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Exit Survey
 
 
We realize you have had many surveys to complete but ask that you indulge us one final time in order to help us identify areas for growth within CPD. Please thoughtfully consider each question and mark the answer you feel is the most descriptive of your Clinical Performance Development Phase 1 (small group) experience. These surveys are anonymous. The purpose of this survey is to identify areas for faculty development. Thank you for your time and thoughtfulness in improving the CPD course.
– Drs. Jennifer Marks and James Moak
 
 
 
* What was your CPD small group mentor’s name?
   
 
 
 
* What part of the time did the mentor attend sessions?
 
0-25%
 
26-50%
 
51-75%
 
76-100%
 
 
 
* How much did the mentor talk/lecture during case discussions?
 
Too much
 
Not enough
 
Just right
 
 
 
* Did you feel the mentor covered case material thoroughly?
 
Yes
 
No
 
Sometimes
 
 
 
* Was the mentor engaged in all skill sessions?
 
Yes
 
No
 
Sometimes
 
 
 
* Was the mentor able to adequately teach history taking?
 
Yes
 
No
 
Sometimes
 
 
 
* Was the mentor able to adequately teach physical examination skills?
 
Yes
 
No
 
Sometimes
 
 
 
* Was the mentor available as mentors outside of CPD sessions?
 
Yes
 
No
 
Sometimes
 
 
 
* Did the mentor provide adequate feedback?
 
Yes
 
No
 
Sometimes
 
 
 
* Do you feel your mentor provided opportunities to your group that others students didn't have?
 
Yes
 
No
 
Sometimes
 
 
 
If the answer to Q10 was “Yes” or “Sometimes”, please describe what differed?
   
 
 
 
* Did your mentor serve as a good role model in terms of professionalism?
 
Yes
 
No
 
Sometimes
 
 
 
* What was your CPD small group co-mentor’s name?
   
 
 
 
* Did your co-mentor contribute to small group discussions?
 
Yes
 
No
 
Sometimes
 
 
 
* How important do you consider the role of your co-mentor to have been?
 
Somewhat important
 
Important
 
Vital
 
 
 
* Did your co-mentor consistently lend their non-MD perspective to the case?
 
Yes
 
No
 
Sometimes
 
 
 
* Did you get adequate feedback from co-mentors about your abilities and/or progress?
 
Yes
 
No
 
Sometimes
 
 
 
* How well do you feel your small group functioned?
 
Group was deficient
 
On par with others
 
Significantly better than others
 
 
 
Do you have any additional constructive suggestions or comments about your CPD Phase 1 experience?