Table 8. Post-Simulation Survey.
Post-simulation Survey | ||||||
This scenario is part of an educational research study. We are asking for you to participate in this research study, which will involve completing this survey, engaging with the simulation scenarios and debriefing, and completing another survey at the end. Your participation is voluntary, and if you are not interested in having your results included, please check the box below (next to your name) and return the blank survey. There are no risks of participating in this research. If you have any questions about this research, please contact Megan McHenry, MD, MS at . | ||||||
Name: | ||||||
Opt-out of research □ | ||||||
Please mark the response that describes your stance on the following statements. | ||||||
On an enthusiasm scale, how would you generally rate your reaction to an adolescent walking in the door to see you? | ||||||
Pre-simulation | 1 Very Unenthusiastic | 2 Moderately Unenthusiastic | 3 Slightly Unenthusiastic | 4 Slightly Enthusiastic | 5 Moderately Enthusiastic | 6 Strongly Enthusiastic |
Post-simulation | 1 Very Unenthusiastic | 2 Moderately Unenthusiastic | 3 Slightly Unenthusiastic | 4 Slightly Enthusiastic | 5 Moderately Enthusiastic | 6 Strongly Enthusiastic |
Rate what you perceive to be your level of comfort in the following scenarios. For the following questions, we define “comfort” as the ease with which you intellectually, emotionally, and physically feel about doing something. | ||||||
Communicating and gaining rapport with the adolescent | ||||||
Pre-simulation | 1 Very Uncomfortable | 2 Moderately Uncomfortable | 3 Slightly Uncomfortable | 4 Slightly Comfortable | 5 Moderately Comfortable | 6 Strongly Comfortable |
Post-simulation | 1 Very Uncomfortable | 2 Moderately Uncomfortable | 3 Slightly Uncomfortable | 4 Slightly Comfortable | 5 Moderately Comfortable | 6 Strongly Comfortable |
Communicating with the appropriate use of an interpreter | ||||||
Pre-simulation | 1 Very Uncomfortable | 2 Moderately Uncomfortable | 3 Slightly Uncomfortable | 4 Slightly Comfortable | 5 Moderately Comfortable | 6 Strongly Comfortable |
Post-simulation | 1 Very Uncomfortable | 2 Moderately Uncomfortable | 3 Slightly Uncomfortable | 4 Slightly Comfortable | 5 Moderately Comfortable | 6 Strongly Comfortable |
Discussing confidentiality with a patient | ||||||
Pre-simulation | 1 Very Uncomfortable | 2 Moderately Uncomfortable | 3 Slightly Uncomfortable | 4 Slightly Comfortable | 5 Moderately Comfortable | 6 Strongly Comfortable |
Post-simulation | 1 Very Uncomfortable | 2 Moderately Uncomfortable | 3 Slightly Uncomfortable | 4 Slightly Comfortable | 5 Moderately Comfortable | 6 Strongly Comfortable |
Taking a sexual health history from an adolescent | ||||||
Pre-simulation | 1 Very Uncomfortable | 2 Moderately Uncomfortable | 3 Slightly Uncomfortable | 4 Slightly Comfortable | 5 Moderately Comfortable | 6 Strongly Comfortable |
Post-simulation | 1 Very Uncomfortable | 2 Moderately Uncomfortable | 3 Slightly Uncomfortable | 4 Slightly Comfortable | 5 Moderately Comfortable | 6 Strongly Comfortable |
Exploring symptoms of depression in an adolescent | ||||||
Pre-simulation | 1 Very Uncomfortable | 2 Moderately Uncomfortable | 3 Slightly Uncomfortable | 4 Slightly Comfortable | 5 Moderately Comfortable | 6 Strongly Comfortable |
Post-simulation | 1 Very Uncomfortable | 2 Moderately Uncomfortable | 3 Slightly Uncomfortable | 4 Slightly Comfortable | 5 Moderately Comfortable | 6 Strongly Comfortable |
Exploring alcohol and drug issues with an adolescent | ||||||
Pre-simulation | 1 Very Uncomfortable | 2 Moderately Uncomfortable | 3 Slightly Uncomfortable | 4 Slightly Comfortable | 5 Moderately Comfortable | 6 Strongly Comfortable |
Post-simulation | 1 Very Uncomfortable | 2 Moderately Uncomfortable | 3 Slightly Uncomfortable | 4 Slightly Comfortable | 5 Moderately Comfortable | 6 Strongly Comfortable |
Engage in difficult conversations with diverse patient populations | ||||||
Pre-simulation | 1 Very Uncomfortable | 2 Moderately Uncomfortable | 3 Slightly Uncomfortable | 4 Slightly Comfortable | 5 Moderately Comfortable | 6 Strongly Comfortable |
Post-simulation | 1 Very Uncomfortable | 2 Moderately Uncomfortable | 3 Slightly Uncomfortable | 4 Slightly Comfortable | 5 Moderately Comfortable | 6 Strongly Comfortable |
This scenario helped me build skills in understanding cultural humility. | ||||||
Post-simulation | 1 Strongly Disagree | 2 Moderately Disagree | 3 Slightly Disagree | 4 Slightly Agree | 5 Moderately Agree | 6 Strongly Agree |
I learned valuable skills to improve the care of my future patients because of this scenario. | ||||||
Post-simulation | 1 Strongly Disagree | 2 Moderately Disagree | 3 Slightly Disagree | 4 Slightly Agree | 5 Moderately Agree | 6 Strongly Agree |
Please provide any additional comments you may have about today’s scenario: |