topic	Extremely comfortable explaining this topic to others	Have previous formal training

	No knowledge of this topic	Minimal knowledge of this topic	Some knowledge of this topic	High level of knowledge of this topic	Extremely comfortable explaining this topic to others	Have previous formal training
Autosomal Recessive Inheritance Patterns	No knowledge of this topic	Minimal knowledge of this topic	Some knowledge of this topic	High level of knowledge of this topic	Extremely comfortable explaining this topic to others	Have previous formal training

X-Linked Inheritance Patterns	No knowledge of this topic	Minimal knowledge of this topic	Some knowledge of this topic	High level of knowledge of this topic	Extremely comfortable explaining this topic to others	Have previous formal training

Mitochondrial Inheritance Patterns	No knowledge of this topic	Minimal knowledge of this topic	Some knowledge of this topic	High level of knowledge of this topic	Extremely comfortable explaining this topic to others	Have previous formal training

Genograms	No knowledge of this topic	Minimal knowledge of this topic	Some knowledge of this topic	High level of knowledge of this topic	Extremely comfortable explaining this topic to others	Have previous formal training

Tay Sachs	No knowledge of this topic	Minimal knowledge of this topic	Some knowledge of this topic	High level of knowledge of this topic	Extremely comfortable explaining this topic to others	Have previous formal training

Cystic Fibrosis	No knowledge of this topic	Minimal knowledge of this topic	Some knowledge of this topic	High level of knowledge of this topic	Extremely comfortable explaining this topic to others	Have previous formal training

Breast/Ovarian Cancer	No knowledge of this topic	Minimal knowledge of this topic	Some knowledge of this topic	High level of knowledge of this topic	Extremely comfortable explaining this topic to others	Have previous formal training

Colon Cancer	No knowledge of this topic	Minimal knowledge of this topic	Some knowledge of this topic	High level of knowledge of this topic	Extremely comfortable explaining this topic to others	Have previous formal training

Hemochromatosis	No knowledge of this topic	Minimal knowledge of this topic	Some knowledge of this topic	High level of knowledge of this topic	Extremely comfortable explaining this topic to others	Have previous formal training

Sickle Cell Disease	No knowledge of this topic	Minimal knowledge of this topic	Some knowledge of this topic	High level of knowledge of this topic	Extremely comfortable explaining this topic to others	Have previous formal training

	No knowledge of this topic	Minimal knowledge of this topic	Some knowledge of this topic	High level of knowledge of this topic	Extremely comfortable explaining this topic to others	Have previous formal training
Thalassemias	No knowledge of this topic	Minimal knowledge of this topic	Some knowledge of this topic	High level of knowledge of this topic	Extremely comfortable explaining this topic to others	Have previous formal training

Fragile X	No knowledge of this topic	Minimal knowledge of this topic	Some knowledge of this topic	High level of knowledge of this topic	Extremely comfortable explaining this topic to others	Have previous formal training

Huntington’s Disease	No knowledge of this topic	Minimal knowledge of this topic	Some knowledge of this topic	High level of knowledge of this topic	Extremely comfortable explaining this topic to others	Have previous formal training

Phenylketonuria (PKU)	No knowledge of this topic	Minimal knowledge of this topic	Some knowledge of this topic	High level of knowledge of this topic	Extremely comfortable explaining this topic to others	Have previous formal training

Gaucher Disease	No knowledge of this topic	Minimal knowledge of this topic	Some knowledge of this topic	High level of knowledge of this topic	Extremely comfortable explaining this topic to others	Have previous formal training

Myotonic Dystrophy	No knowledge of this topic	Minimal knowledge of this topic	Some knowledge of this topic	High level of knowledge of this topic	Extremely comfortable explaining this topic to others	Have previous formal training

Familial Hypercholesterolemia	No knowledge of this topic	Minimal knowledge of this topic	Some knowledge of this topic	High level of knowledge of this topic	Extremely comfortable explaining this topic to others	Have previous formal training

Neurofibromatosis	No knowledge of this topic	Minimal knowledge of this topic	Some knowledge of this topic	High level of knowledge of this topic	Extremely comfortable explaining this topic to others	Have previous formal training

Duchenne’s Muscular Dystrophy	No knowledge of this topic	Minimal knowledge of this topic	Some knowledge of this topic	High level of knowledge of this topic	Extremely comfortable explaining this topic to others	Have previous formal training

Hardy-Weinberg Equilibrium	No knowledge of this topic	Minimal knowledge of this topic	Some knowledge of this topic	High level of knowledge of this topic	Extremely comfortable explaining this topic to others	Have previous formal training

	No knowledge of this topic	Minimal knowledge of this topic	Some knowledge of this topic	High level of knowledge of this topic	Extremely comfortable explaining this topic to others	Have previous formal training
Polymerase Chain Reaction (PCR)	No knowledge of this topic	Minimal knowledge of this topic	Some knowledge of this topic	High level of knowledge of this topic	Extremely comfortable explaining this topic to others	Have previous formal training

Trisomy 21	No knowledge of this topic	Minimal knowledge of this topic	Some knowledge of this topic	High level of knowledge of this topic	Extremely comfortable explaining this topic to others	Have previous formal training

Trisomy 18	No knowledge of this topic	Minimal knowledge of this topic	Some knowledge of this topic	High level of knowledge of this topic	Extremely comfortable explaining this topic to others	Have previous formal training

Trisomy 13	No knowledge of this topic	Minimal knowledge of this topic	Some knowledge of this topic	High level of knowledge of this topic	Extremely comfortable explaining this topic to others	Have previous formal training

Turner Syndrome	No knowledge of this topic	Minimal knowledge of this topic	Some knowledge of this topic	High level of knowledge of this topic	Extremely comfortable explaining this topic to others	Have previous formal training

Klinefelter Syndrome	No knowledge of this topic	Minimal knowledge of this topic	Some knowledge of this topic	High level of knowledge of this topic	Extremely comfortable explaining this topic to others	Have previous formal training

Osteogenesis Imperfecta	No knowledge of this topic	Minimal knowledge of this topic	Some knowledge of this topic	High level of knowledge of this topic	Extremely comfortable explaining this topic to others	Have previous formal training

Gene Therapy	No knowledge of this topic	Minimal knowledge of this topic	Some knowledge of this topic	High level of knowledge of this topic	Extremely comfortable explaining this topic to others	Have previous formal training

Directions: Please mark the most appropriate response.

Question: I can define the following terms?

	Yes	No
Gene	Yes	No

Locus	Yes	No

Allele	Yes	No

Genotype	Yes	No

Phenotype	Yes	No

Homozygote	Yes	No

Heterozygote	Yes	No

Dominant	Yes	No

Recessive	Yes	No

Missense Mutation	Yes	No

	Yes	No
Nonsense Mutation	Yes	No

Frameshift Mutation	Yes	No

Karyotype	Yes	No

I would Feel comfortable...

	Definitely Not	Probably Not	Probably Yes	Definitely Yes
Finding information on a specific genetic disease on the Internet	Definitely Not	Probably Not	Probably Yes	Definitely Yes

Using OMIM	Definitely Not	Probably Not	Probably Yes	Definitely Yes

Recommending a specific support group to a patient with a genetic disease	Definitely Not	Probably Not	Probably Yes	Definitely Yes

Making a specific referral for a patient with genetic questions	Definitely Not	Probably Not	Probably Yes	Definitely Yes

Speaking to a patient about his/her family history	Definitely Not	Probably Not	Probably Yes	Definitely Yes

Speaking to a family about a diagnosis of a specific genetic disease	Definitely Not	Probably Not	Probably Yes	Definitely Yes

Drawing a patient’s pedigree	Definitely Not	Probably Not	Probably Yes	Definitely Yes

Given a pedigree, predicting the chances that an unborn child would have a genetic disease	Definitely Not	Probably Not	Probably Yes	Definitely Yes

The following educational activities would improve my knowledge/understanding of genetics:

	No	Probably Not	Probably Yes	Definitely Yes
Lectures	No	Probably Not	Probably Yes	Definitely Yes

Small Group Discussion	No	Probably Not	Probably Yes	Definitely Yes

Role Play	No	Probably Not	Probably Yes	Definitely Yes

Practice with Standardized Patients	No	Probably Not	Probably Yes	Definitely Yes

Readings	No	Probably Not	Probably Yes	Definitely Yes

Problem Sets	No	Probably Not	Probably Yes	Definitely Yes

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