Dear Medical Trainee:

We hope that you had a rewarding elective at Lakeridge Health (LH).  Please take a few minutes to complete this survey; your valuable input will help us to improve on the process and content of the Medical Trainee Program.

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* 1. Please provide the following information 

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* 2. What was the end date of your program?

Date

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* 3. In tracking the value of each placement, please indicate the LH site in which you completed your elective.

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* 4. How did you find out that Lakeridge Health offered an elective suited to your clinical requirements?  Please check as many as appropriate:

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* 5. Why did you choose LH for this elective? Please check as many as appropriate:

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* 6. Please complete the following sentences

  Poor Fair Good Very Good Excellent 
The coordination of my placement was...
The Trainee General Orientation Package was...
On-site orientation with the site Academic Affairs Liaison was...
The orientation for my practice area was...
The elective was………….in achieving my learning goals and objectives
The elective was………….in providing me with a challenging and rewarding learning experience
The availability of my Preceptor was...
The communication with my Preceptor was...
The guidance / supervision from my Preceptor was...
Feeling welcomed as a trainee in my practice area was...
Staff in my practice area were ......... in helping to facilitate my learning
Overall, I would rate satisfaction with the elective as...

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* 7. Based on this elective experience, would you:

  Yes No Uncertain
Recommend LH to other students as a positive training site?
Consider LH as an employer of choice after graduation?

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* 8. What would have made this a more positive learning experience?

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* 9. Are there any additional comments you'd like to make regarding your training here at Lakeridge Health?

T