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Page: AHEC Center Aggregate Information Entry
1. What quarter are you reporting on?
 answered question1,262
 
skipped question
161
 Response
Percent
Response
Count
1st quarter 2011-12
13.5%171
2nd quarter 2011-12
8.2%103
3rd quarter 2011-12
1.5%19
4th quater 2011-12
0.6%7
4th quarter 2010-2011
5.8%73

2. Please select your location
 answered question1,423
 
skipped question
0
 
North BayMendocinoNorth CoastNorthern CaliforniaSan FranciscoSouth BayEast BaySan Joaquin ValleyCentral CoastLos Angeles HarborEast Los AngelesSouth Los AngelesOrange CountySan Diego BorderResponse
Count
AHEC Center 0.2% (3)0.0% (0)15.0% (213)4.1% (58)9.3% (132)14.3% (203)4.8% (69)13.0% (185)3.9% (55)4.3% (61)2.7% (38)5.7% (81)9.6% (136)13.3% (189)1,423

3. AHEC Theme (Training Type)
 answered question1,423
 
skipped question
0
 Response
Percent
Response
Count
Continuing Education for Practicing Professionals
45.0%640
Teaching Residents and Health Professions Students to Conduct Community Health Education
7.2%103
Community Based Training for Health Professions Students
24.4%347
Pipeline Activities for K-16
23.4%333

4. Gender of trainees: Please enter the number of each males and females attending training
 answered question730
 
skipped question
693
 Response
Percent
Response
Count
Male
[ShowReplies]
76.7%560
Female
[ShowReplies]
96.0%701

5. Age of Trainees: Please enter the number of trainees in each age group.
 answered question627
 
skipped question
796
 Response
Percent
Response
Count
Under 20
[ShowReplies]
32.2%202
20-29
[ShowReplies]
53.7%337
30-39
[ShowReplies]
42.4%266
40-49
[ShowReplies]
27.4%172
50-59
[ShowReplies]
24.7%155
60 and over
[ShowReplies]
11.0%69

6. Racial and Ethnic Background of Trainees-Hispanic or Latino: Please provide number of Hispanic or Latino trainees from each of the racial categories.
 answered question553
 
skipped question
870
 Response
Percent
Response
Count
Hispanic or Latino and American Indian/Alaskan Native
[ShowReplies]
16.5%91
Hispanic or Latino and Asian Indian, Chinese, Filipino, Japanese, Korean, Vietnamese, Thai
[ShowReplies]
12.5%69
Hispanic or Latino and Asian-Hmong, Laotian,Other
[ShowReplies]
2.5%14
Hispanic or Latino and Native Hawaiian/Pacific Islander
[ShowReplies]
4.5%25
Hispanic or Latino and White/Caucasian
[ShowReplies]
35.3%195
Hispanic or Latino and Black/African American
[ShowReplies]
8.5%47
Hispanic or Latino only
[ShowReplies]
36.7%203
Hispanic or Latino and two or more races
[ShowReplies]
8.9%49
List____________________________________________________
[ShowReplies]
3.1%17
Hispanic or Latino and other
[ShowReplies]
23.5%130
List____________________________________________________
[ShowReplies]
10.8%60

7. Racial and Ethnic Background of Trainees: Non-Hispanic or Latino Please provide the number of non-Hispanic or Latino trainees from the following racial categories.
 answered question734
 
skipped question
689
 Response
Percent
Response
Count
Non-Hispanic or Latino and American Indian/Native Alaskan
[ShowReplies]
15.8%116
Non-Hispanic or Latino and Asian Indian, Chinese, Filipino, Japanese, Korean, Vietnamese, Thai
[ShowReplies]
59.5%437
Non-Hispanic or Latino and Asian-Hmong, Laotian, other
[ShowReplies]
6.8%50
Non-Hispanic or Latino and Native Hawaiian/Pacific Islander
[ShowReplies]
12.3%90
Non-Hispanic or Latino and White/Caucasian
[ShowReplies]
86.4%634
Non-Hispanic or Latino and Black/African American
[ShowReplies]
38.0%279
Non-Hispanic or Latino and two or more races
[ShowReplies]
11.0%81
List _________________________________________________
[ShowReplies]
3.7%27
Non-Hispanic or Latino and other
[ShowReplies]
19.1%140
List _________________________________________________
[ShowReplies]
6.1%45

8. Do you consider yourself to have and economically or educationally disadvantaged background?
 answered question285
 
skipped question
1,138
 Response
Percent
Response
Count
Yes
[ShowReplies]
79.3%226
No
[ShowReplies]
57.9%165

Page: For Students and Residents Aggregate Participant Information
1. Activity: Please descibe activity that you are reporting on.
 answered question769
 
skipped question
654
 Response
Count
[ShowReplies]769

2. Date of training
 answered question627
 
skipped question
796
 Response
Count
[ShowReplies]627

3. Length of training:
 answered question740
 
skipped question
683
 Response
Percent
Response
Count
Less than 20 hours
45.0%333
21-60 hours
18.9%140
61-100 hours
12.4%92
Over 100 hours
20.0%148
Residency
3.6%27

4. Type of Participant School or Residency
 answered question752
 
skipped question
671
 Response
Percent
Response
Count
Elementary
0.3%2
Middle School
3.6%27
High School
30.6%230
Certificate Program
1.7%13
Community College
5.5%41
Baccalaureate Program
10.5%79
Post Baccalaureate Program
3.9%29
Residency Training Program
17.0%128
Fellowship
0.1%1
Medical School
12.5%94
Advance Practice Nursing
3.3%25
Physician Assistant
0.9%7
Mental Health
0.5%4
Social Work 0.0%0
Optometry 0.0%0
Dentistry
6.5%49
Pharmacy 0.0%0
Other
3.1%23

5. Type of Health Professions Student
 answered question437
 
skipped question
986
 Response
Percent
Response
Count
Medicine
[ShowReplies]
29.7%130
Dental
[ShowReplies]
9.2%40
Advanced Practice Dental
[ShowReplies]
1.8%8
Advanced Practice Nursing
[ShowReplies]
6.2%27
Nursing
[ShowReplies]
12.8%56
Post Baccalaureate
[ShowReplies]
2.7%12
Mental Health
[ShowReplies]
2.1%9
Social Work
[ShowReplies]
2.3%10
Public Health
[ShowReplies]
10.1%44
Lab Tech
[ShowReplies]
0.2%1
Radiology Tech 0.0%0
Dental Hygienist
[ShowReplies]
2.1%9
Medical Assistant
[ShowReplies]
3.4%15
Other
[ShowReplies]
28.6%125

6. Trainee numbers
 answered question747
 
skipped question
676
 Response
Percent
Response
Count
Number of trainees
[ShowReplies]
99.3%742
Number of community preceptors
[ShowReplies]
47.0%351
Number of faculty
[ShowReplies]
56.9%425
Number of parent/community member participants
[ShowReplies]
7.9%59

7. Training Sites-where was the training held?
 answered question760
 
skipped question
663
 Response
Percent
Response
Count
School or School based clinic
37.1%282
Hospital or Hospital Clinic
5.5%42
County Hospital or Clinic
2.8%21
Residency Program
5.1%39
Community Health Center
36.6%278
Rural Health Clinic
3.2%24
National Health Service Corps site
4.1%31
Federally Qualified Health Center
8.9%68
Migrant Health Center
0.3%2
Health Care for the Homeless
5.0%38
Public Housing Primary Care 0.0%0
Mental Health Center
0.8%6
Indian Health Service
0.3%2
County or City Health Department
1.7%13
Community Center
6.6%50
Distance Learning-Video or Audio Conferencing
0.5%4
Distance Learning-Web Based
0.4%3
Other
8.8%67

8. Comments or Additional Information
 answered question62
 
skipped question
1,361
 Response
Count
[ShowReplies]62

Page: For Practicing Professionals and Staff Aggregate Data Reporting Form
1. Date of training
 answered question557
 
skipped question
866
 Response
Count
[ShowReplies]557

2. Continuing Education Program-Please enter each program separately
 answered question630
 
skipped question
793
 Response
Percent
Response
Count
Name of Program
[ShowReplies]
97.3%613
Subject
[ShowReplies]
66.8%421
In Person or Distance
[ShowReplies]
95.1%599
Number of Hours
[ShowReplies]
92.9%585
Number of times presented
[ShowReplies]
88.7%559
Number of trainees
[ShowReplies]
98.3%619

3. Please enter number of each type of discipline trained.
 answered question490
 
skipped question
933
 Response
Percent
Response
Count
Family Medicine
[ShowReplies]
31.4%154
Internal Medicine
[ShowReplies]
8.4%41
Pediatric Medicine
[ShowReplies]
14.1%69
Emergency Medicine
[ShowReplies]
2.2%11
Medical Resident
[ShowReplies]
1.8%9
Other Physician (specify)
[ShowReplies]
12.0%59
Physician Assistant
[ShowReplies]
16.1%79
Nurse Practitioner
[ShowReplies]
24.3%119
Other Advanced Practice Nurse
[ShowReplies]
3.9%19
Registered Nurse
[ShowReplies]
28.6%140
Dentist
[ShowReplies]
4.1%20
Mental Health
[ShowReplies]
9.0%44
Social Work
[ShowReplies]
12.2%60
Dental Assistant/Hygienist
[ShowReplies]
4.5%22
Pharmacist
[ShowReplies]
3.3%16
Pharmacy Tech 0.0%0
Public Health
[ShowReplies]
9.0%44
Health Administration
[ShowReplies]
19.8%97
Medical or Nurse Assistant
[ShowReplies]
9.8%48
LVN
[ShowReplies]
2.2%11
Laboratory Tech
[ShowReplies]
1.0%5
Clerical Staff
[ShowReplies]
5.1%25
Other
[ShowReplies]
27.6%135
List:______________________________________________________
[ShowReplies]
24.5%120

4. Please enter number of participants at each of the following practice sites
 answered question565
 
skipped question
858
 Response
Average
Response
Total
Response
Count
Solo or Group Practice
[ShowReplies]
 9.3316818
Hospital or Clinic
[ShowReplies]
 106.6817,922168
County Hospital or Clinic
[ShowReplies]
 16.3834421
Residency Program
[ShowReplies]
 36.882958
Community Health Center
[ShowReplies]
 22.876,747295
Rural Health Clinic
[ShowReplies]
 3.886216
National Health Service Corps Site
[ShowReplies]
 9.8512813
Federally Qualified Health Center
[ShowReplies]
 7.7676098
Migrant Health Center
[ShowReplies]
 20.00201
Health Care for the Homeless
[ShowReplies]
 8.7730735
Public Housing Primary Care 0.0000
Mental Health Center
[ShowReplies]
 7.178612
Indian Health Service
[ShowReplies]
 4.1111127
County or City Health Department
[ShowReplies]
 17.2493154
School District
[ShowReplies]
 43.7043710
Other
[ShowReplies]
 10.7997190

5. In the last week of practice, what percentage of your clients were: Uninsured
 answered question136
 
skipped question
1,287
 Response
Percent
Response
Count
None
[ShowReplies]
2.9%4
<25%
[ShowReplies]
45.6%62
25-50%
[ShowReplies]
33.1%45
>50%
[ShowReplies]
50.7%69
Don't know
[ShowReplies]
24.3%33

6. In the last week of practice, what percentage of your clients were: Medi-CAL Funded
 answered question135
 
skipped question
1,288
 Response
Percent
Response
Count
None
[ShowReplies]
2.2%3
<25%
[ShowReplies]
27.4%37
25-50%
[ShowReplies]
41.5%56
>50%
[ShowReplies]
54.1%73
Don't Know
[ShowReplies]
23.7%32

7. In the last week of practice, what percentage of your clients were: Ethnic minorities
 answered question143
 
skipped question
1,280
 Response
Percent
Response
Count
None
[ShowReplies]
5.6%8
<25%
[ShowReplies]
70.6%101
25-50%
[ShowReplies]
25.9%37
>50%
[ShowReplies]
30.8%44
Don't know
[ShowReplies]
20.3%29

8. In the last week of practice, what percentage of your clients are: Non-English Speaking
 answered question136
 
skipped question
1,287
 Response
Percent
Response
Count
None
[ShowReplies]
13.2%18
<25%
[ShowReplies]
70.6%96
25-50%
[ShowReplies]
19.9%27
>50%
[ShowReplies]
20.6%28
Don't know
[ShowReplies]
16.9%23

Page: Program Evaluation
1. Aggregate responses to: Overall quality of the program
 answered question376
 
skipped question
1,047
 Response
Percent
Response
Count
Excellent
[ShowReplies]
80.1%301
Very Good
[ShowReplies]
56.6%213
Good
[ShowReplies]
21.5%81
Fair
[ShowReplies]
6.1%23
Poor
[ShowReplies]
0.5%2

2. Aggregate responses to: Quality of the Speaker/Presenter
 answered question376
 
skipped question
1,047
 Response
Percent
Response
Count
Excellent
[ShowReplies]
79.0%297
Very Good
[ShowReplies]
55.3%208
Good
[ShowReplies]
18.9%71
Fair
[ShowReplies]
6.6%25
Poor
[ShowReplies]
0.8%3

3. Aggregate responses to: Program Met Learning Objectives
 answered question368
 
skipped question
1,055
 Response
Percent
Response
Count
Excellent
[ShowReplies]
78.3%288
Very Good
[ShowReplies]
57.6%212
Good
[ShowReplies]
20.1%74
Fair
[ShowReplies]
5.7%21
Poor
[ShowReplies]
0.5%2

4. Aggregate responses to: Information relevance
 answered question371
 
skipped question
1,052
 Response
Percent
Response
Count
Excellent
[ShowReplies]
79.5%295
Very Good
[ShowReplies]
55.3%205
Good
[ShowReplies]
18.6%69
Fair
[ShowReplies]
8.4%31
Poor
[ShowReplies]
1.1%4

5. Aggregate responses to: After this program, your knowledge of the subject is:
 answered question355
 
skipped question
1,068
 Response
Percent
Response
Count
Greatly improved
[ShowReplies]
86.8%308
Improved
[ShowReplies]
53.0%188
About the same
[ShowReplies]
10.7%38

6. What other subjects/programs would be valuable to you?
 answered question56
 
skipped question
1,367
 Response
Count
[ShowReplies]56

7. For Distance Learning participants only: This program was as good or better than a face-to-face program
 answered question91
 
skipped question
1,332
 Response
Percent
Response
Count
Agree
[ShowReplies]
94.5%86
Disagree
[ShowReplies]
71.4%65

8. For Distance Learning Participants: Without distance learning I would not have the opportunity to learn this information
 answered question89
 
skipped question
1,334
 Response
Percent
Response
Count
Agree
[ShowReplies]
98.9%88
Disagree
[ShowReplies]
18.0%16

9. For distance learning participants: Distance learning helps health professionals in rural areas learn about healthcare improvements
 answered question90
 
skipped question
1,333
 Response
Percent
Response
Count
Agree
[ShowReplies]
100.0%90
Disagree
[ShowReplies]
1.1%1

10. For Distance Learning participants: Distance Education helps with retention of health professionals in rural areas because of the opportunities for professional growth
 answered question89
 
skipped question
1,334
 Response
Percent
Response
Count
Agree
[ShowReplies]
100.0%89
Disagree
[ShowReplies]
9.0%8

11. Please add any comments about the program
 answered question94
 
skipped question
1,329
 Response
Count
[ShowReplies]94

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