Please fill out all that apply. * Denotes a required field
Personal Information
Name: *Last *First *Middle
*Address *City
*State *Zip *E-mail
*Year residency training completed:
Did you enter a fellowship following graduation? Yes No
If YES, please indicate the field of study and where training was completed
Board Certification (list all held and dates received):
*Do you grant permission to the University of Florida Department of Internal Medicine to display information contained in this survey on the password protected UF Alumni Directory website? Yes No
A. CURRENT PRACTICE SETTING
How would you describe your current practice setting?
How would you describe the area in which you practice?
Rural Suburban Urban
Are you involved in clinical research? Yes No
B. ACGME COMPETENCIES:
C. GRADUATE'S PERCEPTION: THE RELEVANCY OF RESIDENCY TRAINING
What resident training experience(s) did you find most useful in your current practice/fellowship?
What training experience(s) did you find least useful in your current practice/fellowship?
Now that you have been practicing/working in a fellowship, have you identified any deficiencies in your residency training?
What is your opinion of the relevancy of your residency training to your current practice/fellowship?
Do you have suggestions for developing/strengthening the UF residency curriculum based on your experiences?
Compared to your current peer group, how would you rate your overall clinical performance? Below the level of my peer group At the same level of my peer group Above the level of my peer group
Would you recommend the UF Internal Medicine Residency Program to others? Yes No
THANK YOU FOR YOUR ASSISTANCE. ONCE THE SURVEY YOU HAVE SUBMITTED HAS BEEN REVIEWED YOU WILL RECEIVE VIA E-MAIL A PASSWORD THAT WILL ALLOW YOU TO FULLY ACCESS OUR ALUMNI WEBSITE.
**This survey is adapted from a survey created by Eric Scher, M.D. & Joseph Musial, Ph.D., Department of Internal Medicine, Henry Ford Health System.