AHEC-Supported Rural Clinic Rotations
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Please enter your CWID number.
Preceptor:
Abernathy, Bob, D.O.
Bierig, Kirt, D.O.
Blunk, Jim, D.O.
Carter, Dennis, D.O.
Clark, J. Scott, D.O.
Couchenour, Coral Lee, D.O.
David, Michael, D.O.
Derocher, Erick, D.O.
Forrestal, James, D.O.
Grugan, Monty, D.O.
Harden, Troy, D.O.
Herron, William, D.O.
Janzen, Dwayne, D.O.
Jones, Jeffrey, D.O.
Jones, Thomas, D.O.
Knapp, Michael, D.O.
Knapp, Stacy, D.O.
Koehler, Duane, D.O.
Pontious, J.Michael, M.D.
Reincshmiedt, Dale, D.O.
Robbins, Rick, D.O.
Salyer, Thomas, D.O.
Schafer, Richard, D.O.
Scoufos, Jennifer, D.O.
Steelmon, Melinda, D.O.
Stutzman, Brenda, D.O.
Sullivan, Cary, D.O.
Treadwell, Stephen, D.O.
Trent, David, D.O.
Trent, Judy, D.O.
Turrentine, James R., D.O.
Warren, Robert, D.O.
Williams, Robert, D.O.
Williams, Scott, D.O.
Woodson, Stephen, D.O.
Preceptor:
Other (not listed):
Month of Rotation
January
February
March
April
May
June
July
August
September
October
November
December
Month of Rotation
Year of Rotation:
2008
2009
2010
Year of Rotation:
Which regional AHEC center supported your rotation?
Which regional AHEC center supported your rotation?
NW
SW
NE
SE
Do you think that the lecture on the determinates of health and rural health status helped to better prepare you for participating in a rural clinic rotation?
No. Definitely Not
No. I don't think so
Yes. I think so
Yes. Definitely
Please choose one:
Do you think that the lecture on the determinates of health and rural health status helped to better prepare you for participating in a rural clinic rotation? Please choose one: No. Definitely Not
Please choose one: No. I don't think so
Please choose one: Yes. I think so
Please choose one: Yes. Definitely
How would you rate the value of the AHEC-supported activities (i.e. Kids into Health Careers, Community Experience) in your education overall?
Poor
Fair
Good
Excellent
Please choose one:
How would you rate the value of the AHEC-supported activities (i.e. Kids into Health Careers, Community Experience) in your education overall? Please choose one: Poor
Please choose one: Fair
Please choose one: Good
Please choose one: Excellent
Do you feel that your AHEC coordinator did their best to be responsive to problems and concerns in a timely manner?
(If 'Not Applicable' do not choose an answer)
No. Definitely not
No. I don't think so
Yes. I think so
Yes. Definitely
Please choose one:
Do you feel that your AHEC coordinator did their best to be responsive to problems and concerns in a timely manner? (If 'Not Applicable' do not choose an answer) Please choose one: No. Definitely not
Please choose one: No. I don't think so
Please choose one: Yes. I think so
Please choose one: Yes. Definitely
Do you feel that preparing your case presentation increased your understanding of the challenges and opportunities associated with practice in a rural community?
No. Definitely not
No. I don't think so
Yes. I think so
Yes. Definitely
Please choose one:
Do you feel that preparing your case presentation increased your understanding of the challenges and opportunities associated with practice in a rural community? Please choose one: No. Definitely not
Please choose one: No. I don't think so
Please choose one: Yes. I think so
Please choose one: Yes. Definitely
Afer this rotation, my interest in practicing in a rural area _______________.
Afer this rotation, my interest in practicing in a rural area _______________.
increased
decreased
did not change
Do you intend to provide care to undeserved populations?
Do you intend to provide care to undeserved populations?
Yes
No
Do you feel that participating in this rotation has increased your knowledge and skills in appropriately accessing community resources to impact the quality of care in rural practice.
No. Definitely not
No. I don't think so
Yes. I think so
Yes. Definitely
Please choose one:
Do you feel that participating in this rotation has increased your knowledge and skills in appropriately accessing community resources to impact the quality of care in rural practice. Please choose one: No. Definitely not
Please choose one: No. I don't think so
Please choose one: Yes. I think so
Please choose one: Yes. Definitely
Additional comments regarding this rotation:
Additional comments regarding this rotation:
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