Medical Student Pre-Rotation Survey

We are pleased you have decided to include Summa Health System as a site for one of your elective rotations. Please take a few moments to share some feedback on your pre-rotation experience. We will use this information to improve our service to all of our medical students.

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* 1. Is this your first elective rotation at Summa Health System?

Yes

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* 2. How would you rate the on-line application process?

1 Very easy

2 Easy

3 Somewhat easy

4 Not very easy

5 Not at all easy

N/A

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* 3. If you responded N/A to the question above, how did you apply for your rotation?

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* 4. How would you rate the post-application information you received in each of these 4 areas?

	Better than I expected	About what I expected	Less than I expected	N/A
1) Clarity in communication	1) Clarity in communication Better than I expected	1) Clarity in communication About what I expected	1) Clarity in communication Less than I expected	1) Clarity in communication N/A
2) Professionalism	2) Professionalism Better than I expected	2) Professionalism About what I expected	2) Professionalism Less than I expected	2) Professionalism N/A
3) Promptness of reply	3) Promptness of reply Better than I expected	3) Promptness of reply About what I expected	3) Promptness of reply Less than I expected	3) Promptness of reply N/A
4) Resolution of any concerns	4) Resolution of any concerns Better than I expected	4) Resolution of any concerns About what I expected	4) Resolution of any concerns Less than I expected	4) Resolution of any concerns N/A

If you selected N/A for any response, please briefly describe why

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* 5. Did you receive appropriate resources (such as id badge, scrub access form, & pager if applicable) before your rotation started?

Yes

If you answered No to the previous question, what additional resources did you need?

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* 6. Were all your questions answered sufficiently by Medical Education & Research staff?

Yes

If you answered No to the previous question, what additional information would have helped?

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* 7. In which clinical department is your rotation?

CARDIOLOGY

EMERGENCY MEDICINE

FAMILY MEDICINE

GENERAL SURGERY

OTHER

INTERNAL MEDICINE

OB/GYN

OPHTHALMOLOGY

ORTHOPAEDIC SURGERY

PATHOLOGY

PLASTIC SURGERY

PSYCHIATRY

UROLOGY

Other (please specify)

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* 8. Please select the name of your rotation.

Thank you for sharing your feedback. Best wishes on your rotation experience!

Sincerely,
The Medical Education & Research Team
Summa Health System