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MHA Summer Residency Evaluation

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DUE: Friday October 12^th, 2007. Please complete and submit to Amy Thaci. You are encouraged to add as many comments as possible throughout.

Who Supervised your Experience? Student Name:
Primary Preceptor:
Title:
Address:

Phone:
E-Mail:

NOTE: The program would like to acknowledge the support of all preceptors and mentors that make the residency experiences successful. If you would like us to send a thank-you note to other contacts, in addition to your primary preceptor, please list names and contact information.

Addiditional Supervisor/Mentor: Title:
Address:

Phone:
E-Mail:

Please add additional names and contact information, as necessary:

What Did You Do? Please identify three of your major projects over the summer:

Did you have other responsibilities in addition to projects? Yes No
If so, please explain:

What Did You Learn? Please list three of the most valuable skills, lessons or experiences you gained as a result of your summer residency:

How Would You Rate Your Experience at the Organization? Please rate the following on a scale of 1-5, with 1=poor 2=below average 3=average 4=good 5=excellent, and add comments as appropriate.

Orientation to the organization: 1 2 3 4 5
Comments:

Quality of projects assigned: 1 2 3 4 5
Comments:

Opportunity to "own" a project: 1 2 3 4 5
Comments:

Opportunity to pursue special interests: 1 2 3 4 5
Comments:

Exposure to top executives: 1 2 3 4 5
Comments:

Opportunity to give presentations: 1 2 3 4 5
Comments:

Exposure to a wide variety of functions 1 2 3 4 5
Comments:

Exposure to a variety of management styles 1 2 3 4 5
Comments:

How Would Your Rate Your Primary Preceptor? 1=poor 2=below average 3=average 4=good 5=excellent

Access to your preceptor: 1 2 3 4 5
Comments:

How often did you meet with your primary preceptor?

Personal attention given to you by your preceptor: 1 2 3 4 5
Comments:

Degree to which your preceptor is a role model: 1 2 3 4 5
Comments:

If we created some sort of Outstanding Preceptor award, would you like to nominate this person? Yes No

How Prepared Were You for Your Residency? We need to know how well the program's first-year curriculum prepared you for your residency experience. Please rate the following on a scale of 1-5 and add comments as appropriate.

Preparation to complete operations projects: 1 2 3 4 5 n/a
Comments:

Preparation to complete financial assignments: 1 2 3 4 5 n/a
Comments:

Preparation to complete economic evaluations: 1 2 3 4 5 n/a
Comments:

Preparation to complete data analysis projects: 1 2 3 4 5 n/a
Comments:

Understanding of the general organizational structure: 1 2 3 4 5 n/a
Comments:

Understanding of the broader healthcare system: 1 2 3 4 5 n/a
Comments:

Understanding of health policy: 1 2 3 4 5 n/a
Comments:

Comfort with professional "etiquette"/protocol 1 2 3 4 5 n/a
Comments:

Please list any areas in which you feel you needed additional preparation:

What Were Your "Highs" and "Lows" What three things frustrated you most about your residency?

What three things did you enjoy most about your residency?

How Much Were You Compensated? Please indicate your pay: Per Week Month Summer

Please list other benefits:

Please rate your compensation and "perks" 1 2 3 4 5
Comments:

If out-of-town, where did you live?
If out-of-town, did you also pay for housing in Columbus? Yes No

How Would You Rate Your Overall Experience? Overall Experience: 1 2 3 4 5

If you had the chance to go back and choose a residency location for yourself:
I'd go to the same place
I'd go somewhere else
Comments:

If you had the chance to go back and start the summer over again, in the same location...
I'd do exactly what I did
I'd do some things differently
I'd do a lot of things differently
Comments:

What Recommendations Do You Have For Future Residents? Thinking about the type of student that might be best matched with this organization and/or preceptor in the future...

Good match for someone with:
No healthcare experience
Some healthcare experience
A lot of healthcare experience
Comments:

Good match for someone who is:
Very "green," i.e. no work experience, not sure what they want
Somewhat focused
Very focused, has clear career goals
Comments:

Good match for someone who:
Can work very independently
Needs some direction
Comments:

Good match for someone who:
Appreciates gentler constructive criticism, needs to build self-esteem
Appreciates more straightforward criticism, needs someone to challenge them
Comments:

Any Other Thoughts? Other comments on the residency experience:

Thanks for taking the time to fill this out!

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