Research  >  CERA  >  Core Questions
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CERA Core Survey Questions

For Residency Directors:

1) Please describe the type of residency program you direct:
  • University-Based
  • Community-Based, University-Affiliated
  • Community-Based, Non-Affiliated
  • Military
  • Other (please specify) :_______________________________________

2) In what state is your residency program located?

3) What is the approximate size of the community in which your program is located?
  • 30,000 to 75,000
  • 75,000 to 150,000
  • Less than 30,000
  • 150,000 to 500,000
  • 500,000 to 1 million
  • More than 1 million
4) What is the number of Accredited Residency Slots in your residency?
  • PGY2 _________
  • PGY1 _________
  • PGY3 _________
5) What proportion of the current residents in your program are graduates of non-US medical schools?
  • 0-24%
  • B. 25-49%
  • 50-74%
  • 75-100%
  • Don’t Know

6) In what year did your program begin training residents?

7) How many years have you served as Program Director?  

8) What is your gender?
  • Female
  • Male

For Clerkship Directors:

Is your medical school considered to be public or private?:

  • Public
  • Private

My school is located in:

  • Canada
  • USA

For how many years have you served as Clerkship Director? (Please enter a whole number from 0 to 50)

What is your gender?

  • Female
  • Male

How do you identify yourself? (ethnicity)

  • Not Hispanic or Latino
  • Hispanic or Latino

How do you identify yourself? (race)

  • White
  • Black or African American
  • American Indian or Alaska Native
  • Asian
  • Native Hawaiian or other Pacific Islander
  • Other Race

Do you have the equivalent of a physician's degree (MD/DO)?

  • Yes
  • No

If no, what year were you awarded your highest level of degree, such as PhD?

If yes, what year did you graduate from residency training?

What percentage of your time is protected to serve as clerkship director? (Enter a number from 0 to 100)

How many students are there typically in one CLASS at your school? (Enter a number from 0 to 500)

Is the family medicine or primary care clerkship mandatory for all  medical students?

In which year or years of training are medical students expected to participate in this clerkship? (Please  do not count medical students who, for health or academic reasons, are out of phase with their class. Please do mark ALL years that apply.)

  • M1
  • M2 
  • M3
  • M4

Please select the design of your clerkship.

  • Block only (defined as sequential weeks of full-time study)
  • Longitudinal only
  • Both block and longitudinal

​How many weeks does your family medicine clerkship   last?

  • Fewer than 3
  • 3
  • 4
  • 5
  • 6
  • 7
  • 8
  • More than 8 weeks (please specify)

How many weeks does your longitudinal family medicine clerkship last (overall duration)?

Adding together all the curricular time, how many weeks in total is your longitudinal family medicine clerkship? (for example, 1/2 day per week for 50 weeks duration = 50 half days = 25 full days = 5 weeks) (Round the calculation up from 0.5 to 1)

  • Fewer than 3
  • 4
  • 5
  • 6
  • 7
  • 8
  • More than 8 weeks (please specify)

This set of questions relates to a school that has two different tracks for medical students, one with sequential weeks of full-time study (block rotation) and the other with a longitudinal format.

Please estimate the percentage of students assigned to each of the two tracks. (Must add up to 100)

  • Block________________
  • Longitudinal________________

How many weeks does the block portion of your clerkship   last?

  • Fewer than 3
  • 3
  • 4
  • 5
  • 6
  • 7
  • 8
  • More than 8 weeks (please specify)

How many weeks does the longitudinal portion of your clerkship last? (total duration)

Adding together all the curricular time, calculate approximately how many weeks in total your longitudinal family medicine clerkship lasts. (for example, 1/2 day per week for 50 weeks duration = 50 half days = 25 full days = 5 weeks) (Round the calculation up from 0.5 to 1)

  • Fewer than 3
  • 3
  • 4
  • 5
  • 6
  • 7
  • 8
  • More than 8 weeks (please specify)

Recognized by organizations like the Liaison Committee for Medical Education, Regional Medical Campuses are geographically separate from the main campus, typically have students spend a block of time on site, and have an administrative structure with official ties to the Dean's Office.

How many Regional Medical Campuses does your school have? (Please write a number from 0 to 100)

What percentage of your clerkship students get sent to a Regional Medical Campus?

  • 0 %
  • 1-25 %
  • 26-50 %
  • 51-75 %
  • 76-100%

What percentage of students in your family medicine clerkship spend at least half of the rotation time in the practice of a community preceptor (defined as teachers who practice off-campus and who do not havea primary appointment in your department or institution)?

  • 0 %
  • 1-25 %
  • 26-50 %
  • 51-75 %
  • 76-100%

Please estimate the percentage of family medicine community preceptors that you pay to teach clerkship students.

  • 0 %
  • 1-25 %
  • 26-50 %
  • 51-75 %
  • 76-100 %

For those preceptors whom you pay, please estimate how much you pay PER WEEK for each clerkship student.

What percentage of your students go to clerkship sites that require overnight stays?

  • 0 %
  • 1-25 %
  • 26-50 %
  • 51-75 %
  • 76-100 %

After any centralized orientation activities at the start of the clerkship and before any end-of-clerkship assessment events, how many times are your clerkship students required to return to campus for activities and/or instruction?

  • 0
  • 1
  • 2
  • 3
  • 4
  • 5
  • 6
  • 7
  • 8
  • 9
  • 10
  • More than 10

For Department Chairs

1) Please describe the type of residency program associated with your department

  • University-Based
  • Community-Based, University-Affiliated
  • Military
  • Other (please specify) :_______________________________________

2) In what state is your department located?

3) What is the approximate size of the community in which your department is located?

  • Less than 30,000
  • 30,000 to 75,000
  • 75,001 to 150,000
  • 150,001 to 500,000
  • 500,001 to 1 million
  • More than 1 million

4) In what year did your department begin to train residents?

5) How many years have you served as Department Chair?

6) How many full-time faculty does your department have?

7) What is your gender?

  • Male
  • Female

8) How old are you?

  • <50 years old
  • 50-60 years old
  • 60+ years old

 


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