S. No. _ _ _/AKU/DMC
         (For official use)
INFLUENCE OF COMMUNITY ORIENTED MEDICAL EDUCATION ON CAREER CHOICES AND MEDICAL PRACTICE
 

A Survey of the Aga Khan University and Dow Graduates

The students and graduates of The Aga Khan University and Dow Medical College are the most important "products" of these institutions. The leadership at the Aga Khan University is intensely interested in your plans. You represent part of a "stratified, random sample of AKU and Dow graduates through whom we hope to learn about student's activities, career plans, and achievements.

Please take a few minutes to complete this questionnaire, and return it to us on the website or you may mail the duly completed questionnaire to:

Dr. Amanullah Khan
Department of Community Health Sciences
The Aga Khan University,
Stadium Road,
Karachi, Pakistan
 
 

If you so desire, you may obtain a copy of the final results by writing to Drs. Asma Fozia Qureshi or Camer Vellani.

Thank you very much for your time. 



IMPORTANT NOTE:    This page is under construction. We will upload the questionarre in a "internet form" format in the first week of August. Till that time you can copy and paste the form fill the blanks and e-mail to:
chsaku@cyber.net.pk
 
 
S. No. _ _ _/AKU/DMC
         (For official use)
INFLUENCE OF COMMUNITY ORIENTED MEDICAL EDUCATION ON CAREER CHOICES AND MEDICAL PRACTICE
A Survey of the Aga Khan University and Dow Graduates

Instructions: Please answer each question by ticking the appropriate blank(s) or cells. Feel free to write on the back of the page or on additional sheets.

1. Name:       __________________________

2. Sex:  1. Male  2.Female
 Nationality:
3. Respondent     ___________________________
4. Spouse      ___________________________
5. Parents      ___________________________

6. Date of birth (day, month, year)         --/--/----

7. Place of birth       ______________

8.  Place of permanent domicile    _____________________
 
9. Current Work Address:   ___________________________
       ___________________________
       ___________________________

10. Current Mailing Address:   ___________________________       ___________________________
       ___________________________

11. What was your overall score in percentage that you achieved in your  intermediate college or "A" levels or equivalent examination that you  appeared in?                __________

 
12. Graduate of
 1.  AKU  2.  DMC

13. Year of Graduation from Medical College    19--

14. Overall score of MBBS Final (percentage)    _________

 USMLE/FMGEMS Scores (if applicable)
15. Step1/ Day1        _________
16. Step 2/ Day 2

 Honours/ Awards/ Distinctions:
17. At AKU/DMC         _________________________________
      _________________________________
      _________________________________
18. At other post-graduate institutions _________________________________
      _________________________________      _________________________________
19. Postgraduate qualifications (Year) _________________________________

20. Training after MBBS and work experience

 1. Internship/ House-job
 2. Resident/ RMO (Specify field)  _________________
 3. Basic Science Postgraduate Program
 4. Other (Specify field)    ________________
 

21. Nature of work during training (multiple codes possible, tick all applicable)
 1.Research 2.Clinical 3.Teaching     __/ __ / __

22. What is your present position?

 1. Internship/ House-job        2. Resident/ RMO (Specify field) _____________
 3. In Practice  (Specify speciality)   _____________
 4. Basic Science Postgraduate Program
 5. Other, specify     ______________

23. Nature of  present work (multiple codes possible, tick all applicable)
 1.Research 2.Clinical 3.Teaching    __/ __ / __
 
24. What other experiences have you had before your current position?

Experience Title  Affiliation (Institution) From - To
month/year
 
Service (Clinical)
 
 
 
Research
 
 
Teaching
   Undergraduate
   Postgraduate
 
Administration

How many indexed publications do you have to your credit as:

25.  primary author       _________

26. or other (second, third,  ........ author)     _________

27. Have you worked with any social organizations/association/NGO?
 1. Yes   2. No

28. Please specify your association and nature of work with reference to Q28

 _______________________________________________________________ _______________________________________________________________ _______________________________________________________________
 
 

29. Regarding your likely medical career over the next  5 years, how do you  foresee allocating your time?
 

Activity Percent of Time
 
29a. Clinical care
29b. Teaching
29c. Research
29d. Community Health/ Public Health Service
29e. Other specify
Total   100%

30. Please elaborate if you wish (Use extra sheet if necessary)
__________________________________________________________________________________________________________________________________________

31. Which of the following specialty do you foresee practicing in or are already  practicing?
 
1.Internal medicine
2.General surgery
3.Pediatrics
4.Obstertrics-gynecology
5.Ophthalmology
6.Ear, nose, and throat
7.Psychiatry
8.Family Medicine/ General Practice
9.Dermatology
10.Radiology
11.Community Medicine/ Public Health
12. Cardiology
13.Others (Specify)                                                                       _____________
14.Not decided
 
32. Where would you like to settle 10 years from now?
 1. Pakistan, specify location:_______________
 2. Europe, specify country:________________
 3. North America, specify country___________
 4. Other, specify________________________
 5.  Don't know

33. And 10 years from now, where would you like to practice?
 1. Small town or rural area (population <50,000)
 2. Small city (population 50,000 - 250,000)
 3._____Medium city (population >250,000-1,000,000)
 4._____Large city (population >1,000,000)
 5._____Don't know

34. Please elaborate if you wish.
 _______________________________________________________________ _______________________________________________________________ _______________________________________________________________

35. Have you changed your career after graduation?

 1. Yes   2. No

36. If yes, to what. Please specify     _______________

37. Has your choice of a career specialty changed since graduation from  AKU/DMC?
 1.Yes   2.No

38. Has your choice of career location changed since graduation from AKU/DMC?

 1.Yes   2.No

39. If yes, from what to what?
 _______________________________________________________________ _______________________________________________________________

40. And, if yes, why?
 _______________________________________________________________ _______________________________________________________________

Individuals who did not join a residency program (RMO) should skip Q42

41. At the commencement of your residency program (RMO), compared to your  residency colleagues (RMOs) how well were you prepared in:

Skill area much worse
(=1) a bit worse
(=2) the same
(=3) a bit better
(=4) much better
(=5)
History taking      A. ____
Physical examination      B. ____
Interpretation of  lab. reports, X-Rays, tests etc.      C. ____
Patient management      D. ____
Diagnosis      E. ____
Behavioral Sciences      F. ____
Library/information skills      G. ____
Communication skills      H. ____
Basics of your chosen field      I.  ____
Primary Care      J.  ____
Basic Sciences      K. ____
Research      L.  ____
Computer skills      M. ____
Preventive medicine      N. ____
Continuity of Clinical Care      O.  ____
Prevention of disease      P. ____
Ethics      Q. ____
Taking informed consent      R ____
Team work      S. ____
Overall      T. ____
42. If you had your undergraduate medical education to do over again, would you  like less, about the same or more of:

Discipline Less
(=1) Same
(=2) More
(=3) Don't Know
(=4)
General Medicine     A: _____
Psychiatry     B: _____
Family Medicine     C: _____
General Surgery     D: _____
Pediatrics     E: _____
Obstetrics/Gynaecology     F: _____
Community Health/Medicine     G: _____
ENT     H: _____
Dermatology     I:  _____
Ophthalmology     J: _____
Cardiology     K: _____
Orthopedics     L: _____
Anatomy     M: _____
Biochemistry     N:  _____
Physiology     O: ______
Pharmacology     P:_______
Pathology     Q:______
Microbiology     R:______
Forensice Medicine     S:______
Elective Studies     T:______
Research     U:______
Other (Specify)     V: ______

43. How often do you use the following tools or concepts of community health in  your present activities?

Tools or Concepts Never Rarely
(1-2 times/ year) Sometimes
(3-12 times/ year) Frequently
>12 times/year
Epidemiology
Biostatistics
Health Promotion
Equity
Primary Health Care or MCH or immunization
Community Participation
Health System Planning & Management

44. Has Community Oriented Medical Education influenced your practice of  medicine?

 1.Yes   2.No  3. Not applicable
45. If yes, what influence has Community Oriented Medical Education had on your practice of medicine? ____________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

46. Concerning your residency or postgraduate institution, is it closely linked to   the surrounding community's health care system(s)?
 1. Yes   2. No

47. Please elaborate
____________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

48. Is this a 1. Strength  2.Weakness  3. Not important  Why? (Explain) _______________________________________________________________________________________________________________________________________________________________________________________________________________

(A small quiz) Please write short statements expressing your understanding about:

49.  Epidemiology:  _______________________________________________________________ _______________________________________________________________ _______________________________________________________________ _______________________________________________________________ _______________________________________________________________

50. Health:
 _______________________________________________________________ _______________________________________________________________ _______________________________________________________________ _______________________________________________________________ _______________________________________________________________

51. Equity:
 _______________________________________________________________ _______________________________________________________________ _______________________________________________________________ _______________________________________________________________ _______________________________________________________________

52. Are you involved in any community health activities?

 1.Yes  2. No.
53. If yes, please describe
specifically_____________________________________________________ _______________________________________________________________ _______________________________________________________________ __________________

54. Did you have a role model during your undergraduate medical education?
 (If no, then skip to Q57)

 1. Yes  2. No
55. Was he/she a physician?
 (If no, then skip to Q57)

 1. Yes  2. No
 

56. If he/she is a physician, what is his/her field of practice?      ____________
 

57. How would your rate each of the factors mentioned below to have influenced  your career choice?
Factors Very strong influence Strong influence Moderate influence Little influence No influence
A. Personal social values
B. Internship/ residency
C. Role models during  medical school
D. Role models after medical school
E. Clinical years in undergraduate training
F. Desired practice setting
G. Desired geographic location
H. Commitment based on own family background.
I. Obligation to serve
J. Spouse
K. Parental preferences
L. Policies and mission of medical school
M. Interact closely with patients
N. Burden of disease in the society
O. Contribute to society
P. Physician parent
Q. Personal interest
R. Few specialists in the country
S. Presumed specialty prestige
T. Intellectual challenge
U. Content of specialty
V. Time for leisure activities
W. Time for family activities
Factors Very strong influence Strong influence Moderate influence Little influence No influence
X. Other medical student
Y. Working with new technology
Z. Opportunities for research
a. Family member
b. Income potential
c. Effectiveness of outcome
d. No other option
e. Any other reason(s) (Please specify)

 

58. What is your current income per month? (State currency) ____________
59. What is your father's place of birth?    ____________
60. What is your father's occupation?    _______________

61. Where does he work? (name of village/town/city)  _______________
 
62. What was your fathers income during your training at AKU/DMC?

 1. <Rs. 5000/- per month
 2. Rs. 5000- Rs. 9,999/- per month
 3. Rs. 10,000 - Rs.14,999/-  per month
 4. Rs. 15,000 - Rs. 19,999/- per month
 5. >Rs. 20,000 per month
 6. Not applicable

63. What is your mother's occupation?    _______________

64. What was your mothers income during your training at AKU/DMC?
 1. <Rs. 5000/- per month
 2. Rs. 5000- Rs. 9,999/- per month
 3. Rs. 10,000 - Rs.14,999/-  per month
 4. Rs. 15,0000 - Rs. 19,999/- per month
 5. >Rs. 20,000 per month
 6.  Not applicable

65. The total of your parental income during your training at AKU/DMC was

 1. <Rs. 5000/- per month
 2. Rs. 5000- Rs. 9,999/- per month
 3. Rs. 10,000 - Rs.14,999/-  per month
 4. Rs. 15,000 - Rs. 19,999/- per month
 5. >Rs. 20,000 per month

66. Did you receive any financial assistance during your undergraduate medical  studies?
 1. Yes  2. No
 

67.  Have you repaid your loan?
 1. Yes  2. No  3. Not applicable
 

68. What proportion (%) of your loan have you repaid?   ________
 

Thank you very much for your time and patience. Please do not forget to mail this questionnaire.
 
 
 
 

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(c) 1998 Department of Community Health Sciences.