Q3 During which academic year did you complete this international elective? Answered: 2
Skipped: 0
2012-2013
2013-2014
2014-2015
0%
10%
20%
30%
40%
Answer Choices
50%
60%
70%
80%
90%
100%
Responses
2012-2013
0.00%
0
2013-2014
0.00%
0
2014-2015
100.00%
2
Total
2
3 / 43
GH Site Evaluation_NEW MSI/II
Q4 Which student group were you a member of for this international elective? Answered: 2
Skipped: 0
Ethiopia Outreach
India - Banyan
Project Hispaniola
Students Going Global Panama
Vamos Guatemala
None
0%
10%
20%
30%
40%
Answer Choices
50%
60%
70%
80%
90%
100%
Responses
Ethiopia Outreach
0.00%
0
India - Banyan
100.00%
2
Project Hispaniola
0.00%
0
Students Going Global Panama
0.00%
0
Vamos Guatemala
0.00%
0
None
0.00%
0
Total
#
2
Other (please specify)
Date
There are no responses.
4 / 43
GH Site Evaluation_NEW MSI/II
Q5 Dates of Rotation/Elective (DD/MM/YY DD/MM/YY): Answered: 2
Skipped: 0
#
Responses
Date
1
12/12/14-27/12/14
1/16/2015 1:48 PM
2
12/12/14 - 27/12/14
1/12/2015 8:53 PM
5 / 43
GH Site Evaluation_NEW MSI/II
Q6 In what country was your international elective site located? Answered: 2
Skipped: 0
Argentina Dominican Republic Ethiopia
Guatemala
India
Panama
Peru Other (please specify) 0%
10%
20%
30%
40%
Answer Choices
50%
60%
70%
80%
90%
100%
Responses
Argentina
0.00%
0
Dominican Republic
0.00%
0
Ethiopia
0.00%
0
Guatemala
0.00%
0
India
100.00%
2
Panama
0.00%
0
Peru
0.00%
0
Other (please specify)
0.00%
0
Total
#
2
Other (please specify)
Date
There are no responses.
6 / 43
GH Site Evaluation_NEW MSI/II
Q7 In what city/town was your international elective site located? Answered: 2
Skipped: 0
Addis Ababa
Aleta Wondo
Buenos Aires
Canazas
Chennai
Cusco
Guatemala City
La Romana
Quetzaltenango Other (please specify) 0%
10%
20%
30%
40%
Answer Choices
50%
60%
70%
80%
90%
100%
Responses
Addis Ababa
0.00%
0
Aleta Wondo
0.00%
0
Buenos Aires
0.00%
0
Canazas
0.00%
0
Chennai
100.00%
2
Cusco
0.00%
0
Guatemala City
0.00%
0
La Romana
0.00%
0
Quetzaltenango
0.00%
0
Other (please specify)
0.00%
0
Total Respondents: 2
#
Other (please specify)
Date
7 / 43
GH Site Evaluation_NEW MSI/II There are no responses.
8 / 43
GH Site Evaluation_NEW MSI/II
Q8 Name of Host Organization/Institution: Answered: 2
Skipped: 0
Academia de Buenos Aires Common River Clinica de Familia La... Clinica Familiar de... Hogar Luis Amigo/Dana... IFRE Volunteers
The Banyan Universidad De Panama Medic... Other (please specify) 0%
10%
20%
30%
40%
Answer Choices
50%
60%
70%
80%
90%
100%
Responses
Academia de Buenos Aires
0.00%
0
Common River
0.00%
0
Clinica de Familia La Romana
0.00%
0
Clinica Familiar de Luis Angel Garcia (CFLAG)
0.00%
0
Hogar Luis Amigo/Dana Mannen
0.00%
0
IFRE Volunteers
0.00%
0
The Banyan
100.00%
2
Universidad De Panama Medical School
0.00%
0
Other (please specify)
0.00%
0
Total Respondents: 2
#
Other (please specify)
Date
There are no responses.
9 / 43
GH Site Evaluation_NEW MSI/II
Q9 Name of Preceptor/Mentor: Answered: 2
Skipped: 0
Dr. Alex Foster
Dr. Andy Muck
Dr. Christine Zink Dr. Hector Caraballo
Dr. Renu Weiss Dr. Richard Usatine Dr. Ruth Berggren Dr. Ted Wu Dr. Tyler Curiel Other (please specify) 0%
10%
20%
30%
40%
Answer Choices
50%
60%
70%
80%
90%
100%
Responses
Dr. Alex Foster
0.00%
0
Dr. Andy Muck
0.00%
0
Dr. Christine Zink
0.00%
0
Dr. Hector Caraballo
0.00%
0
Dr. Renu Weiss
100.00%
2
Dr. Richard Usatine
0.00%
0
Dr. Ruth Berggren
0.00%
0
Dr. Ted Wu
0.00%
0
Dr. Tyler Curiel
0.00%
0
Other (please specify)
0.00%
0
Total Respondents: 2
#
Other (please specify)
Date
There are no responses.
10 / 43
GH Site Evaluation_NEW MSI/II
Q10 Total cost of elective: Answered: 1
Skipped: 1
#
Responses
Date
1
3000
1/16/2015 1:48 PM
11 / 43
GH Site Evaluation_NEW MSI/II
Q11 Did you receive a scholarship for this elective (check all that apply)? Answered: 2
Skipped: 0
No scholarship
Dean's Travel Scholarship
Other (please specify)
0%
10%
20%
30%
40%
Answer Choices
50%
60%
70%
80%
90%
100%
Responses
No scholarship
0.00%
0
Dean's Travel Scholarship
100.00%
2
Other (please specify)
0.00%
0
Total Respondents: 2
#
Other (please specify)
Date
There are no responses.
12 / 43
GH Site Evaluation_NEW MSI/II
Q12 Before leaving the United States, approximately how many hours did you spend planning this elective? Please provide your best estimate. Answered: 2
Skipped: 0
#
Responses
Date
1
25
1/16/2015 1:48 PM
2
40
1/12/2015 8:53 PM
13 / 43
GH Site Evaluation_NEW MSI/II
Q13 Approximately how many hours did you spend working/engaged in work at your elective site? Please provide your best estimate. Answered: 2
Skipped: 0
#
Responses
Date
1
65
1/16/2015 1:48 PM
2
50
1/12/2015 8:53 PM
14 / 43
GH Site Evaluation_NEW MSI/II
Q14 How many people/patients benefited from your work at this elective site? [Approximately how many people did you interact with while on this rotation? Please provide your best estimate considering all of the patients you saw, the number of people who participated in a survey, the number of people reached through health education, etc.] Answered: 2
Skipped: 0
#
Responses
Date
1
200
1/16/2015 1:48 PM
2
200
1/12/2015 8:53 PM
15 / 43
GH Site Evaluation_NEW MSI/II
Q15 Where did you find out about this elective/program? (Please check all that apply) Answered: 2
Skipped: 0
Classmate
Elective Course
Orientation
Texas Humanities...
Facebook
Other (please specify) 0%
10%
20%
30%
40%
Answer Choices
50%
60%
70%
80%
90%
100%
Responses
Classmate
100.00%
2
Elective Course
0.00%
0
Orientation
0.00%
0
Texas Humanities Website
0.00%
0
Facebook
0.00%
0
Other (please specify)
0.00%
0
Total Respondents: 2
#
Other (please specify)
Date
There are no responses.
16 / 43
GH Site Evaluation_NEW MSI/II
Q16 Please rate how well prepared you were for this elective site? Answered: 2
Skipped: 0
Poor
Fair
Fine
Good
Excellent
0%
10%
20%
30%
40%
Answer Choices
50%
60%
70%
80%
90%
100%
Responses
Poor
0.00%
0
Fair
0.00%
0
Fine
0.00%
0
Good
50.00%
1
Excellent
50.00%
1
Total
2
17 / 43
GH Site Evaluation_NEW MSI/II
Q17 Please explain why you felt/didn't feel prepared? Answered: 1
Skipped: 1
#
Responses
Date
1
They provided a manual for the program with all the relevant information for us
1/16/2015 1:54 PM
18 / 43
GH Site Evaluation_NEW MSI/II
Q18 Which Global Health elective were you enrolled in? Answered: 2
Skipped: 0
ELEC 5047: Global Healt...
ELEC 5057: Leadership i...
0%
10%
20%
30%
40%
Answer Choices
50%
60%
70%
80%
90%
100%
Responses
ELEC 5047: Global Health Enrichment Elective
100.00%
2
ELEC 5057: Leadership in Global Health
0.00%
0
Total
2
19 / 43
GH Site Evaluation_NEW MSI/II
Q19 Which session(s) from your electives(s) were most useful/helpful for your work at your site? Answered: 1
Skipped: 1
#
Responses
Date
1
Infectious Illness sessions
1/16/2015 1:54 PM
20 / 43
GH Site Evaluation_NEW MSI/II
Q20 What information could have been provided that would have been of benefit for you at your elective site? Answered: 1
Skipped: 1
#
Responses
Date
1
More about the cultural norms of the region
1/16/2015 1:54 PM
21 / 43
GH Site Evaluation_NEW MSI/II
Q21 What skills could have been provided that would have been of benefit for you at your elective site? Answered: 1
Skipped: 1
#
Responses
Date
1
I felt I was adequately prepared for the skills needed at this job site
1/16/2015 1:54 PM
22 / 43
GH Site Evaluation_NEW MSI/II
Q22 What suggestions do you have to improve student preparation for this international elective? Answered: 1
Skipped: 1
#
Responses
Date
1
Keep the manual up to date.
1/16/2015 1:54 PM
23 / 43
GH Site Evaluation_NEW MSI/II
Q23 What accomodations did you have? Answered: 2
Skipped: 0
Dormitory
Home-stay
Hotel
Hut
Other (please specify)
0%
10%
20%
30%
40%
Answer Choices
50%
60%
70%
80%
90%
100%
Responses
Dormitory
0.00%
0
Home-stay
0.00%
0
Hotel
0.00%
0
Hut
0.00%
0
Other (please specify)
100.00%
2
Total Respondents: 2
#
Other (please specify)
Date
1
Apartment
1/17/2015 10:23 AM
2
Apartment
1/12/2015 8:55 PM
24 / 43
GH Site Evaluation_NEW MSI/II
Q24 How would you rate the suitability and comfort of your accommodations? Answered: 2
Skipped: 0
Poor
Fair
Fine
Good
Excellent
0%
10%
20%
30%
40%
Answer Choices
50%
60%
70%
80%
90%
100%
Responses
Poor
0.00%
0
Fair
0.00%
0
Fine
0.00%
0
Good
100.00%
2
Excellent
0.00%
0
Total
2
25 / 43
GH Site Evaluation_NEW MSI/II
Q25 How could your accommodations have been improved? Answered: 1
Skipped: 1
#
Responses
Date
1
They were suitable for the length of stay. They included a washer and dryer and stove.
1/17/2015 10:23 AM
26 / 43
GH Site Evaluation_NEW MSI/II
Q26 What was the source of meals while at your elective site? (Please check all that apply) Answered: 2
Skipped: 0
Prepared own meals
Cafeteria
Home stay/Meals...
Restaurants
Other (please specify)
0%
10%
20%
30%
40%
50%
60%
Answer Choices
70%
80%
90%
100%
Responses
Prepared own meals
100.00%
2
Cafeteria
0.00%
0
Home stay/Meals prepared at accommodation
0.00%
0
Restaurants
50.00%
1
Other (please specify)
50.00%
1
Total Respondents: 2
#
Other (please specify)
Date
1
We were provided breakfast and lunch at the Banyan and cooked for ourselves at dinner.
1/17/2015 10:23 AM
27 / 43
GH Site Evaluation_NEW MSI/II
Q27 How would you rate the quality of food while at your elective site? Answered: 2
Skipped: 0
Poor
Fair
Fine
Good
Excellent
0%
10%
20%
30%
40%
Answer Choices
50%
60%
70%
80%
90%
100%
Responses
Poor
0.00%
0
Fair
0.00%
0
Fine
0.00%
0
Good
0.00%
0
Excellent
100.00%
2
Total
2
28 / 43
GH Site Evaluation_NEW MSI/II
Q28 What type(s) of ground transportation did you utilize during your elective? Answered: 2
Skipped: 0
Walk
Train
Cab
Car
Motorcycle
Bicycle
Other (please specify) 0%
10%
20%
30%
40%
Answer Choices
50%
60%
70%
80%
90%
100%
Responses
Walk
100.00%
2
Train
0.00%
0
Cab
100.00%
2
Car
50.00%
1
Motorcycle
0.00%
0
Bicycle
0.00%
0
Other (please specify)
0.00%
0
Total Respondents: 2
#
Other (please specify)
Date
There are no responses.
29 / 43
GH Site Evaluation_NEW MSI/II
Q29 Was the ground transportation safe? Answered: 2
Skipped: 0
Not Very
Fair
Fine
Good
Very
0%
10%
20%
30%
40%
Answer Choices
50%
60%
70%
80%
90%
100%
Responses
Not Very
50.00%
1
Fair
0.00%
0
Fine
50.00%
1
Good
0.00%
0
Very
0.00%
0
Total
2
30 / 43
GH Site Evaluation_NEW MSI/II
Q30 Please describe your duties while at your international elective site. Answered: 2
Skipped: 0
#
Responses
Date
1
Perform physical exams, teach 2 sessions of preventative medicine
1/17/2015 10:37 AM
2
Seeing patients
1/12/2015 8:56 PM
31 / 43
GH Site Evaluation_NEW MSI/II
Q31 Was your site preceptor/mentor helpful? Answered: 2
Skipped: 0
Not Very
Fair
Fine
Good
Very
0%
10%
20%
30%
40%
Answer Choices
50%
60%
70%
80%
90%
100%
Responses
Not Very
0.00%
0
Fair
0.00%
0
Fine
0.00%
0
Good
0.00%
0
Very
100.00%
2
Total
2
32 / 43
GH Site Evaluation_NEW MSI/II
Q32 Please explain how your preceptor was/was not helpful. Answered: 2
Skipped: 0
#
Responses
Date
1
She was very helpful in explaining to us the findings of the exams as well as providing us with extra knowledge on the
1/17/2015 10:37 AM
treatment and pathogenesis of other conditions. She took her time to explain the current medical problems that India and the mental health community face. 2
She did a great job translating and teachinf
1/12/2015 8:56 PM
33 / 43
GH Site Evaluation_NEW MSI/II
Q33 How would you rate your site preceptor's/mentor's knowledge? Answered: 2
Skipped: 0
Poor
Fair
Fine
Good
Excellent
0%
10%
20%
30%
40%
Answer Choices
50%
60%
70%
80%
90%
100%
Responses
Poor
0.00%
0
Fair
0.00%
0
Fine
0.00%
0
Good
0.00%
0
Excellent
100.00%
2
Total
2
34 / 43
GH Site Evaluation_NEW MSI/II
Q34 How would you rate your preceptor's/mentor's teaching abilities? Answered: 2
Skipped: 0
Poor
Fair
Fine
Good
Excellent
0%
10%
20%
30%
40%
Answer Choices
50%
60%
70%
80%
90%
100%
Responses
Poor
0.00%
0
Fair
0.00%
0
Fine
0.00%
0
Good
0.00%
0
Excellent
100.00%
2
Total
2
35 / 43
GH Site Evaluation_NEW MSI/II
Q35 Please elaborate on their teaching abilities. Answered: 2
Skipped: 0
#
Responses
Date
1
She had amazing patience. She would always take her time to explain things that we saw and understand the medical aspects of our day. She also took the time each day to have a teaching session on a relevant medical topic.
1/17/2015 10:37 AM
2
Excellent
1/12/2015 8:56 PM
36 / 43
GH Site Evaluation_NEW MSI/II
Q36 On average, how much time did your preceptor spend with you during a typical day? Answered: 2
Skipped: 0
0 - 2 hours
2 - 4 hours
4 - 6 hours
6 - 8 hours
8 hours or more
0%
10%
20%
30%
40%
Answer Choices
50%
60%
70%
80%
90%
100%
Responses
0 - 2 hours
0.00%
0
2 - 4 hours
0.00%
0
4 - 6 hours
100.00%
2
6 - 8 hours
0.00%
0
8 hours or more
0.00%
0
Total
2
37 / 43
GH Site Evaluation_NEW MSI/II
Q37 What did you learn from the health center/hospital staff/program staff/site mentor with respect to global health, public health, tropical medicine and/or infectious diseases? Answered: 2
Skipped: 0
#
Responses
Date
1
There are so many diseases in India that could be prevented or treated easily with easy access to care but there are so many barriers to providing affordable care to the masses.
1/17/2015 10:40 AM
2
Global health issues and infectious diseases
1/12/2015 8:56 PM
38 / 43
GH Site Evaluation_NEW MSI/II
Q38 What awareness of the host country's health care system/situation did you acquire? Answered: 2
Skipped: 0
#
Responses
Date
1
Inaccessibility to health care, corruption affecting health care, private vs public hospitals.
1/17/2015 10:40 AM
2
How the healthcare system works
1/12/2015 8:56 PM
39 / 43
GH Site Evaluation_NEW MSI/II
Q39 How likely are you to recommend this site to a peer (another MD or MD/MPH student)? Answered: 2
Skipped: 0
Not likely
Somewhat unlikely
Not sure
Somewhat likely
Very likely
0%
10%
20%
30%
40%
Answer Choices
50%
60%
70%
80%
90%
100%
Responses
Not likely
0.00%
0
Somewhat unlikely
0.00%
0
Not sure
0.00%
0
Somewhat likely
0.00%
0
Very likely
100.00%
2
Total
2
40 / 43
GH Site Evaluation_NEW MSI/II
Q40 Please explain why you would/would not recommend to another student. Answered: 2
Skipped: 0
#
Responses
Date
1
I loved this trip. It really opens you eyes to a world of medicine that doesn't involve the infrastructure that we have in the first world. Being knowledgable and resourceful in those settings are absolutely essential. It is something that would never be taught in the US.
1/17/2015 10:40 AM
2
The trip was well organized
1/12/2015 8:56 PM
41 / 43
GH Site Evaluation_NEW MSI/II
Q41 What suggestions do you have to improve this elective site/program? Answered: 0
