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Welcome
Please complete this survey on your experience using the PFCC Communication Curriculum.
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1
What is your role at your institution?
Program Director
Associate/Assistant Program Director
Program Coordinator
Vice Chair of Education
Other
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2
How would you categorize your institution?
University Based Medical Center
Private Practice
Community Practice
Other
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3
How far is your associated medical school from your trainee program?
On the same campus
Within the same city
Within the same state
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4
Please rate the overall communication curriculum:
Excellent
Very Good
Good
Fair
Poor
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5
Were the Objectives and written Curriculum clear/easy to understand?
YES
NO
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6
If no, why?
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7
Did you find the Radiology Communication Skills Module effective to educate your trainees on the essentials of communication?
YES
NO
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8
If no, why?
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9
Did you do the live simulations with real people (actors, trainees, etc.) or used the provided simulation videos?
Live Simulation
Provided Videos
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10
Were the instructions and resources provided to perform the live simulations adequate?
YES
NO
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11
If no, why?
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12
If you did not do actual simulations, why?
Did not have the facilities to undertake them
Too time consuming
Did not have the faculty or resources
Other
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13
If you did not do actual simulations, did you use the provided videos in lieu of the actual live simulation?
YES
NO
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14
If not, what did you use?
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15
Was the Kalamazoo Communication Skills Assessment Tool easy to use?
YES
NO
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16
If not, why?
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17
Did you use the Patient Centered Care letters?
YES
NO
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18
If you used the letters, did you find them useful and easy to use?
YES
NO
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19
If not, why?
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20
Did you use the scenarios “Handling the Unexpected or Poor Outcomes”?
YES
NO
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21
If you used the scenarios, did you find them useful and easy to use?
YES
NO
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22
If not, why?
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23
Did you use the suggested patient experience videos?
YES
NO
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24
If you used the videos, did you find them useful and easy to use?
YES
NO
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25
If not, why?
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26
Was the overall curriculum easy to use?
Very easy
Easy
Somewhat easy
Somewhat difficult
Difficult
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27
If not, why?
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28
Which years utilized the curriculum?
Medical Student Year 1
Medical Student Year 2
Medical Student Year 3
Medical Student Year 4
PGY-1
PGY2
PGY3
PGY4
PGY5
Fellows
Intern
Other
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29
How many times per academic year did you use the communication curriculum?
Once
2 - 3 times
4 - 5 times
6 or more times
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30
What feedback did you receive from the trainees; positive and negative? Explain.
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31
Any other suggestions?
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32
Please verify that you are human
*
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