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2018 UB ISA Survey
Start of Block: a - Demographics 1 1a Welcome to the 2018 UB JSMBS ISA Survey! This survey is one of our medical school's required components for LCME accreditation. A few important instructions / notes: (1) You will likely have a better survey completion experience if you use an internet browser OTHER THAN Firefox (e.g. Chrome). (2) If you close out of your survey tab, your answers will be saved. You may return to your survey via the survey link sent to your email. (3) Your survey response will remain anonymous. (4) We sincerely appreciate your time and consideration spent on your responses! --Independent Student Assessment (ISA) Committee Page Break
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2a In this section, you will be asked to answer questions pertaining to demographics N/A = No opportunity to assess / No opinion / Have not experienced this yet Page Break
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3a What is your current class year?
o MS1
o MS2
o MS3
o MS4
o Other (please specify; e.g. MD/PhD currently in PhD training, national research fellowship, leave of absence): ________________________________________________
4a Please select ALL years of medical school that you have COMPLETED. (For instance, if you are an MD/PhD student currently in PhD training, you would likely select MS1 and MS2.)
▢ MS1
▢ MS2
▢ MS3
▢ MS4 Page Break
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End of Block: a - Demographics 1 Start of Block: a - Demographics 2 5a With which gender do you identify?
o Cisgender female (assigned female at birth, identify as female)
o Cisgender male (assigned male at birth, identify as male)
o Gender-fluid, gender non-conforming, or genderqueer
o Transgender female (assigned male at birth, identify as female)
o Transgender male (assigned female at birth, identify as male)
o Other (please specify): ________________________________________________
o Prefer not to answer Page Break
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6a With which sexual orientation do you identify?
o Asexual / ace
o Bi / bisexual / bi-curious
o Gay / lesbian / homosexual
o Pansexual
o Queer / non-binary
o Straight / heterosexual
o Other (please specify): ________________________________________________
o Prefer not to answer Page Break
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7a With which race or ethnic groups do you identify? (Select all that apply)
▢ American Indian / Native Alaskan or Inuit / First Nation
▢ Asian
▢ East Asian (including China, Hong Kong, Taiwan, Japan, Korea)
▢ South Asian (including Indian Subcontinent)
▢ Southeast Asian (Including Hmong, Khmer, Thai, Vietnamese)
▢ Black (including African, African-American, Afro-Caribbean)
▢ Hispanic / Latin American
▢ Middle Eastern (including North Africa and Central Asia)
▢ Pacific Islander / Native Hawaiian
▢ White / Caucasian
▢ Other (please specify): ________________________________________________
▢ Prefer not to answer Page Break
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8a Are you originally from the Buffalo Niagara region? (e.g. Buffalo, Jamestown, Niagara Falls USA)
o Yes
o No Page Break
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9a Which state (or district or territory) would you consider to be your home (i.e. where you were mainly raised)?
o N/A
o Alabama
o Alaska
o Arizona
o Arkansas
o California
o Colorado
o Connecticut
o Delaware
o Florida
o Georgia
o Hawaii
o Idaho
o Illinois
o Indiana
o Iowa
o Kansas
o Kentucky
o Louisiana
o Maine
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o Maryland
o Massachusetts
o Michigan
o Minnesota
o Mississippi
o Missouri
o Montana
o Nebraska
o Nevada
o New Hampshire
o New Jersey
o New Mexico
o New York
o North Carolina
o North Dakota
o Ohio
o Oklahoma
o Oregon
o Pennsylvania
o Rhode Island
o South Carolina
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o South Dakota
o Tennessee
o Texas
o Utah
o Vermont
o Virginia
o Washington
o West Virginia
o Wisconsin
o Wyoming
o District of Columbia
o American Samoa
o Guam
o Northern Mariana Islands
o Puerto Rico
o U.S. Virgin Islands Page Break
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10a Which religious groups are you affiliated with?
▢ Agnostic
▢ Anglican Christian
▢ Atheist
▢ Baha'i
▢ Buddhist
▢ Catholic Christian
▢ Hindu
▢ Jain
▢ Jehovah's Witness
▢ Jewish
▢ Mormon
▢ Muslim
▢ Native American religious tradition
▢ Orthodox Christian
▢ Protestant Christian (e.g. Baptist, Evangelical, Lutheran, Methodist, Pentecostal, Presbyterian)
▢ Shinto
▢ Sikh
▢ Unitarian Universalist
▢ Wiccan / other Pagan
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▢ Other (please specify): ________________________________________________
▢ Prefer not to answer Page Break
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11a What's the highest level of education reached by parent 1?
o None
o Less than high school
o Some high school
o High school graduate or GED
o Some college
o Associate degree
o Bachelor's degree
o Master's degree (e.g. MBA)
o Professional or doctorate degree (e.g. JD, MD, PhD, EdD)
o Prefer not to answer / Not applicable
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12a What's the highest level of education reached by parent 2?
o None
o Less than high school
o Some high school
o High school graduate or GED
o Some college
o Associate degree
o Bachelor's degree
o Master's degree (e.g. MBA)
o Professional or doctorate degree (e.g. JD, MD, PhD, EdD)
o Prefer not to answer / Not applicable 13a Was/is anyone in your immediate family (i.e. parents, siblings, spouse) or were/are any of your grandparents physicians?
o Yes
o No
o Prefer not to answer Page Break
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End of Block: a - Demographics 2 Start of Block: b - Education Structure / USMLE Prep / Faculty Interactions 1b In this section, you will be asked to answer questions about your educational experience at UB JSMBS, based on coursework and, if applicable, clinical clerkships N/A = No opportunity to assess / No opinion / Have not experienced this yet Page Break
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2b Please select ALL of the clerkships you have STARTED or COMPLETED
▢ Internal Medicine
▢ OB-GYN
▢ Psychiatry
▢ General Surgery
▢ Family Medicine
▢ Pediatrics
▢ Neurology
▢ Surgical Subspecialty
▢ Advanced Medicine Page Break
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3b Please select all Surgical Subspecialty clerkships you have STARTED or COMPLETED
▢ Anesthesiology
▢ ENT
▢ Neurosurgery
▢ Ophthalmology
▢ Orthopedic Surgery
▢ Urology
▢ Other (please specify): ________________________________________________ Page Break
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4b For the clerkship(s) you have started or completed, please indicate the corresponding clinical site(s):
Buffalo
General
(New / Oishei) Childre
n's
(Old) Childre
n's
ECMC
Mercy
Millard Fillmor
e Suburb
an
Roswell
Park CI
Sisters of Chari
ty
VA
Other
Internal Medicine ▢ ▢ ▢ ▢ ▢ ▢ ▢ ▢ ▢ ▢ OB-GYN ▢ ▢ ▢ ▢ ▢ ▢ ▢ ▢ ▢ ▢ Psychiatr
y ▢ ▢ ▢ ▢ ▢ ▢ ▢ ▢ ▢ ▢ General Surgery ▢ ▢ ▢ ▢ ▢ ▢ ▢ ▢ ▢ ▢ Family
Medicine ▢ ▢ ▢ ▢ ▢ ▢ ▢ ▢ ▢ ▢ Pediatrics ▢ ▢ ▢ ▢ ▢ ▢ ▢ ▢ ▢ ▢ Neurology ▢ ▢ ▢ ▢ ▢ ▢ ▢ ▢ ▢ ▢ Surgical Subspeci
alty ▢ ▢ ▢ ▢ ▢ ▢ ▢ ▢ ▢ ▢ Advanced Medicine ▢ ▢ ▢ ▢ ▢ ▢ ▢ ▢ ▢ ▢
Page Break
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5b For the surgical subspecialty clerkship(s) you have started or completed, please indicate the corresponding clinical site(s):
Buffalo
General
(New / Oishei) Childre
n's
(Old) Childre
n's
ECMC
Mercy
Millard Fillmor
e Suburb
an
Roswell
Park CI
Sisters of Chari
ty
VA
Other
Anesthesiology ▢ ▢ ▢ ▢ ▢ ▢ ▢ ▢ ▢ ▢ ENT ▢ ▢ ▢ ▢ ▢ ▢ ▢ ▢ ▢ ▢
Neurosurgery ▢ ▢ ▢ ▢ ▢ ▢ ▢ ▢ ▢ ▢
Ophthalmology ▢ ▢ ▢ ▢ ▢ ▢ ▢ ▢ ▢ ▢
Orthopedic Surgery ▢ ▢ ▢ ▢ ▢ ▢ ▢ ▢ ▢ ▢ Urology ▢ ▢ ▢ ▢ ▢ ▢ ▢ ▢ ▢ ▢ Other
(please specify): ▢ ▢ ▢ ▢ ▢ ▢ ▢ ▢ ▢ ▢
Page Break
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6b Please specify the other clinical site(s) you completed clerkship(s) at:
________________________________________________________________
________________________________________________________________
________________________________________________________________
________________________________________________________________
________________________________________________________________ Page Break
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7b Which USMLE Step 2 exams you have taken? (Select all that apply)
▢ Step 2 CK (Clinical Knowledge)
▢ Step 2 CS (Clinical Skills)
▢ None Page Break
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8b Please indicate your level of satisfaction with the following:
Very dissatisfied Dissatisfied Satisfied Very
satisfied
N/A
Utility of the educational program objectives to
support learning o o o o o Quality of the first
year/first academic period o o o o o
Quality of the second year/second academic
period o o o o o Clinical skills instruction
in the first/second years/periods o o o o o
Amount and quality of formative feedback in the first/second years o o o o o Opportunities for self-
directed learning in the first/second years o o o o o
Overall workload in the first/second years o o o o o
Coordination/integration of content in the
first/second years o o o o o Utility of the first and
second years as preparation for clinical
clerkships o o o o o
Page Break
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9b Please indicate your level of satisfaction with the following:
Very dissatisfied Dissatisfied Satisfied Very
satisfied N/A
Clarity of policies for advancement/graduation o o o o o
Access to student academic records o o o o o
Medical school responsiveness to
student feedback on courses / clerkships
o o o o o Page Break
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10b Please indicate your level of satisfaction with the following:
Very dissatisfied Dissatisfied Satisfied Very
satisfied N/A
Adequacy of education to
diagnose disease
o o o o o Adequacy of education to
manage disease o o o o o Adequacy of education in
disease prevention
o o o o o Adequacy of education in
health maintenance
o o o o o Adequacy of education in
caring for patients from
different backgrounds
o o o o o Adequacy of experiences
with electronic health records
o o o o o Adequacy of
interprofessional education
experiences o o o o o
Page Break
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11b Please indicate your level of satisfaction with the following:
Very dissatisfied Dissatisfied Satisfied Very satisfied N/A
Quality of the third-year clerkships o o o o o
Clinical skills assessment
in the third/fourth
years o o o o o
Access to patients
during the third-year clerkships
o o o o o Workload in
the third-year clerkships o o o o o
Supervision in third-year clerkships o o o o o Amount of formative
feedback in the
third/fourth years
o o o o o Quality of formative
feedback in the
third/fourth years
o o o o o Quality of the fourth-year
required clerkships
o o o o o Quality of electives
offered in the fourth-year
o o o o o
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Page Break
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12b You will now be asked a series of questions pertaining to your experience with preclinical courses at UB JSMBS. Page Break
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13b With regards to Medicine and Society, please indicate your level of satisfaction with the following:
Very dissatisfied Dissatisfied Satisfied Very satisfied N/A
Teaching and organization of module o o o o o Prep for
USMLE Step 1 o o o o o
Prep for clinical years o o o o o
Course overall o o o o o
14b Please feel free to comment on strengths and weaknesses of Medicine and Society:
________________________________________________________________
________________________________________________________________
________________________________________________________________
________________________________________________________________
________________________________________________________________ Page Break
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15b With regards to Clinical Practice of Medicine 1 (CPM 1), please indicate your level of satisfaction with the following:
Very dissatisfied Dissatisfied Satisfied Very satisfied N/A
Teaching and organization of module o o o o o Prep for
USMLE Step 1 o o o o o
Prep for clinical years o o o o o
Prep for USMLE Step 2 CK (Clinical Knowledge)
o o o o o Prep for
USMLE Step 2 CS (Clinical
Skills) o o o o o
Course overall o o o o o
16b Please feel free to comment on strengths and weaknesses of Clinical Practice of Medicine 1 (CPM 1):
________________________________________________________________
________________________________________________________________
________________________________________________________________
________________________________________________________________
________________________________________________________________ Page Break
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17b With regards to Human Gross Anatomy, please indicate your level of satisfaction with the following:
Very dissatisfied Dissatisfied Satisfied Very satisfied N/A
Teaching and organization of module o o o o o Prep for
USMLE Step 1 o o o o o
Prep for clinical years o o o o o
Course overall o o o o o
18b Please feel free to comment on strengths and weaknesses of Human Gross Anatomy:
________________________________________________________________
________________________________________________________________
________________________________________________________________
________________________________________________________________
________________________________________________________________ Page Break
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19b With regards to Fundamentals 1: Molecules, Cells and Molecular Genetics, please indicate your level of satisfaction with the following:
Very dissatisfied Dissatisfied Satisfied Very satisfied N/A
Teaching and organization of module o o o o o Prep for
USMLE Step 1 o o o o o
Prep for clinical years o o o o o
Course overall o o o o o
20b Please feel free to comment on strengths and weaknesses of Fundamentals 1: Molecules, Cells and Molecular Genetics:
________________________________________________________________
________________________________________________________________
________________________________________________________________
________________________________________________________________
________________________________________________________________ Page Break
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21b With regards to Fundamentals 2: Metabolism, Human Genetics and Pharmacology, please indicate your level of satisfaction with the following:
Very dissatisfied Dissatisfied Satisfied Very satisfied N/A
Teaching and organization of module o o o o o Prep for
USMLE Step 1 o o o o o
Prep for clinical years o o o o o
Course overall o o o o o
22b Please feel free to comment on strengths and weaknesses of Fundamentals 2: Metabolism, Human Genetics and Pharmacology:
________________________________________________________________
________________________________________________________________
________________________________________________________________
________________________________________________________________
________________________________________________________________ Page Break
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23b With regards to Host Defenses and Hematology (Fundamentals 3), please indicate your level of satisfaction with the following:
Very dissatisfied Dissatisfied Satisfied Very satisfied N/A
Teaching and organization of module o o o o o Prep for
USMLE Step 1 o o o o o
Prep for clinical years o o o o o
Course overall o o o o o
24b Please feel free to comment on strengths and weaknesses of Host Defenses and Hematology (Fundamentals 3):
________________________________________________________________
________________________________________________________________
________________________________________________________________
________________________________________________________________
________________________________________________________________ Page Break
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25b With regards to Gastrointestinal System, please indicate your level of satisfaction with the following:
Very dissatisfied Dissatisfied Satisfied Very satisfied N/A
Teaching and organization of module o o o o o Prep for
USMLE Step 1 o o o o o
Prep for clinical years o o o o o
Course overall o o o o o
26b Please feel free to comment on strengths and weaknesses of Gastrointestinal System:
________________________________________________________________
________________________________________________________________
________________________________________________________________
________________________________________________________________
________________________________________________________________ Page Break
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27b With regards to Urinary Tract and Renal System, please indicate your level of satisfaction with the following:
Very dissatisfied Dissatisfied Satisfied Very satisfied N/A
Teaching and organization of module o o o o o Prep for
USMLE Step 1 o o o o o
Prep for clinical years o o o o o
Course overall o o o o o
28b Please feel free to comment on strengths and weaknesses of Urinary Tract and Renal System:
________________________________________________________________
________________________________________________________________
________________________________________________________________
________________________________________________________________
________________________________________________________________ Page Break
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29b With regards to Musculoskeletal System and Integument, please indicate your level of satisfaction with the following:
Very dissatisfied Dissatisfied Satisfied Very satisfied N/A
Teaching and organization of module o o o o o Prep for
USMLE Step 1 o o o o o
Prep for clinical years o o o o o
Course overall o o o o o
30b Please feel free to comment on strengths and weaknesses of Musculoskeletal System and Integument:
________________________________________________________________
________________________________________________________________
________________________________________________________________
________________________________________________________________
________________________________________________________________ Page Break
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31b With regards to Clinical Practice of Medicine 2 (CPM 2), please indicate your level of satisfaction with the following:
Very dissatisfied Dissatisfied Satisfied Very satisfied N/A
Teaching and organization of module o o o o o Prep for
USMLE Step 1 o o o o o
Prep for clinical years o o o o o
Prep for USMLE Step 2 CK (Clinical Knowledge)
o o o o o Prep for
USMLE Step 2 CS (Clinical
Skills) o o o o o
Course overall o o o o o
32b Please feel free to comment on strengths and weaknesses of Clinical Practice of Medicine 2 (CPM 2):
________________________________________________________________
________________________________________________________________
________________________________________________________________
________________________________________________________________
________________________________________________________________ Page Break
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33b With regards to Human Cardiovascular System, please indicate your level of satisfaction with the following:
Very dissatisfied Dissatisfied Satisfied Very satisfied N/A
Teaching and organization of module o o o o o Prep for
USMLE Step 1 o o o o o
Prep for clinical years o o o o o
Course overall o o o o o
34b Please feel free to comment on strengths and weaknesses of Human Cardiovascular System:
________________________________________________________________
________________________________________________________________
________________________________________________________________
________________________________________________________________
________________________________________________________________ Page Break
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35b With regards to Lung and Respiration, please indicate your level of satisfaction with the following:
Very dissatisfied Dissatisfied Satisfied Very satisfied N/A
Teaching and organization of module o o o o o Prep for
USMLE Step 1 o o o o o
Prep for clinical years o o o o o
Course overall o o o o o
36b Please feel free to comment on strengths and weaknesses of Lung and Respiration:
________________________________________________________________
________________________________________________________________
________________________________________________________________
________________________________________________________________
________________________________________________________________ Page Break
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37b With regards to the NEUROSCIENCE PORTION of Neuroscience and Behavior, please indicate your level of satisfaction with the following:
Very dissatisfied Dissatisfied Satisfied Very satisfied N/A
Teaching and organization of module o o o o o Prep for
USMLE Step 1 o o o o o
Prep for clinical years o o o o o
Course overall o o o o o
38b Please feel free to comment on strengths and weaknesses of the NEUROSCIENCE PORTION of Neuroscience and Behavior:
________________________________________________________________
________________________________________________________________
________________________________________________________________
________________________________________________________________
________________________________________________________________ Page Break
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39b With regards to the PSYCH PORTION of Neuroscience and Behavior, please indicate your level of satisfaction with the following:
Very dissatisfied Dissatisfied Satisfied Very satisfied N/A
Teaching and organization of module o o o o o Prep for
USMLE Step 1 o o o o o
Prep for clinical years o o o o o
Course overall o o o o o
40b Please feel free to comment on strengths and weaknesses of the PSYCH PORTION of Neuroscience and Behavior:
________________________________________________________________
________________________________________________________________
________________________________________________________________
________________________________________________________________
________________________________________________________________ Page Break
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41b With regards to the ENDOCRINE PORTION of Endocrine and Reproductive Systems, please indicate your level of satisfaction with the following:
Very dissatisfied Dissatisfied Satisfied Very satisfied N/A
Teaching and organization of module o o o o o Prep for
USMLE Step 1 o o o o o
Prep for clinical years o o o o o
Course overall o o o o o
42b Please feel free to comment on strengths and weaknesses of the ENDOCRINE PORTION of Endocrine and Reproductive Systems:
________________________________________________________________
________________________________________________________________
________________________________________________________________
________________________________________________________________
________________________________________________________________ Page Break
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43b With regards to the REPRODUCTIVE SYSTEMS PORTION of Endocrine and Reproductive Systems, please indicate your level of satisfaction with the following:
Very dissatisfied Dissatisfied Satisfied Very satisfied N/A
Teaching and organization of module o o o o o Prep for
USMLE Step 1 o o o o o
Prep for clinical years o o o o o
Course overall o o o o o
44b Please feel free to comment on strengths and weaknesses of the REPRODUCTIVE SYSTEMS PORTION of Endocrine and Reproductive Systems:
________________________________________________________________
________________________________________________________________
________________________________________________________________
________________________________________________________________
________________________________________________________________ Page Break
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45b With regards to the UB JSMBS curriculum during pre-clinical years (MS1 / MS2), please indicate your level of satisfaction with the following:
Page 48 of 344
Very dissatisfied Dissatisfied Satisfied Very
satisfied N/A
Consistency of your
experiences when
compared to experiences of your peers
(e.g. preceptorship,
Problem-Based
Learning or PBL)
o o o o o
Adequate use of modern
educational tools and
technology (e.g.
presentation slide
accessibility, recorded lectures,
Blackboard Learn)
o o o o o
Quality of small group
learning sessions (e.g.
Problem-Based
Learning or PBL)
o o o o o
Opportunities for Team-
Based Learning
o o o o o Adequacy of coursework on ethical decision-making
o o o o o
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Incorporation of USMLE
Step 1 prep materials into the classroom
o o o o o Overall
preparation for USMLE
Step 1 o o o o o
Overall preparation for clinical
experiences during M3 and M4
o o o o o 46b Please feel free to comment on your answers above:
________________________________________________________________
________________________________________________________________
________________________________________________________________
________________________________________________________________
________________________________________________________________ Page Break
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47b Please indicate your level of satisfaction with how the UB JSMBS curriculum prepared you for the following USMLE Step 1 subject areas:
Very dissatisfied Dissatisfied Satisfied Very
satisfied N/A
Behavioral Sciences o o o o o
Biochemistry & Nutrition o o o o o Genetics o o o o o
Gross Anatomy & Embryology o o o o o Histology & Cell Biology o o o o o Microbiology
& Immunology o o o o o Pathology o o o o o
Pharmacology o o o o o Physiology o o o o o
Page Break
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48b With regards to Internal Medicine clerkship, please indicate your level of satisfaction with the following:
Very dissatisfied Dissatisfied Satisfied Very
satisfied N/A
Clarity and appropriate
use of objectives /
expectations o o o o o
General clerkship
organization o o o o o Timeliness of
communication about
schedules o o o o o
Quality of communication
about schedules
o o o o o 27 o o o o o
Adequacy of academic and
clinical workload / time
to study o o o o o
Adequacy of time devoted
to lectures o o o o o Quality of
call/overnight experience o o o o o
Page Break
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49b With regards to Internal Medicine clerkship, please indicate your level of satisfaction with the following:
Very dissatisfied Dissatisfied Satisfied Very satisfied N/A
Diversity of clinical cases o o o o o
Level of involvement
in patient care
o o o o o Faculty and resident /
fellow supervision of your patient
care activities
o o o o o Quality of
faculty teaching o o o o o Quality of resident /
fellow teaching
o o o o o Amount of
feedback on clinical skills o o o o o
Quality of feedback on clinical skills o o o o o
Quality of career
mentoring from
residents / fellows and
faculty
o o o o o
Opportunities for students to provide feedback regarding clerkship
experience
o o o o o
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Page Break
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50b With regards to Internal Medicine clerkship, please indicate your level of satisfaction with the following:
Very dissatisfied Dissatisfied Satisfied Very satisfied N/A
Fairness of grading
evaluations o o o o o Experience with OSCE o o o o o Helpfulness in preparing for NBME
Shelf exams o o o o o
Helpfulness in preparing for USMLE Step 2 CK (Clinical
Knowledge)
o o o o o Helpfulness in preparing for USMLE Step 2 CS (Clinical Skills)
o o o o o Consistency
of your experiences
when compared to your peers' experiences (e.g. different clinical sites)
o o o o o
51b Please feel free to comment on strengths and weaknesses of Internal Medicine clerkship:
________________________________________________________________
________________________________________________________________
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________________________________________________________________
________________________________________________________________
________________________________________________________________ Page Break
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52b With regards to OB-GYN clerkship, please indicate your level of satisfaction with the following:
Very dissatisfied Dissatisfied Satisfied Very
satisfied N/A
Clarity and appropriate
use of objectives /
expectations o o o o o
General clerkship
organization o o o o o Timeliness of
communication about
schedules o o o o o
Quality of communication
about schedules
o o o o o Adequacy of
academic and clinical
workload / time to study
o o o o o Adequacy of time devoted
to lectures o o o o o Quality of
call/overnight experience o o o o o
Page Break
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53b With regards to OB-GYN clerkship, please indicate your level of satisfaction with the following:
Very dissatisfied Dissatisfied Satisfied Very satisfied N/A
Diversity of clinical cases o o o o o
Level of involvement
in patient care
o o o o o Faculty and resident /
fellow supervision of your patient
care activities
o o o o o Quality of
faculty teaching o o o o o Quality of resident /
fellow teaching
o o o o o Amount of
feedback on clinical skills o o o o o
Quality of feedback on clinical skills o o o o o
Quality of career
mentoring from
residents / fellows and
faculty
o o o o o
Opportunities for students to provide feedback regarding clerkship
experience
o o o o o
Page 60 of 344
Page Break
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54b With regards to OB-GYN clerkship, please indicate your level of satisfaction with the following:
Very dissatisfied Dissatisfied Satisfied Very satisfied N/A
Fairness of grading
evaluations o o o o o Helpfulness in preparing for NBME
Shelf exams o o o o o
Helpfulness in preparing for USMLE Step 2 CK (Clinical
Knowledge)
o o o o o Helpfulness in preparing for USMLE Step 2 CS (Clinical Skills)
o o o o o Consistency
of your experiences
when compared to your peers' experiences (e.g. different clinical sites)
o o o o o
55b Please feel free to comment on strengths and weaknesses of OB-GYN clerkship:
________________________________________________________________
________________________________________________________________
________________________________________________________________
________________________________________________________________
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________________________________________________________________ Page Break
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56b With regards to Psychiatry clerkship, please indicate your level of satisfaction with the following:
Very dissatisfied Dissatisfied Satisfied Very
satisfied N/A
Clarity and appropriate
use of objectives /
expectations o o o o o
General clerkship
organization o o o o o Timeliness of
communication about
schedules o o o o o
Quality of communication
about schedules
o o o o o Adequacy of
academic and clinical
workload / time to study
o o o o o Adequacy of time devoted
to lectures o o o o o Quality of
call/overnight (e.g. CPEP) experience
o o o o o Page Break
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57b With regards to Psychiatry clerkship, please indicate your level of satisfaction with the following:
Very dissatisfied Dissatisfied Satisfied Very satisfied N/A
Diversity of clinical cases o o o o o
Level of involvement
in patient care
o o o o o Faculty and resident /
fellow supervision of your patient
care activities
o o o o o Quality of
faculty teaching o o o o o Quality of resident /
fellow teaching
o o o o o Amount of
feedback on clinical skills o o o o o
Quality of feedback on clinical skills o o o o o
Quality of career
mentoring from
residents / fellows and
faculty
o o o o o
Opportunities for students to provide feedback regarding clerkship
experience
o o o o o
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Page Break
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58b With regards to Psychiatry clerkship, please indicate your level of satisfaction with the following:
Very dissatisfied Dissatisfied Satisfied Very satisfied N/A
Fairness of grading
evaluations o o o o o Helpfulness in preparing for NBME
Shelf exams o o o o o
Helpfulness in preparing for USMLE Step 2 CK (Clinical
Knowledge)
o o o o o Helpfulness in preparing for USMLE Step 2 CS (Clinical Skills)
o o o o o Consistency
of your experiences
when compared to your peers' experiences (e.g. different clinical sites)
o o o o o
59b Please feel free to comment on strengths and weaknesses of Psychiatry clerkship:
________________________________________________________________
________________________________________________________________
________________________________________________________________
________________________________________________________________
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________________________________________________________________ Page Break
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60b With regards to General Surgery clerkship, please indicate your level of satisfaction with the following:
Very dissatisfied Dissatisfied Satisfied Very
satisfied N/A
Clarity and appropriate
use of objectives /
expectations o o o o o
General clerkship
organization o o o o o Timeliness of
communication about
schedules o o o o o
Quality of communication
about schedules
o o o o o Adequacy of
academic and clinical
workload / time to study
o o o o o Adequacy of time devoted
to lectures o o o o o Quality of
call/overnight experience o o o o o
Page Break
Page 70 of 344
Page 71 of 344
61b With regards to General Surgery clerkship, please indicate your level of satisfaction with the following:
Very dissatisfied Dissatisfied Satisfied Very satisfied N/A
Diversity of clinical cases o o o o o
Level of involvement
in patient care
o o o o o Faculty and resident /
fellow supervision of your patient
care activities
o o o o o Quality of
faculty teaching o o o o o Quality of resident /
fellow teaching
o o o o o Amount of
feedback on clinical skills o o o o o
Quality of feedback on clinical skills o o o o o
Quality of career
mentoring from
residents / fellows and
faculty
o o o o o
Opportunities for students to provide feedback regarding clerkship
experience
o o o o o
Page 72 of 344
Page Break
Page 73 of 344
62b With regards to General Surgery clerkship, please indicate your level of satisfaction with the following:
Very dissatisfied Dissatisfied Satisfied Very satisfied N/A
Fairness of grading
evaluations o o o o o Experience
with the OSCE o o o o o
Helpfulness in preparing for NBME
Shelf exams o o o o o
Helpfulness in preparing for USMLE Step 2 CK (Clinical
Knowledge)
o o o o o Helpfulness in preparing for USMLE Step 2 CS (Clinical Skills)
o o o o o Consistency
of your experiences
when compared to your peers' experiences (e.g. different clinical sites)
o o o o o
63b Please feel free to comment on strengths and weaknesses of General Surgery clerkship:
________________________________________________________________
________________________________________________________________
Page 74 of 344
________________________________________________________________
________________________________________________________________
________________________________________________________________ Page Break
Page 75 of 344
64b With regards to Family Medicine clerkship, please indicate your level of satisfaction with the following:
Very dissatisfied Dissatisfied Satisfied Very
satisfied N/A
Clarity and appropriate
use of objectives /
expectations o o o o o
General clerkship
organization o o o o o Timeliness of
communication about
schedules o o o o o
Quality of communication
about schedules
o o o o o Adequacy of
academic and clinical
workload / time to study
o o o o o Adequacy of time devoted
to lectures o o o o o Quality of
call/overnight experience o o o o o
Page Break
Page 76 of 344
Page 77 of 344
65b With regards to Family Medicine clerkship, please indicate your level of satisfaction with the following:
Very dissatisfied Dissatisfied Satisfied Very satisfied N/A
Diversity of clinical cases o o o o o
Level of involvement
in patient care
o o o o o Faculty and resident /
fellow supervision of your patient
care activities
o o o o o Quality of
faculty teaching o o o o o Quality of resident /
fellow teaching
o o o o o Amount of
feedback on clinical skills o o o o o
Quality of feedback on clinical skills o o o o o
Quality of career
mentoring from
residents / fellows and
faculty
o o o o o
Opportunities for students to provide feedback regarding clerkship
experience
o o o o o
Page 78 of 344
Page Break
Page 79 of 344
66b With regards to Family Medicine clerkship, please indicate your level of satisfaction with the following:
Very dissatisfied Dissatisfied Satisfied Very satisfied N/A
Fairness of grading
evaluations o o o o o Experience
with L-OSCE o o o o o Helpfulness in preparing for NBME
Shelf exams o o o o o
Helpfulness in preparing for USMLE Step 2 CK (Clinical
Knowledge)
o o o o o Helpfulness in preparing for USMLE Step 2 CS (Clinical Skills)
o o o o o Consistency
of your experiences
when compared to your peers' experiences
(e.g., different
clinical sites)
o o o o o
67b Please feel free to comment on strengths and weaknesses of Family Medicine clerkship:
________________________________________________________________
________________________________________________________________
Page 80 of 344
________________________________________________________________
________________________________________________________________
________________________________________________________________ Page Break
Page 81 of 344
68b With regards to Pediatrics clerkship, please indicate your level of satisfaction with the following:
Very dissatisfied Dissatisfied Satisfied Very
satisfied N/A
Clarity and appropriate
use of objectives /
expectations o o o o o
General clerkship
organization o o o o o Timeliness of
communication about
schedules o o o o o
Quality of communication
about schedules
o o o o o Adequacy of
academic and clinical
workload / time to study
o o o o o Adequacy of time devoted
to lectures o o o o o Quality of
call/overnight experience o o o o o
Page Break
Page 82 of 344
Page 83 of 344
69b With regards to Pediatrics clerkship, please indicate your level of satisfaction with the following:
Very dissatisfied Dissatisfied Satisfied Very satisfied N/A
Diversity of clinical cases o o o o o
Level of involvement
in patient care
o o o o o Faculty and resident /
fellow supervision of your patient
care activities
o o o o o Quality of
faculty teaching o o o o o Quality of resident /
fellow teaching
o o o o o Amount of
feedback on clinical skills o o o o o
Quality of feedback on clinical skills o o o o o
Quality of career
mentoring from
residents / fellows and
faculty
o o o o o
Opportunities for students to provide feedback regarding clerkship
experience
o o o o o
Page 84 of 344
Page Break
Page 85 of 344
70b With regards to Pediatrics clerkship, please indicate your level of satisfaction with the following:
Very dissatisfied Dissatisfied Satisfied Very satisfied N/A
Fairness of grading
evaluations o o o o o Helpfulness in preparing for NBME
Shelf exams o o o o o
Helpfulness in preparing for USMLE Step 2 CK (Clinical
Knowledge)
o o o o o Helpfulness in preparing for USMLE Step 2 CS (Clinical Skills)
o o o o o Consistency
of your experiences
when compared to your peers' experiences (e.g. different clinical sites)
o o o o o
71b Please feel free to comment on strengths and weaknesses of Pediatrics clerkship:
________________________________________________________________
________________________________________________________________
________________________________________________________________
________________________________________________________________
Page 86 of 344
________________________________________________________________ Page Break
Page 87 of 344
72b With regards to Neurology clerkship, please indicate your level of satisfaction with the following:
Very dissatisfied Dissatisfied Satisfied Very
satisfied N/A
Clarity and appropriate
use of objectives /
expectations o o o o o
General clerkship
organization o o o o o Timeliness of
communication about
schedules o o o o o
Quality of communication
about schedules
o o o o o Adequacy of
academic and clinical
workload / time to study
o o o o o Adequacy of time devoted
to lectures o o o o o Quality of
call/overnight experience o o o o o
Page Break
Page 88 of 344
Page 89 of 344
73b With regards to Neurology clerkship, please indicate your level of satisfaction with the following:
Very dissatisfied Dissatisfied Satisfied Very satisfied N/A
Diversity of clinical cases o o o o o
Level of involvement
in patient care
o o o o o Faculty and resident /
fellow supervision of your patient
care activities
o o o o o Quality of
faculty teaching o o o o o Quality of resident /
fellow teaching
o o o o o Amount of
feedback on clinical skills o o o o o
Quality of feedback on clinical skills o o o o o
Quality of career
mentoring from
residents / fellows and
faculty
o o o o o
Opportunities for students to provide feedback regarding clerkship
experience
o o o o o
Page 90 of 344
Page Break
Page 91 of 344
74b With regards to Neurology clerkship, please indicate your level of satisfaction with the following:
Very dissatisfied Dissatisfied Satisfied Very satisfied N/A
Fairness of grading
evaluations o o o o o Helpfulness in preparing for NBME
Shelf exams o o o o o
Helpfulness in preparing for USMLE Step 2 CK (Clinical
Knowledge)
o o o o o Helpfulness in preparing for USMLE Step 2 CS (Clinical Skills)
o o o o o Consistency
of your experiences
when compared to your peers' experiences (e.g. different clinical sites)
o o o o o
75b Please feel free to comment on strengths and weaknesses of Neurology clerkship:
________________________________________________________________
________________________________________________________________
________________________________________________________________
________________________________________________________________
Page 92 of 344
________________________________________________________________ Page Break
Page 93 of 344
76b With regards to Surgical Subspecialty clerkship, please indicate your level of satisfaction with the following:
Very dissatisfied Dissatisfied Satisfied Very
satisfied N/A
Clarity and appropriate
use of objectives /
expectations o o o o o
General clerkship
organization o o o o o Timeliness of
communication about
schedules o o o o o
Quality of communication
about schedules
o o o o o Adequacy of
academic and clinical
workload / time to study
o o o o o Adequacy of time devoted
to lectures o o o o o Quality of
call/overnight experience o o o o o
Page Break
Page 94 of 344
Page 95 of 344
77b With regards to Surgical Subspecialty clerkship, please indicate your level of satisfaction with the following:
Very dissatisfied Dissatisfied Satisfied Very satisfied N/A
Diversity of clinical cases o o o o o
Level of involvement
in patient care
o o o o o Faculty and resident /
fellow supervision of your patient
care activities
o o o o o Quality of
faculty teaching o o o o o Quality of resident /
fellow teaching
o o o o o Amount of
feedback on clinical skills o o o o o
Quality of feedback on clinical skills o o o o o
Quality of career
mentoring from
residents / fellows and
faculty
o o o o o
Opportunities for students to provide feedback regarding clerkship
experience
o o o o o
Page 96 of 344
Page Break
Page 97 of 344
78b With regards to Surgical Subspecialty clerkships, please indicate your level of satisfaction with the following:
Very dissatisfied Dissatisfied Satisfied Very satisfied N/A
Fairness of grading
evaluations o o o o o Helpfulness in preparing for NBME
Shelf exams o o o o o
Helpfulness in preparing for USMLE Step 2 CK (Clinical
Knowledge)
o o o o o Helpfulness in preparing for USMLE Step 2 CS (Clinical Skills)
o o o o o Consistency
of your experiences
when compared to your peers' experiences (e.g. different clinical sites)
o o o o o
79b Please feel free to comment on strengths and weaknesses of Surgical Subspecialty clerkship:
________________________________________________________________
________________________________________________________________
________________________________________________________________
Page 98 of 344
________________________________________________________________
________________________________________________________________ Page Break
Page 99 of 344
80b With regards to Advanced Medicine clerkship, please indicate your level of satisfaction with the following:
Very dissatisfied Dissatisfied Satisfied Very
satisfied N/A
Clarity and appropriate
use of objectives /
expectations o o o o o
General clerkship
organization o o o o o Timeliness of
communication about
schedules o o o o o
Quality of communication
about schedules
o o o o o Adequacy of
academic and clinical
workload / time to study
o o o o o Adequacy of time devoted
to lectures o o o o o Quality of
call/overnight experience o o o o o
Page Break
Page 100 of 344
Page 101 of 344
81b With regards to Advanced Medicine clerkship, please indicate your level of satisfaction with the following:
Very dissatisfied Dissatisfied Satisfied Very satisfied N/A
Diversity of clinical cases o o o o o
Level of involvement
in patient care
o o o o o Faculty and resident /
fellow supervision of your patient
care activities
o o o o o Quality of
faculty teaching o o o o o Quality of resident /
fellow teaching
o o o o o Amount of
feedback on clinical skills o o o o o
Quality of feedback on clinical skills o o o o o
Quality of career
mentoring from
residents / fellows and
faculty
o o o o o
Opportunities for students to provide feedback regarding clerkship
experience
o o o o o
Page 102 of 344
Page Break
Page 103 of 344
82b With regards to Advanced Medicine clerkship, please indicate your level of satisfaction with the following:
Very dissatisfied Dissatisfied Satisfied Very satisfied N/A
Fairness of grading
evaluations o o o o o Helpfulness in preparing for NBME
Shelf exams o o o o o
Helpfulness in preparing for USMLE Step 2 CK (Clinical
Knowledge)
o o o o o Helpfulness in preparing for USMLE Step 2 CS (Clinical Skills)
o o o o o Consistency
of your experiences
when compared to your peers' experiences (e.g. different clinical sites)
o o o o o
83b Please feel free to comment on strengths and weaknesses of Advanced Medicine clerkship:
________________________________________________________________
________________________________________________________________
________________________________________________________________
Page 104 of 344
________________________________________________________________
________________________________________________________________ Page Break
Page 105 of 344
84b With regards to your experience as a medical student at UB JSMBS, please indicate your level of satisfaction with the following:
Very dissatisfied Dissatisfied Satisfied Very
satisfied N/A
Organization of the
administration's communication
with medical students
o o o o o Quality of
administration's communication
with medical students
o o o o o Satisfaction
with pre-clinical grading system
(H/HS/S/F) o o o o o
Satisfaction with clinical
grading system (H/HS/S/F)
o o o o o 85b Please feel free to comment on your answers above:
________________________________________________________________
________________________________________________________________
________________________________________________________________
________________________________________________________________
________________________________________________________________ Page Break
Page 106 of 344
86b Please indicate your level of agreement with the following statement:
Strongly disagree Disagree Agree Strongly
agree N/A
I think UB JSMBS
should move to a pass/fail
grading system
during pre-clinical years
o o o o o
Page Break
Page 107 of 344
Page 108 of 344
87b With regards to your experience as a medical student at UB JSMBS, please indicate your level of satisfaction with the following:
Page 109 of 344
Very dissatisfied Dissatisfied Satisfied Very
satisfied N/A
Development of ability to
work in a team o o o o o Development of teaching
ability o o o o o Development
of overall communication
skills o o o o o
Development of ability to
utilize various resources to
collect data for problem-solving
o o o o o
Development of ability to
make decisions with
incomplete information about the problem
o o o o o
Development of ability to
make ethical decisions in
medicine o o o o o
Development of ability to
empathize with patients
o o o o o Development
of ability to express
compassion o o o o o
Page 110 of 344
Development of ability to introspect, learn from
mistakes, and improve oneself
o o o o o
Enhancement of
understanding of healthcare
structure in the United States
o o o o o Enhancement
of understanding of how health
insurance works in the
United States
o o o o o
88b Please feel free to comment on your answers above:
________________________________________________________________
________________________________________________________________
________________________________________________________________
________________________________________________________________
________________________________________________________________ Page Break
Page 111 of 344
89b Please feel free to comment on your overall educational experience at UB JSMBS:
________________________________________________________________
________________________________________________________________
________________________________________________________________
________________________________________________________________
________________________________________________________________ Page Break
Page 112 of 344
End of Block: b - Education Structure / USMLE Prep / Faculty Interactions Start of Block: c - Evidence-Based Medicine / Research 1c In this section, you will be asked to answer questions about preparation for evidence-based practice and research opportunities N/A = No opportunity to assess / No opinion / Have not experienced this yet Page Break
Page 113 of 344
Page 114 of 344
2c With regards to your experience as a medical student at UB JSMBS, please indicate your level of agreement with the following:
Strongly disagree Disagree Agree Strongly
agree N/A
The pre-clinical curriculum
includes the most current
medical guidelines and pharmaceutical
practices
o o o o o
I feel confident in my ability to
evaluate whether a
primary clinical study
demonstrates that a
treatment is effective and
appropriate for use in my patients
o o o o o
I feel confident in my ability to research and employ the
most current medical and
scientific knowledge in understanding
a novel problem and treating my
patients
o o o o o
I understand the clinical trial
process needed to
bring drugs, therapeutics, and devices into clinical
practice
o o o o o
Page 115 of 344
3c Please feel free to comment on your answers above:
________________________________________________________________
________________________________________________________________
________________________________________________________________
________________________________________________________________
________________________________________________________________ Page Break
Page 116 of 344
4c Please indicate your level of satisfaction with the following:
Very dissatisfied Dissatisfied Satisfied Very satisfied N/A
Access to opportunities to participate in research
o o o o o Page Break
Page 117 of 344
5c Please indicate your level of satisfaction with the opportunities, as a medical student at UB JSMBS, to perform research in the following fields:
Very dissatisfied Dissatisfied Satisfied Very satisfied N/A
Basic science o o o o o Translational
science o o o o o Clinical
research o o o o o 6c As a medical student at UB JSMBS, have you participated in or are you currently participating in any of the following research opportunities? (Select all that apply)
▢ Basic science research
▢ Translational science research
▢ Clinical research
▢ Public health research
▢ Clinical trial
▢ Other (please specify): ________________________________________________
▢ None Page Break
Page 118 of 344
End of Block: c - Evidence-Based Medicine / Research Start of Block: d - Community Outreach / Humanism 1d In this section you will be asked to answer questions about service, community outreach, and humanism N/A = No opportunity to assess / No opinion / Have not experienced this yet Page Break
Page 119 of 344
2d Please indicate your level of satisfaction with the following:
Very dissatisfied Dissatisfied Satisfied Very
satisfied N/A
Access to service learning/community
service opportunities
o o o o o Page Break
Page 120 of 344
3d With regards to your experience as a medical student at UB JSMBS, please indicate your level of satisfaction with the following:
Very dissatisfied Dissatisfied Satisfied Very satisfied N/A
Access to clinical
volunteer opportunities
o o o o o Access to
non-clinical volunteer
opportunities o o o o o
Opportunities for leadership
within volunteer
organizations o o o o o
Support for beginning
new outreach initiatives
o o o o o Support for
finding outreach
opportunities unrelated to
the university
o o o o o Service learning
requirement in pre-clinical
years o o o o o
Service learning reflection
sessions in pre-clinical
years
o o o o o Page Break
Page 121 of 344
4d Please feel free to comment on your service and/or community outreach experience at UB JSMBS:
________________________________________________________________
________________________________________________________________
________________________________________________________________
________________________________________________________________
________________________________________________________________ Page Break
Page 122 of 344
5d With regards to your experience as a medical student at UB JSMBS, please indicate your level of satisfaction with the following:
Very dissatisfied Dissatisfied Satisfied Very
satisfied N/A
Availability of humanism
discussions, projects, and excursions
o o o o o Availability of service and humanities
oriented electives (e.g. Health in the
Neighborhood; Faith,
Medicine, and Dying)
o o o o o
Quality of service or humanities
oriented electives
o o o o o Opportunities to participate
in a global health
experience o o o o o
Opportunities to provide
health education in
the community (e.g.
HeartSmart, Tar Wars)
o o o o o
Page 123 of 344
6d Have you ever gone to a discussion, service project, or presentation organized by the Center for Medical Humanities (e.g. The Conversation Project, Life Drawing Session)
o Yes
o No Page Break
Page 124 of 344
7d Please feel free to comment on your humanities experience at UB JSMBS:
________________________________________________________________
________________________________________________________________
________________________________________________________________
________________________________________________________________
________________________________________________________________ Page Break
Page 125 of 344
8d With regards to your experience as a medical student at UB JSMBS, please indicate your level of satisfaction with the following:
Very dissatisfied Dissatisfied Satisfied Very
satisfied N/A
Adequacy of classroom
instruction in interpersonal
skills o o o o o
Adequacy of training in utilizing
interpreter services when
necessary
o o o o o Opportunities
to learn another
language in order to improve
communication with patients
o o o o o
Page Break
Page 126 of 344
9d With regards to your experience as a medical student at UB JSMBS, please indicate your level of satisfaction with the following:
Very dissatisfied Dissatisfied Satisfied Very satisfied N/A
Adequacy of exposure to
patients from different
backgrounds o o o o o
Faculty's modeling of
empathy and compassion
o o o o o Medical school's
fostering of my
development as a person
o o o o o Page Break
Page 127 of 344
10d With regards to your experience as a medical student at UB JSMBS, please indicate your level of satisfaction with the following:
Very dissatisfied Dissatisfied Satisfied Very
satisfied N/A
Education about Buffalo's
population demographics
o o o o o Education
about socioeconomic
issues in Buffalo
o o o o o Education
about major health issues
in Buffalo o o o o o
Page Break
Page 128 of 344
11d Do you plan to practice in Upstate New York (e.g. Buffalo, Jamestown, Niagara Falls USA, Rochester, Syracuse, Albany, Watertown, Binghamton) after your medical training?
o Yes
o No
o Not sure yet 12d Do you plan to practice in Western New York (e.g. Buffalo, Jamestown, Niagara Falls USA, Rochester) after your medical training?
o Yes
o No
o Not sure yet 13d Do you plan to practice in the Buffalo Niagara Region (e.g. Buffalo, Jamestown, Niagara Falls USA) after your medical training?
o Yes
o No
o Not sure yet Page Break
Page 129 of 344
End of Block: d - Community Outreach / Humanism Start of Block: e - Advising / Mentorship / Mental Health 1e In this section you will be asked to answer questions about advising / mentorship, student services, and student health at UB JSMBS. N/A = No opportunity to assess / No opinion / Have not experienced this yet Page Break
Page 130 of 344
2e *At UB JSMBS, the Office of the Associate Dean of Students is Dr. Milling's office. Please indicate your level of satisfaction with the following:
Very dissatisfied Dissatisfied Satisfied Very
satisfied N/A
Office of the Associate Dean of Students -- Accessibility
o o o o o Office of the
Associate Dean of Students -- Awareness of
student concerns
o o o o o Office of the
Associate Dean of Students --
Responsiveness to student problems
o o o o o Page Break
Page 131 of 344
3e *At UB JSMBS, the Office of the Associate Dean of Medical Education is Dr. Lesse's office Please indicate your level of satisfaction with the following:
Very dissatisfied Dissatisfied Satisfied Very
satisfied N/A
Office of the Associate Dean
of Medical Education -- Accessibility
o o o o o Office of the
Associate Dean of Medical
Education -- Awareness of
student concerns
o o o o o
Office of the Associate Dean
of Medical Education --
Responsiveness to student problems
o o o o o
Page Break
Page 132 of 344
Page 133 of 344
4e Please indicate your level of satisfaction with the following:
Page 134 of 344
Very dissatisfied Dissatisfied Satisfied Very
satisfied N/A
Accessibility of medical
school faculty o o o o o Accessibility of personal counseling o o o o o
Confidentiality of personal counseling o o o o o
Availability of mental health
services o o o o o Availability of programs to
support student well-
being o o o o o
Adequacy of career
counseling o o o o o Adequacy of counseling
about elective choices
o o o o o Quality of
financial aid administrative
services o o o o o
Adequacy of debt
management counseling
o o o o o Availability of
academic counseling o o o o o
Availability of tutorial help o o o o o
Availability of student health
insurance o o o o o
Page 135 of 344
Availability of disability insurance o o o o o
Adequacy of education
about prevention
and exposure to infectious
and environmental
hazards
o o o o o
Page Break
Page 136 of 344
5e Regarding your experience as a medical student at UB JSMBS, please indicate your level of satisfaction with the following:
Very dissatisfied Dissatisfied Satisfied Very
satisfied N/A
Exposure to / education on
different specialties and career options in
clinical medicine
o o o o o
Exposure to / education on
alternative career options
(e.g. consulting,
health policy, healthcare
administration, industry)
o o o o o
Preparation to navigate the traditional pathway through medical school to residency
o o o o o
Availability of personal,
career-driven advising from
faculty / administration
o o o o o Quality of residency advising o o o o o
Page Break
Page 137 of 344
6e As a medical student at UB JSMBS, have you developed a personal relationship with a career mentor?
o Yes
o No 7e As a medical student at UB JSMBS, have you developed a personal relationship with a mentor for personal pursuits outside of your career?
o Yes
o No 8e Please indicate your level of satisfaction with the following:
Very dissatisfied Dissatisfied Satisfied Very satisfied N/A
Your personal
relationship with a career
mentor o o o o o
Page 138 of 344
9e Please indicate your level of satisfaction with the following:
Very dissatisfied Dissatisfied Satisfied Very satisfied N/A
Your personal
relationship with a mentor for personal
pursuits and/or
general life questions outside of
your career
o o o o o
Page Break
Page 139 of 344
10e With regards to specific aspects of your residency advising at UB JSMBS, please indicate your level of satisfaction with the following:
Very dissatisfied Dissatisfied Satisfied Very
satisfied N/A
Timeline o o o o o Application
process o o o o o Personal statement o o o o o Interview
preparation o o o o o Individualized feedback for
program selection
o o o o o Ranking process o o o o o
11e Who were your primary sources of advising through UB JSMBS in the residency application process? (Select all that apply)
▢ Current or former student(s)
▢ Pre-clinical faculty member(s)
▢ Clinical faculty member(s)
▢ Resident(s) / fellow(s)
▢ Dean(s)
▢ Other(s) (please specify): ________________________________________________
Page 140 of 344
Page Break
Page 141 of 344
12e With regards to your experience as a medical student at UB JSMBS, please indicate your level of satisfaction with the following:
Very dissatisfied Dissatisfied Satisfied Very
satisfied N/A
Amount of information provided regarding
away rotations
o o o o o Support from
faculty / administration
to pursue away
rotations
o o o o o Page Break
Page 142 of 344
13e Please feel free to comment on your advising / mentoring experience at UB JSMBS:
________________________________________________________________
________________________________________________________________
________________________________________________________________
________________________________________________________________
________________________________________________________________ Page Break
Page 143 of 344
14e With regards to your experience as a medical student at UB JSMBS, please indicate your level of satisfaction with the following:
Very dissatisfied Dissatisfied Satisfied Very satisfied N/A
Quality of life during
medical school
o o o o o Work-life balance during
medical school
o o o o o Maintenance of passion for
the field of medicine
o o o o o Page Break
Page 144 of 344
15e During your experience as a medical student at UB JSMBS, have you experienced burnout?
o Yes
o No
o Prefer not to answer 16e Are you currently experiencing burnout?
o Yes
o No
o Prefer not to answer 17e Please indicate your level of satisfaction with the following:
Very dissatisfied Dissatisfied Satisfied Very satisfied N/A
Support you have
received or are currently
receiving through UB
JSMBS during your
episode(s) of burnout
o o o o o
Page Break
Page 145 of 344
18e Please indicate your level of satisfaction with the following:
Very dissatisfied Dissatisfied Satisfied Very satisfied N/A
Quality of student health
services at UB JSMBS
o o o o o Quality of
mental health services at UB JSMBS
o o o o o Availability of
resources through UB JSMBS for confidential
mental health services
appropriate for medical
students (e.g. resources not
potentially associated with clinical rotations)
o o o o o
Page Break
Page 146 of 344
19e Have you ever needed to utilize student health services for an accident or exposure (e.g. eye splash, needlestick) while performing duties in medical school at UB JSMBS?
o Yes
o No Page Break
Page 147 of 344
20e Regarding the time(s) you utilized student health services for an accident or exposure (e.g. eye splash, needlestick) while performing duties in medical school at UB JSMBS, please indicate your level of satisfaction with the following:
Very dissatisfied Dissatisfied Satisfied Very
satisfied N/A
Responsiveness of your
supervisors (e.g. anatomy
instructors, attending physician, resident)
o o o o o
Responsiveness of the facility
where the accident or exposure occurred
o o o o o Coverage by
medical student insurance o o o o o Quality of
experience with student health
services o o o o o
21e Please feel free to comment on your incident experience:
________________________________________________________________
________________________________________________________________
________________________________________________________________
________________________________________________________________
________________________________________________________________ Page Break
Page 148 of 344
Page 149 of 344
22e Have you ever communicated with a faculty member / administrator at UB JSMBS to discuss a personal or class-wide issue?
o Yes
o No 23e Have you ever communicated with a course coordinator at UB JSMBS to discuss a problem in a pre-clinical course?
o Yes
o No 24e Have you ever communicated with a clinical clerkship director to discuss a problem in a clerkship?
o Yes
o No 25e Please indicate your level of satisfaction with the following:
Very dissatisfied Dissatisfied Satisfied Very
satisfied N/A
Helpfulness of communication
with faculty member /
administrator to discuss
personal or class-wide
issue(s)
o o o o o
Page 150 of 344
26e Please indicate your level of satisfaction with the following:
Very dissatisfied Dissatisfied Satisfied Very
satisfied N/A
Helpfulness of communication
with course coordinator for problem(s) in a
pre-clinical course
o o o o o
27e Please indicate your level of satisfaction with the following:
Very dissatisfied Dissatisfied Satisfied Very
satisfied N/A
Helpfulness of communication
with clinical clerkship
director for problem(s) in
clerkship
o o o o o
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Page 151 of 344
28e
Page Break
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End of Block: e - Advising / Mentorship / Mental Health Start of Block: f - Shared Governance 1f In this section you will be asked to answer questions about committees at UB JSMBS. N/A = No opportunity to assess / No opinion / Have not experienced this yet Page Break
Page 153 of 344
2f Please indicate your level of satisfaction with the following:
Very dissatisfied Dissatisfied Satisfied Very satisfied N/A
Participation of students
on key medical school
committees
o o o o o Page Break
Page 154 of 344
3f Have you ever served on a school committee? (Committees include, but are not limited to: Polity, Phase 1, Phase 2, Curriculum, Admissions, Admissions Policy, Mentorship, Disciplinary, Professional Conduct, Appeals, and Steering)
o Yes
o No 4f On which of the following committees have you served? (Select all that apply)
▢ Polity: Medical Student Government
▢ Phase 1 Committee
▢ Phase 2 Committee
▢ Curriculum Committee
▢ Admissions Committee
▢ Admissions Policy Committee
▢ Mentorship Committee
▢ Disciplinary Committee
▢ Professional Conduct Committee
▢ Appeals Committee
▢ Steering Committee
▢ Other 1 (please specify): ________________________________________________
▢ Other 2 (please specify): ________________________________________________
▢ Other 3 (please specify): ________________________________________________
Page 155 of 344
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Page 156 of 344
Page 157 of 344
5f How satisfied were/are you with your experience serving on the committee(s)?
Very dissatisfied Dissatisfied Satisfied Very satisfied N/A
Polity: Medical Student
Government o o o o o
Phase 1 Committee o o o o o
Phase 2 Committee o o o o o Curriculum Committee o o o o o Admissions Committee o o o o o Admissions
Policy Committee o o o o o Mentorship Committee o o o o o Disciplinary Committee o o o o o
Professional Conduct
Committee o o o o o Appeals
Committee o o o o o Steering
Committee o o o o o Other 1 (please specify): o o o o o Other 2 (please specify): o o o o o Other 3 (please specify): o o o o o
Page 158 of 344
Page Break
Page 159 of 344
Page 160 of 344
6f How satisfied were/are you with the efficacy of the committee(s) you served on (i.e. ability to perform committee obligations)?
Page 161 of 344
Very dissatisfied Dissatisfied Satisfied Very satisfied N/A
Polity: Medical Student
Government o o o o o
Phase 1 Committee o o o o o
Phase 2 Committee o o o o o Curriculum Committee o o o o o Admissions Committee o o o o o Admissions
Policy Committee o o o o o Mentorship Committee o o o o o Disciplinary Committee o o o o o
Professional Conduct
Committee o o o o o Appeals
Committee o o o o o Steering
Committee o o o o o Other 1 (please specify): o o o o o Other 2 (please specify): o o o o o Other 3 (please specify): o o o o o
Page 162 of 344
Page Break
Page 163 of 344
Page 164 of 344
7f While serving on the committee(s), how satisfied were/are you with the receptiveness of faculty / administration committee members to your input and feedback? (Note: This question is not applicable to entirely student-run committees.)
Page 165 of 344
Very dissatisfied Dissatisfied Satisfied Very satisfied N/A
Polity: Medical Student
Government o o o o o
Phase 1 Committee o o o o o
Phase 2 Committee o o o o o Curriculum Committee o o o o o Admissions Committee o o o o o Admissions
Policy Committee o o o o o Mentorship Committee o o o o o Disciplinary Committee o o o o o
Professional Conduct
Committee o o o o o Appeals
Committee o o o o o Steering
Committee o o o o o Other 1 (please specify): o o o o o Other 2 (please specify): o o o o o Other 3 (please specify): o o o o o
Page 166 of 344
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Page 167 of 344
Page 168 of 344
8f Please indicate your level of agreement with the following statement: I made a significant impact on the committee(s).
Page 169 of 344
Strongly disagree Disagree Agree Strongly
agree N/A
Polity: Medical Student
Government o o o o o
Phase 1 Committee o o o o o
Phase 2 Committee o o o o o Curriculum Committee o o o o o Admissions Committee o o o o o Admissions
Policy Committee o o o o o Mentorship Committee o o o o o Disciplinary Committee o o o o o
Professional Conduct
Committee o o o o o Appeals
Committee o o o o o Steering
Committee o o o o o Other 1 (please specify): o o o o o Other 2 (please specify): o o o o o Other 3 (please specify): o o o o o
Page 170 of 344
Page Break
Page 171 of 344
9f Do you feel that students were/are considered equal members of the committee(s)? (Note: This question is not applicable to entirely student-run committees.)
Yes No N/A
Polity: Medical Student Government o o o Phase 1 Committee o o o Phase 2 Committee o o o
Curriculum Committee o o o Admissions Committee o o o
Admissions Policy Committee o o o Mentorship Committee o o o Disciplinary Committee o o o
Professional Conduct Committee o o o
Appeals Committee o o o Steering Committee o o o
Other 1 (please specify): o o o
Other 2 (please specify): o o o
Other 3 (please specify): o o o
Page 172 of 344
10f Please describe why you feel that students were/are not considered equal members of Polity: Medical Student Government.
________________________________________________________________
________________________________________________________________
________________________________________________________________
________________________________________________________________
________________________________________________________________ 11f Please describe why you feel that students were/are not considered equal members of Phase 1 Committee
________________________________________________________________
________________________________________________________________
________________________________________________________________
________________________________________________________________
________________________________________________________________ 12f Please describe why you feel that students were/are not considered equal members of Phase 2 Committee
________________________________________________________________
________________________________________________________________
________________________________________________________________
________________________________________________________________
________________________________________________________________
Page 173 of 344
13f Please describe why you feel that students were/are not considered equal members of Curriculum Committee
________________________________________________________________
________________________________________________________________
________________________________________________________________
________________________________________________________________
________________________________________________________________ 14f Please describe why you feel that students were/are not considered equal members of Admissions Committee
________________________________________________________________
________________________________________________________________
________________________________________________________________
________________________________________________________________
________________________________________________________________ 15f Please describe why you feel that students were/are not considered equal members of Admissions Policy Committee
________________________________________________________________
________________________________________________________________
________________________________________________________________
________________________________________________________________
________________________________________________________________
Page 174 of 344
16f Please describe why you feel that students were/are not considered equal members of Mentorship Committee
________________________________________________________________
________________________________________________________________
________________________________________________________________
________________________________________________________________
________________________________________________________________ 17f Please describe why you feel that students were/are not considered equal members of Disciplinary Committee
________________________________________________________________
________________________________________________________________
________________________________________________________________
________________________________________________________________
________________________________________________________________ 18f Please describe why you feel that students were/are not considered equal members of Professional Conduct Committee
________________________________________________________________
________________________________________________________________
________________________________________________________________
________________________________________________________________
________________________________________________________________
Page 175 of 344
19f Please describe why you feel that students were/are not considered equal members of Appeals Committee
________________________________________________________________
________________________________________________________________
________________________________________________________________
________________________________________________________________
________________________________________________________________ 20f Please describe why you feel that students were/are not considered equal members of Steering Committee
________________________________________________________________
________________________________________________________________
________________________________________________________________
________________________________________________________________
________________________________________________________________ 21f Please describe why you feel that students were/are not considered equal members of ${4f/ChoiceTextEntryValue/12}
________________________________________________________________
________________________________________________________________
________________________________________________________________
________________________________________________________________
________________________________________________________________
Page 176 of 344
22f Please describe why you feel that students were/are not considered equal members of ${4f/ChoiceTextEntryValue/13}
________________________________________________________________
________________________________________________________________
________________________________________________________________
________________________________________________________________
________________________________________________________________ 23f Please describe why you feel that students were/are not considered equal members of ${4f/ChoiceTextEntryValue/14}
________________________________________________________________
________________________________________________________________
________________________________________________________________
________________________________________________________________
________________________________________________________________ Page Break
Page 177 of 344
24f During meetings for the committee(s) you served on, have faculty / administration committee members ever forced you to leave the room when voting on or otherwise deciding a matter? (Note: This question is not applicable to entirely student-run committees.)
Yes No N/A
Polity: Medical Student Government o o o Phase 1 Committee o o o Phase 2 Committee o o o
Curriculum Committee o o o Admissions Committee o o o
Admissions Policy Committee o o o Mentorship Committee o o o Disciplinary Committee o o o
Professional Conduct Committee o o o
Appeals Committee o o o Steering Committee o o o
Other 1 (please specify): o o o
Other 2 (please specify): o o o
Other 3 (please specify): o o o
Page 178 of 344
25f Please describe the time(s) when faculty / administration committee members forced you to leave the room when voting on or otherwise deciding a matter during Polity: Medical Student Government
________________________________________________________________
________________________________________________________________
________________________________________________________________
________________________________________________________________
________________________________________________________________ 26f Please describe the time(s) when faculty / administration committee members forced you to leave the room when voting on or otherwise deciding a matter during Phase 1 Committee
________________________________________________________________
________________________________________________________________
________________________________________________________________
________________________________________________________________
________________________________________________________________ 27f Please describe the time(s) when faculty / administration committee members forced you to leave the room when voting on or otherwise deciding a matter during Phase 2 Committee
________________________________________________________________
________________________________________________________________
________________________________________________________________
________________________________________________________________
________________________________________________________________
Page 179 of 344
28f Please describe the time(s) when faculty / administration committee members forced you to leave the room when voting on or otherwise deciding a matter during Curriculum Committee
________________________________________________________________
________________________________________________________________
________________________________________________________________
________________________________________________________________
________________________________________________________________ 29f Please describe the time(s) when faculty / administration committee members forced you to leave the room when voting on or otherwise deciding a matter during Admissions Committee
________________________________________________________________
________________________________________________________________
________________________________________________________________
________________________________________________________________
________________________________________________________________ 30f Please describe the time(s) when faculty / administration committee members forced you to leave the room when voting on or otherwise deciding a matter during Admissions Policy Committee
________________________________________________________________
________________________________________________________________
________________________________________________________________
________________________________________________________________
________________________________________________________________
Page 180 of 344
31f Please describe the time(s) when faculty / administration committee members forced you to leave the room when voting on or otherwise deciding a matter during Mentorship Committee
________________________________________________________________
________________________________________________________________
________________________________________________________________
________________________________________________________________
________________________________________________________________ 32f Please describe the time(s) when faculty / administration committee members forced you to leave the room when voting on or otherwise deciding a matter during Disciplinary Committee
________________________________________________________________
________________________________________________________________
________________________________________________________________
________________________________________________________________
________________________________________________________________ 33f Please describe the time(s) when faculty / administration committee members forced you to leave the room when voting on or otherwise deciding a matter during Professional Conduct Committee
________________________________________________________________
________________________________________________________________
________________________________________________________________
________________________________________________________________
________________________________________________________________
Page 181 of 344
34f Please describe the time(s) when faculty / administration committee members forced you to leave the room when voting on or otherwise deciding a matter during Appeals Committee
________________________________________________________________
________________________________________________________________
________________________________________________________________
________________________________________________________________
________________________________________________________________ 35f Please describe the time(s) when faculty / administration committee members forced you to leave the room when voting on or otherwise deciding a matter during Steering Committee
________________________________________________________________
________________________________________________________________
________________________________________________________________
________________________________________________________________
________________________________________________________________ 36f Please describe the time(s) when faculty / administration committee members forced you to leave the room when voting on or otherwise deciding a matter during ${4f/ChoiceTextEntryValue/12}
________________________________________________________________
________________________________________________________________
________________________________________________________________
________________________________________________________________
________________________________________________________________
Page 182 of 344
37f Please describe the time(s) when faculty / administration committee members forced you to leave the room when voting on or otherwise deciding a matter during ${4f/ChoiceTextEntryValue/13}
________________________________________________________________
________________________________________________________________
________________________________________________________________
________________________________________________________________
________________________________________________________________ 38f Please describe the time(s) when faculty / administration committee members forced you to leave the room when voting on or otherwise deciding a matter during ${4f/ChoiceTextEntryValue/14}
________________________________________________________________
________________________________________________________________
________________________________________________________________
________________________________________________________________
________________________________________________________________ Page Break
Page 183 of 344
39f Within the context of the committee(s) you served on, have faculty / administration committee members ever misled or deceived you? (Note: This question is not applicable to entirely student-run committees.)
Yes No N/A
Polity: Medical Student Government o o o Phase 1 Committee o o o Phase 2 Committee o o o
Curriculum Committee o o o Admissions Committee o o o
Admissions Policy Committee o o o Mentorship Committee o o o Disciplinary Committee o o o
Professional Conduct Committee o o o
Appeals Committee o o o Steering Committee o o o
Other 1 (please specify): o o o
Other 2 (please specify): o o o
Other 3 (please specify): o o o
Page 184 of 344
40f Please describe the time(s) when faculty / administration committee members misled or deceived you within the context of Polity: Medical Student Government
________________________________________________________________
________________________________________________________________
________________________________________________________________
________________________________________________________________
________________________________________________________________ 41f Please describe the time(s) when faculty / administration committee members misled or deceived you within the context of Phase 1 Committee
________________________________________________________________
________________________________________________________________
________________________________________________________________
________________________________________________________________
________________________________________________________________ 42f Please describe the time(s) when faculty / administration committee members misled or deceived you within the context of Phase 2 Committee
________________________________________________________________
________________________________________________________________
________________________________________________________________
________________________________________________________________
________________________________________________________________
Page 185 of 344
43f Please describe the time(s) when faculty / administration committee members misled or deceived you within the context of Curriculum Committee
________________________________________________________________
________________________________________________________________
________________________________________________________________
________________________________________________________________
________________________________________________________________ 44f Please describe the time(s) when faculty / administration committee members misled or deceived you within the context of Admissions Committee
________________________________________________________________
________________________________________________________________
________________________________________________________________
________________________________________________________________
________________________________________________________________ 45f Please describe the time(s) when faculty / administration committee members misled or deceived you within the context of Admissions Policy Committee
________________________________________________________________
________________________________________________________________
________________________________________________________________
________________________________________________________________
________________________________________________________________
Page 186 of 344
46f Please describe the time(s) when faculty / administration committee members misled or deceived you within the context of Mentorship Committee
________________________________________________________________
________________________________________________________________
________________________________________________________________
________________________________________________________________
________________________________________________________________ 47f Please describe the time(s) when faculty / administration committee members misled or deceived you within the context of Disciplinary Committee
________________________________________________________________
________________________________________________________________
________________________________________________________________
________________________________________________________________
________________________________________________________________ 48f Please describe the time(s) when faculty / administration committee members misled or deceived you within the context of Professional Conduct Committee
________________________________________________________________
________________________________________________________________
________________________________________________________________
________________________________________________________________
________________________________________________________________
Page 187 of 344
49f Please describe the time(s) when faculty / administration committee members misled or deceived you within the context of Appeals Committee
________________________________________________________________
________________________________________________________________
________________________________________________________________
________________________________________________________________
________________________________________________________________ 50f Please describe the time(s) when faculty / administration committee members misled or deceived you within the context of Steering Committee
________________________________________________________________
________________________________________________________________
________________________________________________________________
________________________________________________________________
________________________________________________________________ 51f Please describe the time(s) when faculty / administration committee members misled or deceived you within the context of ${4f/ChoiceTextEntryValue/12}
________________________________________________________________
________________________________________________________________
________________________________________________________________
________________________________________________________________
________________________________________________________________
Page 188 of 344
52f Please describe the time(s) when faculty / administration committee members misled or deceived you within the context of ${4f/ChoiceTextEntryValue/13}
________________________________________________________________
________________________________________________________________
________________________________________________________________
________________________________________________________________
________________________________________________________________ 53f Please describe the time(s) when faculty / administration committee members misled or deceived you within the context of ${4f/ChoiceTextEntryValue/14}
________________________________________________________________
________________________________________________________________
________________________________________________________________
________________________________________________________________
________________________________________________________________ Page Break
Page 189 of 344
54f While serving on your committee(s), have you ever witnessed something unethical and/or unjust on your committee(s)
Yes No N/A
Polity: Medical Student Government o o o Phase 1 Committee o o o Phase 2 Committee o o o
Curriculum Committee o o o Admissions Committee o o o
Admissions Policy Committee o o o Mentorship Committee o o o Disciplinary Committee o o o
Professional Conduct Committee o o o
Appeals Committee o o o Steering Committee o o o
Other 1 (please specify): o o o
Other 2 (please specify): o o o
Other 3 (please specify): o o o
Page 190 of 344
55f Please describe what you saw as unethical and/or unjust on Polity: Medical Student Government
________________________________________________________________
________________________________________________________________
________________________________________________________________
________________________________________________________________
________________________________________________________________ 56f Please describe what you saw as unethical and/or unjust on Phase 1 Committee
________________________________________________________________
________________________________________________________________
________________________________________________________________
________________________________________________________________
________________________________________________________________ 57f Please describe what you saw as unethical and/or unjust on Phase 2 Committee
________________________________________________________________
________________________________________________________________
________________________________________________________________
________________________________________________________________
________________________________________________________________ 58f Please describe what you saw as unethical and/or unjust on Curriculum Committee
________________________________________________________________
Page 191 of 344
________________________________________________________________
________________________________________________________________
________________________________________________________________
________________________________________________________________ 59f Please describe what you saw as unethical and/or unjust on Admissions Committee
________________________________________________________________
________________________________________________________________
________________________________________________________________
________________________________________________________________
________________________________________________________________ 60f Please describe what you saw as unethical and/or unjust on Admissions Policy Committee
________________________________________________________________
________________________________________________________________
________________________________________________________________
________________________________________________________________
________________________________________________________________ 61f Please describe what you saw as unethical and/or unjust on Mentorship Committee
________________________________________________________________
________________________________________________________________
________________________________________________________________
________________________________________________________________
________________________________________________________________
Page 192 of 344
62f Please describe what you saw as unethical and/or unjust on Disciplinary Committee
________________________________________________________________
________________________________________________________________
________________________________________________________________
________________________________________________________________
________________________________________________________________ 63f Please describe what you saw as unethical and/or unjust on Professional Conduct Committee
________________________________________________________________
________________________________________________________________
________________________________________________________________
________________________________________________________________
________________________________________________________________ 64f Please describe what you saw as unethical and/or unjust on Appeals Committee
________________________________________________________________
________________________________________________________________
________________________________________________________________
________________________________________________________________
________________________________________________________________
Page 193 of 344
65f Please describe what you saw as unethical and/or unjust on Steering Committee
________________________________________________________________
________________________________________________________________
________________________________________________________________
________________________________________________________________
________________________________________________________________ 66f Please describe what you saw as unethical and/or unjust on ${4f/ChoiceTextEntryValue/12}
________________________________________________________________
________________________________________________________________
________________________________________________________________
________________________________________________________________
________________________________________________________________ 67f Please describe what you saw as unethical and/or unjust on ${4f/ChoiceTextEntryValue/13}
________________________________________________________________
________________________________________________________________
________________________________________________________________
________________________________________________________________
________________________________________________________________ 68f Please describe what you saw as unethical and/or unjust on ${4f/ChoiceTextEntryValue/14}
________________________________________________________________
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Page 194 of 344
________________________________________________________________
________________________________________________________________ Page Break
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End of Block: f - Shared Governance Start of Block: g - Facilities / IT/ Evaluations 1g In this section you will be asked to answer questions about facilities and information technology at UB JSMBS's old campus (UB South) and, if applicable, the new (downtown) campus, and clinical clerkship sites N/A = No opportunity to assess / No opinion / Have not experienced this yet Page Break
Page 196 of 344
2g Please indicate your level of satisfaction with the following:
Very dissatisfied Dissatisfied Satisfied Very satisfied N/A
Ease of access to
library resources
and holdings o o o o o
Quality of library
support and services
o o o o o Adequacy of
computer learning
resources o o o o o
Ease of access to electronic learning materials
o o o o o Accessibility of computer
support o o o o o Page Break
Page 197 of 344
3g Please indicate your level of satisfaction with the following:
Very dissatisfied Dissatisfied Satisfied Very
satisfied N/A
Help from Office of Medical
Computing (i.e. Dr.
Dannenhoffer's team)
o o o o o
Help from UB IT (i.e. IT for
whole university)
o o o o o Page Break
Page 198 of 344
4g With regards to your experience as a medical student at UB JSMBS, please indicate your level of satisfaction with the following:
Very dissatisfied Dissatisfied Satisfied Very satisfied N/A
Adequacy of school and
departmental websites for
learning o o o o o
Instruction on utilizing AAMC's
Careers in Medicine
website for career
planning
o o o o o
Page Break
Page 199 of 344
5g *The following questions are in reference to the OLD CAMPUS (UB South).
Page 200 of 344
Please indicate your level satisfaction with the following:
Very dissatisfied Dissatisfied Satisfied Very satisfied N/A
Adequacy of safety and security at
instructional sites
o o o o o Adequacy of lecture halls, large group classroom facilities
o o o o o Adequacy of small group
teaching spaces on campus
o o o o o Adequacy of
student relaxation
space at the medical school
campus
o o o o o
Adequacy of student study space at the
medical school
campus
o o o o o Access to
secure storage
space for personal
belongings at the medical
school campus
o o o o o
Page Break
Page 201 of 344
Page 202 of 344
6g *The following questions are in reference to the OLD CAMPUS (UB South). Please indicate your level of satisfaction with the following:
Very dissatisfied Dissatisfied Satisfied Very satisfied N/A
Adequacy of parking o o o o o
Adequacy of exercise /
fitness facility on campus
o o o o o Access to exercise /
fitness facilities near
campus o o o o o
Access to food / drink
store(s) on or near campus
o o o o o Adequacy of food / drink
storage space on campus
o o o o o Access to prayer /
meditation space
o o o o o Accessibility of student
health services
o o o o o Accessibility
of mental health
services o o o o o
Page 203 of 344
Page Break
Page 204 of 344
7g *The following questions are in reference to the OLD CAMPUS (UB South). Please indicate your level of satisfaction with the following:
Very dissatisfied Dissatisfied Satisfied Very satisfied N/A
Adequacy of room
reservation services
o o o o o Adequacy of
printing services o o o o o
Access to outlets for charging electronic devices
o o o o o Accessibility of Office of
Medical Computing
facilities (including hours of
operation)
o o o o o
Adequacy of Office of Medical
Computing facilities
o o o o o Effectiveness
of "clicker" use in
enhancing classroom learning
o o o o o Page Break
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8g Please feel free to comment on the facilities at the OLD CAMPUS (UB South):
________________________________________________________________
________________________________________________________________
________________________________________________________________
________________________________________________________________
________________________________________________________________ Page Break
Page 206 of 344
9g Have you been to the new (downtown) campus?
o Yes
o No Page Break
Page 207 of 344
10g *The following questions are in reference to the NEW CAMPUS (downtown).
Page 208 of 344
Please indicate your level satisfaction with the following:
Very dissatisfied Dissatisfied Satisfied Very satisfied N/A
Adequacy of safety and security at
instructional sites
o o o o o Adequacy of lecture halls, large group classroom facilities
o o o o o Adequacy of small group
teaching spaces on campus
o o o o o Adequacy of
student relaxation
space at the medical school
campus
o o o o o
Adequacy of student study space at the
medical school
campus
o o o o o Access to
secure storage
space for personal
belongings at the medical
school campus
o o o o o
Page Break
Page 209 of 344
Page 210 of 344
11g *The following questions are in reference to the NEW CAMPUS (downtown). Please indicate your level of satisfaction with the following:
Very dissatisfied Dissatisfied Satisfied Very
satisfied N/A
Adequacy of parking o o o o o
Adequacy of public
transportation o o o o o Access to exercise /
fitness facilities near
campus o o o o o
Access to food / drink
store(s) on or near campus
o o o o o Adequacy of food / drink
storage space on campus
o o o o o Access to prayer /
meditation space
o o o o o Accessibility of student
health services
o o o o o Accessibility
of mental health
services o o o o o
Page Break
Page 211 of 344
12g *The following questions are in reference to the NEW CAMPUS (downtown). Please indicate your level of satisfaction with the following:
Very dissatisfied Dissatisfied Satisfied Very satisfied N/A
Adequacy of room
reservation services
o o o o o Adequacy of
printing services o o o o o
Access to outlets for charging electronic devices
o o o o o Accessibility of Office of
Medical Computing
facilities (including hours of
operation)
o o o o o
Adequacy of Office of Medical
Computing facilities
o o o o o Effectiveness
of "clicker" use in
enhancing classroom learning
o o o o o Page Break
Page 212 of 344
13g Please feel free to comment on the facilities at the NEW CAMPUS (downtown):
________________________________________________________________
________________________________________________________________
________________________________________________________________
________________________________________________________________
________________________________________________________________ Page Break
Page 213 of 344
14g *The following questions are in reference to CLINICAL SITES in general. Please indicate your level of satisfaction with the following:
Very dissatisfied Dissatisfied Satisfied Very
satisfied N/A
Adequacy of educational/teaching spaces at hospitals o o o o o
Adequacy of student study space at
hospital/clinical sites o o o o o Access to secure storage space for
personal belongings at hospital/clinical
sites o o o o o
Page Break
Page 214 of 344
15g With regards to your clinical clerkship experience at Buffalo General Hospital, please indicate your level of satisfaction with the following:
Very dissatisfied Dissatisfied Satisfied Very
satisfied N/A
Adequacy of site safety and
security o o o o o Adequacy of
parking o o o o o Access to
computers/EMR o o o o o Adequacy of
student relaxation
space o o o o o
Adequacy of student study
space o o o o o Access to
secure storage space for personal
belongings o o o o o
Adequacy of food / drink
storage space o o o o o Page Break
Page 215 of 344
16g With regards to your clinical clerkship experience at (new / Oishei) Children's Hospital, please indicate your level of satisfaction with the following:
Very dissatisfied Dissatisfied Satisfied Very satisfied N/A
Adequacy of site safety
and security o o o o o Adequacy of
parking o o o o o Access to
computers / EMR o o o o o
Adequacy of student
relaxation space
o o o o o Adequacy of student study
space o o o o o Access to
secure storage
space for personal
belongings
o o o o o Adequacy of food / drink
storage space
o o o o o Page Break
Page 216 of 344
17g With regards to your clinical clerkship experience at (old) Children's Hospital, please indicate your level of satisfaction with the following:
Very dissatisfied Dissatisfied Satisfied Very satisfied N/A
Adequacy of site safety
and security o o o o o Adequacy of
parking o o o o o Access to
computers / EMR o o o o o
Adequacy of student
relaxation space
o o o o o Adequacy of student study
space o o o o o Access to
secure storage
space for personal
belongings
o o o o o Adequacy of food / drink
storage space
o o o o o Page Break
Page 217 of 344
18g With regards to your clinical clerkship experience at ECMC, please indicate your level of satisfaction with the following:
Very dissatisfied Dissatisfied Satisfied Very satisfied N/A
Adequacy of site safety
and security o o o o o Adequacy of
parking o o o o o Access to
computers / EMR o o o o o
Adequacy of student
relaxation space
o o o o o Adequacy of student study
space o o o o o Access to
secure storage
space for personal
belongings
o o o o o Adequacy of food / drink
storage space
o o o o o Page Break
Page 218 of 344
19g With regards to your clinical clerkship experience at Mercy Hospital, please indicate your level of satisfaction with the following:
Very dissatisfied Dissatisfied Satisfied Very satisfied N/A
Adequacy of site safety
and security o o o o o Adequacy of
parking o o o o o Access to computer /
EMR o o o o o Adequacy of
student relaxation
space o o o o o
Adequacy of student study
space o o o o o Access to
secure storage
space for personal
belongings
o o o o o Adequacy of food / drink
storage space
o o o o o Page Break
Page 219 of 344
20g With regards to your clinical clerkship experience at Millard Fillmore Suburban Hospital, please indicate your level of satisfaction with the following:
Very dissatisfied Dissatisfied Satisfied Very satisfied N/A
Adequacy of site safety
and security o o o o o Adequacy of
parking o o o o o Access to
computers / EMR o o o o o
Adequacy of student
relaxation space
o o o o o Adequacy of student study
space o o o o o Access to
secure storage
space for personal
belongings
o o o o o Adequacy of food / drink
storage space
o o o o o Page Break
Page 220 of 344
21g With regards to your clinical clerkship experience at Roswell Park Cancer Institute, please indicate your level of satisfaction with the following:
Very dissatisfied Dissatisfied Satisfied Very satisfied N/A
Adequacy of site safety
and security o o o o o Adequacy of
parking o o o o o Access to
computers / EMR o o o o o
Adequacy of student
relaxation space
o o o o o Adequacy of student study
space o o o o o Access to
secure storage
space for personal
belongings
o o o o o Adequacy of food / drink
storage space
o o o o o Page Break
Page 221 of 344
22g With regards to your clinical clerkship experience at Sisters of Charity Hospital, please indicate your level of satisfaction with the following:
Very dissatisfied Dissatisfied Satisfied Very satisfied N/A
Adequacy of site safety
and security o o o o o Adequacy of
parking o o o o o Access to
computers / EMR o o o o o
Adequacy of student
relaxation space
o o o o o Adequacy of student study
space o o o o o Access to
secure storage
space for personal
belongings
o o o o o Adequacy of food / drink
storage space
o o o o o Page Break
Page 222 of 344
23g With regards to your clinical clerkship experience at Buffalo's VA Hospital, please indicate your level of satisfaction with the following:
Very dissatisfied Dissatisfied Satisfied Very satisfied N/A
Adequacy of site safety
and security o o o o o Adequacy of
parking o o o o o Access to
computers / EMR o o o o o
Adequacy of student
relaxation space
o o o o o Adequacy of student study
space o o o o o Access to
secure storage
space for personal
belongings
o o o o o Adequacy of food / drink
storage space
o o o o o Page Break
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24g Please indicate your level of satisfaction with the following video recording software systems used for lectures at JSMBS (if applicable):
Very dissatisfied Dissatisfied Satisfied Very satisfied N/A
Echo (Fall 2013 - Fall
2017) o o o o o Panopto
(new software as of January
2018) o o o o o
Other (please specify): o o o o o
Page Break
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25g As a medical student at JSMBS, which evaluation software have you used? (Select all that apply)
▢ E*Value
▢ MedHub
▢ UB Mobile Med
▢ Other (please specify): ________________________________________________
▢ None Page Break
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26g With regards to E*Value evaluation software, please indicate your level of satisfaction with the following:
Very dissatisfied Dissatisfied Satisfied Very
satisfied N/A
User-friendliness o o o o o Availability of
evaluations at times when you can
accurately recall specific lectures
o o o o o Appropriateness
and comprehensiveness
of evaluation questions
o o o o o Ability to express self in evaluation
software o o o o o Page Break
Page 226 of 344
27g With regards to MedHub evaluation software, please indicate your level of satisfaction with the following:
Very dissatisfied Disatisfied Satisfied Very
satisfied N/A
User-friendliness o o o o o Availability of
evaluations at times when you can
accurately recall specific lectures
o o o o o Appropriateness
and comprehensiveness
of evaluation questions
o o o o o Ability to express self in evaluation
software o o o o o Page Break
Page 227 of 344
28g With regards to UB Mobile Med evaluation software, please indicate your level of satisfaction with the following:
Very dissatisfied Disatisfied Satisfied Very
satisfied N/A
User-friendliness o o o o o Availability of
evaluations at times when you can
accurately recall specific lectures
o o o o o Appropriateness
and comprehensiveness
of evaluation questions
o o o o o Ability to express self in evaluation
software o o o o o Page Break
Page 228 of 344
29g With regards to ${25g/ChoiceTextEntryValue/5} evaluation software, please indicate your level of satisfaction with the following:
Very dissatisfied Disatisfied Satisfied Very
satisfied N/A
User-friendliness o o o o o Availability of
evaluations at times when you can
accurately recall specific lectures
o o o o o Appropriateness
and comprehensiveness
of evaluation questions
o o o o o Ability to express self in evaluation
software o o o o o Page Break
Page 229 of 344
30g Please indicate your level of satisfaction with the following:
Very dissatisfied Dissatisfied Satisfied Very satisfied N/A
Ability to express self
through settings for
non-anonymous evaluations (e.g., "Town
Hall" meetings, professor
office hours)
o o o o o
Page Break
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31g As a medical student at JSMBS, which exam software have you used? (Select all that apply)
▢ ExamSoft
▢ SofTest
▢ Other (please specify): ________________________________________________
▢ None Page Break
Page 231 of 344
32g With regards to ExamSoft, please indicate your level of satisfaction with the following:
Very dissatisfied Dissatisfied Satisfied Very satisfied N/A
Adequacy of exam-taking
software o o o o o Page Break
Page 232 of 344
33g With regards to SofTest, please indicate your level of satisfaction with the following:
Very dissatisfied Dissatisfied Satisfied Very satisfied N/A
Adequacy of exam-taking
software o o o o o Page Break
Page 233 of 344
34g With regards to ${31g/ChoiceTextEntryValue/3}, please indicate your level of satisfaction with the following:
Very dissatisfied Dissatisfied Satisfied Very satisfied N/A
Adequacy of exam-taking
software o o o o o Page Break
Page 234 of 344
35g Have you experienced problems with ExamSoft?
o Yes
o No Page Break
Page 235 of 344
36g Have you experienced problems with SofTest?
o Yes
o No Page Break
Page 236 of 344
37g Have you experienced problems with ${31g/ChoiceTextEntryValue/3}?
o Yes
o No Page Break
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38g Please describe the problem(s) you experienced with ExamSoft
________________________________________________________________
________________________________________________________________
________________________________________________________________
________________________________________________________________
________________________________________________________________ Page Break
Page 238 of 344
39g Please describe the problem(s) you experienced with SofTest
________________________________________________________________
________________________________________________________________
________________________________________________________________
________________________________________________________________
________________________________________________________________ Page Break
Page 239 of 344
40g Please describe the problem(s) you experienced with ${31g/ChoiceTextEntryValue/3}
________________________________________________________________
________________________________________________________________
________________________________________________________________
________________________________________________________________
________________________________________________________________ Page Break
Page 240 of 344
41g During pre-clinical years at UB JSMBS, have you used the exam software for NBME-style questions?
o Yes
o No Page Break
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42g Please indicate your level of satisfaction with the following:
Very dissatisfied Dissatisfied Satisfied Very satisfied N/A
Adequacy of exam
software for NBME-style questions
o o o o o 43g Have you experienced problems with the exam software with NBME-style questions?
o Yes
o No 44g Please describe the problem(s) you experienced with the exam software for NBME-style questions
________________________________________________________________
________________________________________________________________
________________________________________________________________
________________________________________________________________
________________________________________________________________ Page Break
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45g Have you used Dr. Cotter's histology software?
o Yes
o No 46g With regards to the histology software, please indicate your level of satisfaction with the following:
Very dissatisfied Dissatisfied Satisfied Very
satisfied N/A
User-friendliness o o o o o Adequacy of
histology learning
enhancement o o o o o
Page Break
Page 243 of 344
47g With regards to Gross Anatomy at JSMBS, please indicate your level of satisfaction with the following:
Very dissatisfied Dissatisfied Satisfied Very
satisfied N/A
Adequacy of instruction on
dissection safety,
environmental hazards, and
personal protection
o o o o o
Adequacy of space for dissecting o o o o o
Availability of cleaning
materials and garbage space
o o o o o Availability of
resources (e.g. scalpel
blades, gloves)
o o o o o Page Break
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End of Block: g - Facilities / IT/ Evaluations Start of Block: h - Alternative Pathways 1h In this section you will be asked about alternative pathways pursued at UB JSMBS, if applicable. N/A = No opportunity to assess / No opinion / Have not experienced this yet Page Break
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2h Please select all of the "alternative pathways" that you have participated in or are currently participating in:
▢ MD/PhD
▢ MD/MBA or MD/MPH
▢ Another dual degree program offered here at UB (please specify): ________________________________________________
▢ Another degree from a different institution pursued during your time in medical school (please specify): ________________________________________________
▢ National research fellowship (e.g. HHMI Medical Research Fellowship, Sarnoff Cardiovascular Research Foundation Fellowship, NIH Medical Research Scholars Program)
▢ Other "year out" research opportunity (please specify): ________________________________________________
▢ Voluntary leave of absence (for reasons not mentioned above)
▢ None Page Break
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3h Which of the following "alternative pathways" are you considering:
▢ MD/PhD
▢ MD/MBA or MD/MPH
▢ Another dual degree program offered here at UB (please specify): ________________________________________________
▢ Another degree from a different institution pursued during your time in medical school (please specify): ________________________________________________
▢ National research fellowship (e.g. HHMI Medical Research Fellowship, Sarnoff Cardiovascular Research Foundation Fellowship, NIH Medical Research Scholars Program)
▢ Other "year out" research opportunity (please specify): ________________________________________________
▢ Voluntary leave of absence (for reasons not mentioned above)
▢ None Page Break
Page 247 of 344
4h Please indicate your level of satisfaction with the following:
Very dissatisfied Dissatisfied Satisfied Very satisfied N/A
Awareness of opportunities
for dual degrees at UB JSMBS
o o o o o Page Break
Page 248 of 344
5h Which portion of the MD/PhD program are you currently in?
o Pre-clinical (M1 / M2)
o Graduate
o Clinical (M3 / M4) Page Break
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6h What were/are your motivations for pursuing an MD/PhD? (Select all that apply)
▢ Different concentrations / focus areas / coursework offered
▢ Networking opportunities
▢ Break from medical school
▢ Family reasons
▢ Long-term career opportunities
▢ Improving residency application
▢ Financial considerations: tuition coverage and stipend
▢ Opportunity to engage in basic science, translational science, or clinical research
▢ Develop the skills necessary to become a primary investigator
▢ Work in-depth with specific research faculty
▢ Other(s) (please specify): ________________________________________________ Page Break
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7h Why did you choose to pursue an MD/PhD at the University at Buffalo? (Select all that apply)
▢ Location
▢ University reputation
▢ Good personal fit
▢ Was already enrolled in UB's medical school
▢ Opportunity to work with specific research faculty
▢ Opportunity to work with specific medical faculty
▢ The only MD/PhD program accepted into
▢ Other(s) (please specify): ________________________________________________ Page Break
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8h Please indicate your level of satisfaction with the following:
Very dissatisfied Dissatisfied Satisfied Very
satisfied N/A
Overall experience in
MD/PhD program
o o o o o Support from UB JSMBS
faculty / administration
to pursue your MD/PhD
o o o o o Laboratory
rotation experience
before selecting your
lab
o o o o o Page Break
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9h Did you participate in a laboratory rotation before matriculating into UB JSMBS as an MS1?
o Yes
o No 10h Was your pre-MS1 matriculation laboratory rotation worthwhile?
o Yes
o No 11h Please feel free to comment on your pre-MS1 matriculation laboratory rotation:
________________________________________________________________
________________________________________________________________
________________________________________________________________
________________________________________________________________
________________________________________________________________ Page Break
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12h Have you completed your PhD?
o Yes
o No 13h Have you started your PhD program?
o Yes
o No Page Break
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14h Through which department(s) did you pursue or are you currently pursuing your PhD?
________________________________________________________________ Page Break
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15h How many years did you spend completing your PhD?
o 2
o 3
o 4
o 5
o 6
o 7+ Page Break
Page 256 of 344
16h How many years do you plan to spend completing your PhD?
o 2
o 3
o 4
o 5
o 6
o 7+ Page Break
Page 257 of 344
17h How do you feel about the duration of the PhD training component?
o Too short
o Slightly too short
o Perfect length of time
o Slightly too long
o Too long
o Not sure yet Page Break
Page 258 of 344
18h Was/is the number of courses required by your department during PhD training appropriate?
o Too few
o Slightly too few
o Perfect amount
o Slightly too many
o Too many
o Not sure yet Page Break
Page 259 of 344
19h With regards to your experience as an MD/PhD student at UB JSMBS, please indicate your level of satisfaction with the following:
Very dissatisfied Dissatisfied Satisfied Very
satisfied N/A
Mentorship and guidance
from the MD/PhD program regarding
career opportunities
as a physician scentist
o o o o o
Mentorship and guidance
from the medical school
regarding career
opportunities as a
physician scientist
o o o o o
Experiences with
administrative personnel in the MD/PhD
program office (Dr. Laychock,
Arlene Albrecht,
Beth White)
o o o o o
Status of the hiring
process for an MD/PhD
program director
o o o o o
Page 260 of 344
Page Break
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20h With regards to your experience as an MD/PhD student at UB JSMBS, please indicate your level of satisfaction with the following:
Very dissatisfied Dissatisfied Satisfied Very satisfied N/A
Your research
department's support to
pursue your MD/PhD
o o o o o Maintenance
of clinical competency during PhD
training component
o o o o o Mentorship
and guidance from your
thesis advisor
regarding career
opportunities as a
physician scientist
o o o o o
Mentorship and guidance
from your PhD
department regarding
career opportunities
as a physician scientist
o o o o o
Page Break
Page 262 of 344
Page 263 of 344
21h Please indicate your level of satisfaction with the following:
Very dissatisfied Dissatisfied Satisfied Very satisfied N/A
Ability to continue graduate research
upon return to M3 / M4
o o o o o Support from the MD/PhD program for
re-matriculation
into M3
o o o o o Support from the medical school for
re-matriculation
into M3
o o o o o Support from
your PhD department
for re-matriculation
into M3
o o o o o Re-
integration and
camaraderie with your new
medical school class
o o o o o
Retention of medical
knowledge, patient
interaction, and
procedural skills upon returning to
clinical rotations
o o o o o
Page 264 of 344
Page Break
Page 265 of 344
22h Have you applied for outside funding for part or all of your graduate training (e.g. F30, Training grant, NSF, AHA)?
o Yes
o No 23h Were you successful in receiving outside funding for part or all of your graduate training (e.g. F30, Training grant, NSF, AHA)?
o Yes
o No
o Waiting on application outcome 24h Please indicate your level of satisfaction with the following:
Very dissatisfied Dissatisfied Satisfied Very satisfied N/A
Support of the MD/PhD program in
your application process for
outside funding
o o o o o
Support of your PhD
department in your
application process for
outside funding
o o o o o
Page 266 of 344
Page Break
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25h Have you participated in or are you currently participating in any longitudinal clinical activity during your PhD training?
o Yes
o No 26h For how many years of your PhD training did you participate in or do you plan on participating in this longitudinal clinical activity?
o 0.5
o 1
o 2
o 3
o 4
o 5
o 6
o 7+ Page Break
Page 268 of 344
27h Please select the correct number for the following:
0 1-2 3-5 6+
National scientific
conferences (excluding
APSA) attended during PhD
training
o o o o
First author publications
published during PhD training
(including papers currently under revision)
o o o o
Mid-author publications
published during PhD training
(including papers currently under revision)
o o o o
Total publications anticipated,
based on work completed
during MD/PhD program
(excluding publications prior to your MD/PhD
program)
o o o o
Page Break
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28h Did you participate in a prep course or workshop, through UB JSMBS, for returning to medical school as an M3?
o Yes
o No 29h Please indicate your level of satisfaction with the following:
Very dissatisfied Dissatisfied Satisfied Very satisfied N/A
Prep course or workshop, through UB JSMBS, for returning to
medical school as an
M3
o o o o o
Page Break
Page 270 of 344
30h Please indicate your level of agreement with the following:
Strongly disagree Disagree Agree Strongly
agree N/A
The MD/PhD stipend during
pre-clinical years (M1/M2) is sufficient for
living expenses,
university fees, medical
insurance, USMLE Step 1,
and books/materials
o o o o o
Page Break
Page 271 of 344
31h Please indicate your level of agreement with the following:
Strongly disagree Disagree Agree Strongly
agree N/A
The MD/PhD stipend during graduate years is sufficient for
living expenses,
university fees, medical
insurance, and books/materials
o o o o o
Page Break
Page 272 of 344
32h Please indicate your level of agreement with the following:
Strongly disagree Disagree Agree Strongly
agree N/A
The MD/PhD stipend during clinical years (M3/M4) is
sufficient for living
expenses, university fees,
medical insurance,
USMLE Step 2, ERAS,
residency interviews, and books/materials
o o o o o
Page Break
Page 273 of 344
33h With regards to the MD/PhD seminar series, please indicate your level of satisfaction with the following:
Very dissatisfied Dissatisfied Satisfied Very satisfied N/A
Quality of speakers o o o o o Research content o o o o o Clinical content o o o o o Grading
policy during pre-clinical
years o o o o o
Grading policy during
graduate years
o o o o o Grading
policy during clinical years o o o o o
Page Break
Page 274 of 344
34h Please indicate the likeliness of the following:
Very unlikely Unlikely Likely Very likely N/A
I would recommend the MD/PhD program at
UB JSMBS to prospective
students and other medical students at UB JSMBS
o o o o o
Page Break
Page 275 of 344
35h Please feel free to comment on strengths and weaknesses of the MD/PhD program at UB JSMBS:
________________________________________________________________
________________________________________________________________
________________________________________________________________
________________________________________________________________
________________________________________________________________ Page Break
Page 276 of 344
36h After which academic year did you leave for your dual degree?
o M1
o M2
o M3
o M4 Page Break
Page 277 of 344
37h After which academic year did you leave for your external degree?
o M1
o M2
o M3
o M4 Page Break
Page 278 of 344
38h After which academic year did you leave for your national research fellowship?
o M1
o M2
o M3
o M4 Page Break
Page 279 of 344
39h After which academic year did you leave for your other "year out" research opportunity?
o M1
o M2
o M3
o M4 Page Break
Page 280 of 344
40h After which academic year did you take your voluntary leave of absence?
o M1
o M2
o M3
o M4 Page Break
Page 281 of 344
41h What were/are your motivations for pursuing your dual degree? (Select all that apply)
▢ Different concentrations / focus areas / coursework offered
▢ Networking opportunities
▢ Break from medical school
▢ Family reasons
▢ Long-term career opportunities
▢ Improving residency application
▢ Gaining specific skill set not taught in medical school
▢ Other(s) (please specify): ________________________________________________ Page Break
Page 282 of 344
42h What were/are your motivations for pursuing your external degree? (Select all that apply)
▢ Degree not offered at UB
▢ Different concentrations / focus areas / coursework offered
▢ Networking opportunities
▢ Break from medical school
▢ Family reasons
▢ Long-term career opportunities
▢ Improving residency application
▢ Gaining specific skill set not taught in medical school
▢ Other(s) (please specify): ________________________________________________ Page Break
Page 283 of 344
43h What were/are your motivations for pursuing your national research fellowship? (Select all that apply)
▢ Research opportunities not offered at UB
▢ Different concentrations / focus areas / coursework offered
▢ Networking opportunities
▢ Break from medical school
▢ Family reasons
▢ Long-term career opportunities
▢ Improving residency application
▢ Gaining specific skill set not taught in medical school
▢ Other(s) (please specify): ________________________________________________ Page Break
Page 284 of 344
44h What were/are your motivations for pursuing your other "year out" research opportunity? (Select all that apply)
▢ Research opportunities not offered at UB
▢ Different concentrations / focus areas / coursework offered
▢ Networking opportunities
▢ Break from medical school
▢ Family reasons
▢ Long-term career opportunities
▢ Improving residency application
▢ Gaining specific skill set not taught in medical school
▢ Other(s) (please specify): ________________________________________________ Page Break
Page 285 of 344
45h What were/are your motivations for taking a voluntary leave of absence? (Select all that apply)
▢ Research here at UB
▢ Research at another institution
▢ Break from medical school
▢ Family reasons
▢ Maternity / paternity leave
▢ Personal health concerns
▢ Other(s) (please specify): ________________________________________________
▢ Prefer not to answer Page Break
Page 286 of 344
Page 287 of 344
46h Please indicate your satisfaction with the following:
Very dissatisfied Dissatisfied Satisfied Very
satisfied N/A
Your dual degree
program overall
o o o o o Support from the medical
school faculty / administration to pursue your dual degree
program
o o o o o
Counseling from UB on
how your dual degree would impact your
student loans
o o o o o Ability to maintain
medical school communication and activities during your time in the non-MD degree
program
o o o o o
Re-integration and
camaraderie with your new medical school
class
o o o o o Retention of
medical knowledge,
patient interaction,
and procedural skills upon returning to
clinical rotations
o o o o o
Page 288 of 344
Page Break
Page 289 of 344
47h Please indicate your satisfaction with the following:
Very dissatisfied Dissatisfied Satisfied Very
satisfied N/A
Your external degree
program overall
o o o o o Support from the medical
school faculty /
administration to pursue
your external degree
program
o o o o o
Counseling from UB on how your external degree
program would impact your student
loans
o o o o o
Re-integration
and camaraderie
with your new medical
school class
o o o o o
Retention of medical
knowledge, patient
interaction, and
procedural skills upon returning to
clinical rotations
o o o o o
Page 290 of 344
Page Break
Page 291 of 344
48h Please indicate your satisfaction with the following:
Very dissatisfied Dissatisfied Satisfied Very
satisfied N/A
Your national research fellowship program overall
o o o o o Support from the medical
school faculty /
administration to pursue
your national research fellowship program
o o o o o
Counseling from UB on how your research fellowship program
would impact your student
loans
o o o o o
Re-integration
and camaraderie
with your new medical
school class
o o o o o
Retention of medical
knowledge, patient
interaction, and
procedural skills upon returning to
clinical rotations
o o o o o
Page 292 of 344
Page Break
Page 293 of 344
49h Please indicate your satisfaction with the following:
Very dissatisfied Dissatisfied Satisfied Very
satisfied N/A
Your other "year out" research
opportunity overall
o o o o o Support from the medical
school faculty /
administration to pursue your other "year out" research
opportunity
o o o o o
Counseling from UB on how your
other "year out" research opportunity
would impact your student
loans
o o o o o
Re-integration
and camaraderie
with your new medical
school class
o o o o o
Retention of medical
knowledge, patient
interaction, and
procedural skills upon returning to
clinical rotations
o o o o o
Page 294 of 344
Page Break
Page 295 of 344
50h Please indicate your satisfaction with the following:
Very dissatisfied Dissatisfied Satisfied Very
satisfied N/A
Support from the medical
school faculty /
administration for your
voluntary leave of absence
o o o o o
Counseling from UB on how your voluntary leave of absence
would impact your student
loans
o o o o o
Re-integration
and camaraderie
with your new medical
school class
o o o o o
Retention of medical
knowledge, patient
interaction, and
procedural skills upon returning to
clinical rotations
o o o o o
Page Break
Page 296 of 344
51h Please indicate the likeliness of the following:
Very unlikely Unlikely Likely Very likely N/A
I would recommend
my dual degree
program to other medical students at
JSMBS
o o o o o
Page Break
Page 297 of 344
52h Please indicate the likeliness of the following:
Very unlikely Unlikely Likely Very likely N/A
I would recommend my external
degree program to
other medical students at
JSMBS
o o o o o
Page Break
Page 298 of 344
53h Please indicate the likeliness of the following:
Very unlikely Unlikely Likely Very likely N/A
I would recommend my national
research fellowship program to
other medical students at
JSMBS
o o o o o
Page Break
Page 299 of 344
54h Please indicate the likeliness of the following:
Very unlikely Unlikely Likely Very likely N/A
I would recommend
my other "year out" research
opportunity to other medical students at
JSMBS
o o o o o
Page Break
Page 300 of 344
55h What degree did you pursue or are you currently pursuing?
o MBA
o MPH
o Other (please specify): ________________________________________________ Page Break
Page 301 of 344
56h At what institution and department did you pursue or are you currently pursuing your external degree?
________________________________________________________________ Page Break
Page 302 of 344
57h Which national research fellowship program did you participate in or are you currently participating in?
o HHMI Medical Research Fellowship
o Sarnoff Cardiovascular Research Foundation Fellowship
o NIH Medical Research Scholars Program
o Doris Duke International Clinical Research Fellowship
o Other (please specify): ________________________________________________ Page Break
Page 303 of 344
58h How did you FIRST learn about your fellowship program?
o Formal presentation by a medical student and/or faculty member at UB JSMBS
o Advising from the Office of Medical Education
o A professor / instructor
o Informally from a UB JSMBS medical student
o Email from UB JSMBS faculty / administration
o UB JSMBS website
o Fellowship program's website
o Social media
o Other (please specify): ________________________________________________ Page Break
Page 304 of 344
59h Please select all the ways you learned about your fellowship program before or during your application process.
▢ Formal presentation by a medical student and/or faculty member at UB JSMBS
▢ Advising from the Office of Medical Education
▢ A professor / instructor
▢ Informally from a UB JSMBS medical student
▢ Email from UB JSMBS faculty / administration
▢ UB JSMBS website
▢ Fellowship program's website
▢ Social media
▢ Other (please specify): ________________________________________________ Page Break
Page 305 of 344
60h At what institution and department did you pursue or are you currently pursuing your other "year out" research opportunity?
________________________________________________________________ Page Break
Page 306 of 344
61h Please feel free to comment on strengths and weaknesses of your dual degree program at UB:
________________________________________________________________
________________________________________________________________
________________________________________________________________
________________________________________________________________
________________________________________________________________ Page Break
Page 307 of 344
62h Please feel free to comment on strengths and weaknesses of your external degree program:
________________________________________________________________
________________________________________________________________
________________________________________________________________
________________________________________________________________
________________________________________________________________ Page Break
Page 308 of 344
63h Please feel free to comment on strengths and weaknesses of your national research fellowship program:
________________________________________________________________
________________________________________________________________
________________________________________________________________
________________________________________________________________
________________________________________________________________ Page Break
Page 309 of 344
64h Please feel free to comment on strengths and weaknesses of your other "year out" research opportunity:
________________________________________________________________
________________________________________________________________
________________________________________________________________
________________________________________________________________
________________________________________________________________ Page Break
Page 310 of 344
65h Please feel free to comment on any aspect of your voluntary leave of absence:
________________________________________________________________
________________________________________________________________
________________________________________________________________
________________________________________________________________
________________________________________________________________ Page Break
Page 311 of 344
End of Block: h - Alternative Pathways Start of Block: i - Diversity / Inclusion 1i In this section you will be asked questions about diversity, inclusion, and safety at UB JSMBS N/A = No opportunity to assess / No opinion / Have not experienced this yet Page Break
Page 312 of 344
2i Please indicate your level of satisfaction with the following:
Very dissatisfied Dissatisfied Satisfied Very
satisfied N/A
Administration and faculty
diversity o o o o o Student diversity o o o o o
Page Break
Page 313 of 344
3i Please complete the following statement: There is a diverse representation among faculty at UB JSMBS in the following categories (select all that apply):
▢ Age
▢ Sex
▢ Gender identity
▢ Physical ability
▢ Race / ethnicity
▢ Religious affiliation
▢ Sexual orientation
▢ Socioeconomic status of origin
▢ None of the above Page Break
Page 314 of 344
4i Please complete the following statement: There is a diverse representation among students at UB JSMBS in the following categories (select all that apply):
▢ Age
▢ Sex
▢ Gender identity
▢ Physical ability
▢ Race / ethnicity
▢ Religious affiliation
▢ Sexual orientation
▢ Socioeconomic status of origin
▢ None of the above Page Break
Page 315 of 344
5i Please indicate your level of satisfaction with how welcoming faculty / administration at UB JSMBS are to students with various identities, based on:
Very dissatisfied Dissatisfied Satisfied Very
satisfied N/A
Age o o o o o Sex o o o o o
Gender identity o o o o o Intellectual
ability o o o o o Physical ability o o o o o
Race / ethnicity o o o o o Religious affiliation o o o o o Sexual
orientation o o o o o Socioeconomic status of origin o o o o o
Page Break
Page 316 of 344
6i Please indicate your level of satisfaction with how welcoming medical students at UB JSMBS are to fellow medical students with various identities, based on:
Very dissatisfied Dissatisfied Satisfied Very
satisfied N/A
Age o o o o o Sex o o o o o
Gender identity o o o o o Intellectual
ability o o o o o Physical ability o o o o o
Race / ethnicity o o o o o Religious affiliation o o o o o Sexual
orientation o o o o o Socioeconomic status of origin o o o o o
Page Break
Page 317 of 344
7i Please indicate your level of satisfaction with your UB JSMBS education on cultural competencies and specific medical problems for patients who vary in the following categories:
Very dissatisfied Dissatisfied Satisfied Very
satisfied N/A
Age o o o o o Sex o o o o o
Gender identity o o o o o Intellectual
ability o o o o o Physical ability o o o o o
Race / ethnicity o o o o o Religious affiliation o o o o o Sexual
orientation o o o o o Socioeconomic status of origin o o o o o
Page Break
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8i Please indicate your level of satisfaction with the following:
Very dissatisfied Dissatisfied Satisfied Very
satisfied N/A
UB JSMBS faculty /
administration awareness of appropriate LGBTQ+
vocabulary
o o o o o
UB JSMBS medical student
awareness of appropriate LGBTQ+
vocabulary
o o o o o
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9i Have you ever heard a faculty / administration member at UB JSMBS make a derogatory remark, based on the following distinctions of identity? (Select all that apply or select "N/A" if you have not experienced this.)
▢ Age
▢ Sex
▢ Gender identity
▢ Intellectual ability
▢ Physical ability
▢ Race / ethnicity
▢ Religious affiliation
▢ Sexual orientation
▢ Socioeconomic status of origin
▢ Other (please specify): ________________________________________________
▢ N/A
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10i Who were derogatory remarks from a faculty / administration member at UB JSMBS made in reference to. (Select all that apply)
▢ A patient
▢ You
▢ Another medical student at UB JSMBS
▢ Another faculty / administration member at UB JSMBS
▢ A physician or resident / fellow affiliated with UB JSMBS
▢ Used in conversation without a specific reference
▢ Other (please specify): ________________________________________________ 11i Was the above incident reported to administration?
o Yes
o No
o Not sure 12i Please feel free to comment on why the incident may not have been reported:
________________________________________________________________
________________________________________________________________
________________________________________________________________
________________________________________________________________
________________________________________________________________
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13i In your opinion, did the administration respond appropriately to address the incident?
o Yes
o No
o Not sure 14i Please feel free to comment on the incident:
________________________________________________________________
________________________________________________________________
________________________________________________________________
________________________________________________________________
________________________________________________________________ Page Break
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15i During clinical experiences, have you ever heard an attending physician or resident / fellow affiliated with UB JSMBS make a derogatory remark, based on the following distinctions of identity? (Select all that apply or select "N/A" if you have not experienced this.)
▢ Age
▢ Sex
▢ Gender identity
▢ Intellectual ability
▢ Physical ability
▢ Race / ethnicity
▢ Religious affiliation
▢ Sexual orientation
▢ Socioeconomic status of origin
▢ Other (please specify): ________________________________________________
▢ N/A
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16i Who were derogatory remarks from the attending physician(s) or resident(s) / fellow(s) affiliated with UB JSMBS made in reference to. (Select all that apply)
▢ A patient
▢ You
▢ Another medical student at UB JSMBS
▢ A faculty / administration member at UB JSMBS
▢ Another physician or resident / fellow affiliated with UB JSMBS
▢ Used in conversation without a specific reference
▢ Other (please specify): ________________________________________________ 17i Was the above incident reported to administration?
o Yes
o No
o Not sure 18i Please feel free to comment on why the incident may not have been reported:
________________________________________________________________
________________________________________________________________
________________________________________________________________
________________________________________________________________
________________________________________________________________
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19i In your opinion, did the administration respond appropriately to address the incident?
o Yes
o No
o Not sure 20i Please feel free to comment on the incident:
________________________________________________________________
________________________________________________________________
________________________________________________________________
________________________________________________________________
________________________________________________________________ Page Break
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21i Have you ever heard a medical student at UB JSMBS make a derogatory remark, based on the following distinctions of identity? (Select all that apply or select "N/A" if you have not experienced this.)
▢ Age
▢ Sex
▢ Gender identity
▢ Intellectual ability
▢ Physical ability
▢ Race / ethnicity
▢ Religious affiliation
▢ Sexual orientation
▢ Socioeconomic status of origin
▢ Other (please specify): ________________________________________________
▢ N/A
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22i Who were derogatory remarks from the medical student at UB JSMBS made in reference to? (Select all that apply)
▢ A patient
▢ You
▢ Another medical student at UB JSMBS
▢ A faculty / administration member at UB JSMBS
▢ A physician or resident / fellow affiliated with UB JSMBS
▢ Used in conversation without a specific reference
▢ Other (please specify): ________________________________________________ 23i Was the above incident reported to administration?
o Yes
o No
o Not sure 24i Please feel free to comment on why the incident may not have been reported:
________________________________________________________________
________________________________________________________________
________________________________________________________________
________________________________________________________________
________________________________________________________________
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25i In your opinion, did the administration respond appropriately to address the situation?
o Yes
o No
o Not sure 26i Please feel free to comment about the situation:
________________________________________________________________
________________________________________________________________
________________________________________________________________
________________________________________________________________
________________________________________________________________ Page Break
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27i Have you ever felt excluded at UB JSMBS, based on any of the following aspects of your identity? (Select all that apply or select "N/A" if you have not felt this way.)
▢ Age
▢ Sex
▢ Gender identity
▢ Intellectual ability
▢ Physical ability
▢ Race / ethnicity
▢ Religious affiliation
▢ Sexual orientation
▢ Socioeconomic status of origin
▢ Other (please specify): ________________________________________________
▢ N/A 28i Please feel free to elaborate upon your previous answer:
________________________________________________________________
________________________________________________________________
________________________________________________________________
________________________________________________________________
________________________________________________________________ Page Break
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29i Do you feel that any of the following aspects of your identity have adversely affected how faculty / administration members at UB JSMBS have treated you and/or graded you? (Select all that apply or select "N/A" if you have not felt this way.)
▢ Age
▢ Sex
▢ Gender identity
▢ Intellectual ability
▢ Physical ability
▢ Race / ethnicity
▢ Religious affiliation
▢ Sexual orientation
▢ Socioeconomic status of origin
▢ Other (please specify): ________________________________________________
▢ N/A 30i Please feel free to elaborate upon your previous answer:
________________________________________________________________
________________________________________________________________
________________________________________________________________
________________________________________________________________
________________________________________________________________
Page 331 of 344
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31i With regards to your experience as a medical student at UB JSMBS, please select any of the following aspects of your identity you feel uncomfortable disclosing in a SOCIAL setting. (Select all that apply or select "N/A" if you have not felt this way.)
▢ Age
▢ Sex
▢ Gender identity
▢ Intellectual ability
▢ Physical ability
▢ Race / ethnicity
▢ Religious affiliation
▢ Sexual orientation
▢ Socioeconomic status of origin
▢ Other (please specify): ________________________________________________
▢ N/A 32i Please feel free to elaborate upon your answer above:
________________________________________________________________
________________________________________________________________
________________________________________________________________
________________________________________________________________
________________________________________________________________
Page 333 of 344
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33i With regards to your experience as a medical student at UB JSMBS, please select any of the following aspects of your identity you feel uncomfortable disclosing in a PROFESSIONAL setting. (Select all that apply or select "N/A" if you have not felt this way.)
▢ Age
▢ Sex
▢ Gender identity
▢ Intellectual ability
▢ Physical ability
▢ Race / ethnicity
▢ Religious affiliation
▢ Sexual orientation
▢ Socioeconomic status of origin
▢ Other (please specify): ________________________________________________
▢ N/A 34i Please feel free to elaborate upon your answer above:
________________________________________________________________
________________________________________________________________
________________________________________________________________
________________________________________________________________
________________________________________________________________
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35i Have you ever witnessed or known someone who has experienced an episode of sexual harassment or sexual assault? (Select all that apply)
▢ No
▢ Yes -- sexual harassment
▢ Yes -- sexual assault 36i Was there a clear method of reporting such incidents available for you?
o Yes
o No
o Not sure Page Break
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37i Who was the perpetrator in the incident of sexual harassment? (Select all that apply)
▢ A patient
▢ Another medical student at UB JSMBS
▢ A faculty / administration member at UB JSMBS
▢ A physician or resident / fellow affiliated with UB JSMBS
▢ Someone outside of the UB JSMBS network
▢ Other (please specify): ________________________________________________ 38i Who was the victim in the incident of sexual harassment? (Select all that apply)
▢ A patient
▢ You
▢ Another medical student at UB JSMBS
▢ A faculty / administration member at UB JSMBS
▢ A physician or resident / fellow affiliated with UB JSMBS
▢ Someone outside of the UB JSMBS network
▢ Other (please specify): ________________________________________________
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39i Was the above incident reported to administration?
o Yes
o No
o Not sure 40i In your opinion, did the administration respond appropriately to address the situation?
o Yes
o No
o Not sure 41i Following this incident, have you felt safe as a medical student at UB JSMBS?
o Yes
o No 42i Please feel free to comment on the incident:
________________________________________________________________
________________________________________________________________
________________________________________________________________
________________________________________________________________
________________________________________________________________ Page Break
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43i Who was the perpetrator in the incident of sexual assault? (Select all that apply)
▢ A patient
▢ Another medical student at UB JSMBS
▢ A faculty / administration member at UB JSMBS
▢ A physician or resident / fellow affiliated with UB JSMBS
▢ Someone outside of the UB JSMBS network
▢ Other (please specify): ________________________________________________ 44i Who was the victim in the incident of sexual assault? (Select all that apply)
▢ A patient
▢ You
▢ Another medical student at UB JSMBS
▢ A faculty / administration member at UB JSMBS
▢ A physician or resident / fellow affiliated with UB JSMBS
▢ Someone outside of the UB JSMBS network
▢ Other (please specify): ________________________________________________
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45i Was the above incident reported to administration?
o Yes
o No
o Not sure 46i In your opinion, did the administration respond appropriately to address the situation?
o Yes
o No
o Not sure 47i Following this incident, have you felt safe as a medical student at UB JSMBS?
o Yes
o No 48i Please feel free to comment on the incident:
________________________________________________________________
________________________________________________________________
________________________________________________________________
________________________________________________________________
________________________________________________________________ Page Break
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49i With regards to your experience as a medical student at UB JSMBS, have you ever feared for your safety?
o Yes
o No 50i Who caused you to fear for your safety? (Select all that apply)
▢ A patient
▢ Another medical student at UB JSMBS
▢ A faculty / administration member at UB JSMBS
▢ A physician or resident / fellow affiliated with UB JSMBS
▢ Other (please specify): ________________________________________________ 51i Please feel free to add any additional comments:
________________________________________________________________
________________________________________________________________
________________________________________________________________
________________________________________________________________
________________________________________________________________ Page Break
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52i Please indicate your level of satisfaction with the following:
Very dissatisfied Dissatisfied Satisfied Very satisfied N/A
Adequacy of the medical
school's student
mistreatment policy
o o o o o Adequacy of
the mechanisms
to report mistreatment
o o o o o Adequacy of
medical school
activities to prevent
mistreatment
o o o o o Page Break
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End of Block: i - Diversity / Inclusion Start of Block: j - Survey Completion 1j Please feel free to comment on any aspect of UB JSMBS and/or your overall experience as a medical student at UB JSMBS:
________________________________________________________________
________________________________________________________________
________________________________________________________________
________________________________________________________________
________________________________________________________________ Page Break
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2j You are about to submit the survey. Once you submit, you will automatically be redirected to a Google Form, which you should fill out for participation prize consideration. If you would like to change any of your previous answers, you may press the "back" button.
End of Block: j - Survey Completion
