Supplemental Digital Appendix 1
Children's National Hospital Minority Senior Scholarship Program - Formal Program Evaluation Survey
Thank you for participating in the Minority Senior Scholarship Program at Children’s National. We are evaluating the program in order to determine our processes and impact and would like to ask you some questions about your experience and impressions. The following survey should take 15 minutes or less to complete.
Please note that all responses will be reviewed in aggregate at the end of all rotations of MSSP and will not be identifiable. We have done this in order to protect your anonymity and ability to answer honestly.
RECRUITMENT
How did you hear about MSSP?
* must provide value
Office of Diversity Diversity Dean Dean, Other Clerkship Director Peer
Mentor
Other, please specify
Why did you choose to apply to MSSP?
* must provide value
Expand Please be specific
Visiting Rotations at institutions other than Children's National
Please indicate whether you will participate/ have participated in the following experiences at ANOTHER INSTITUTION BESIDES CHILDREN'S NATIONAL.
Yes No
Visiting rotation where funding was NOT provided
* must provide value
reset Visiting rotation where funding WAS
provided
* must provide value
reset What influenced your selection of visiting/ funded rotations?
Expand Optional
APPLICATION PROCESS AND ACCEPTANCE NOTIFICATION
Please indicate your agreement with the following statements about the application process and acceptance notification.
Strongly Agree Agree Disagree Strongly
Disagree Not Applicable The application process was easy to
navigate.
* must provide value
reset It was easy to communicate with MSSP
personnel during the application process.
* must provide value
reset I was notified of acceptance in a timely
manner.
* must provide value
reset Resize font:
| Returning?
pediatric residency class diversity to improve patient outcomes and address structural racism. Acad Med.
It was costly to apply for the elective.
* must provide value
reset Please provide any comments regarding the application
process and acceptance notification.
Expand Optional
HOUSING
I needed to find housing arrangements specifically for my rotation at Children's National.
* must provide value
Yes No
reset
MSSP EXPERIENCE
Orientation and Meetings
Please indicate your agreement with the following statements regarding your experience during MSSP.
Strongly Agree Agree Disagree Strongly Disagree
The MSSP orientation email was timely.
* must provide value
reset The MSSP-specific orientation email
was useful.
* must provide value
reset I received funds in a timely manner.
* must provide value
reset There was good communication with
MSSP leadership throughout my rotation.
* must provide value
reset There were the right number of
meetings with mentors and members of the Children's National leadership.
* must provide value
reset There were the right number of MSSP-
specific educational conferences.
* must provide value
reset Please provide comments or suggestions regarding your
experience with orientation, communication, meetings, and funding.
Expand Optional
Networking
Please indicate how useful the following networking activities were for you.
Very Useful Somewhat
Useful Neutral Not Useful Not Applicable Welcome Dinner
* must provide value
reset Happy Hour
* must provide value
reset Farewell Coffee Break
* must provide value
reset Meeting with Chair of Pediatrics (Dr.
Stephen Teach)
* must provide value
pediatric residency class diversity to improve patient outcomes and address structural racism. Acad Med.
Meeting with Pediatric Residency Program Director (Dr. Dewesh Agrawal)
* must provide value
reset Meeting with MSSP Director (Dr. Aisha
Davis)
* must provide value
reset Please provide any comments or suggestions regarding
networking.
Expand Optional
Mentoring
Please indicate your agreement with the following statements regarding mentoring.
Strongly Agree Agree Disagree Strongly
Disagree I did not meet with my mentor.
The meeting(s) with my faculty mentor was (were) useful to me.
* must provide value
reset The meeting(s) with my resident
mentor(s) was (were) useful to me.
* must provide value
reset Please provide any comments or suggestions regarding
mentoring.
Expand Optional
Educational Sessions
Please indicate how useful each session was.
Very Useful Useful Somewhat
Useful Not Useful Not Applicable Introduction - Academic Pediatrics (Dr.
Aisha Davis)
* must provide value
reset Top 10's of Applying to Residency (Dr.
Ed Sepe, Dr. Aisha Davis)
* must provide value
reset Interviewing for Residency (Dr. Aisha
Davis)
* must provide value
reset Capitol Hill (Dr. Amy Grace)
* must provide value
reset Children's Health Center at Shaw/
Comp Clinic (Dr. Clarissa Dudley)
* must provide value
reset Social Determinants of Health (Dr.
Alexandra Sims, Dr. Cara Lichtenstein)
* must provide value
reset Please provide any comments or suggestions regarding the
educational sessions.
Expand Optional
pediatric residency class diversity to improve patient outcomes and address structural racism. Acad Med.
Learning Environment
Please indicate your level of agreement with the following statements regarding the learning environment.
Strongly Agree Agree Disagree Strongly Disagree
The experience offered a good exposure to the learning environment at Children's National.
* must provide value
reset The learning environment at Children's
National is constructive.
* must provide value
reset The opportunities to learn beyond the
rotation-specific and the MSSP conference series are valuable (i.e.
morning report, noon conference, student specific conferences, etc.)
* must provide value
reset Clinical Rotation
Please indicate your level of agreement with the following statements regarding your clinical rotation.
Strongly Agree Agree Disagree Strongly Disagree
I felt welcome in the clinical environment.
* must provide value
reset The educational opportunities offered in
the clinical rotation were valuable.
* must provide value
reset I learned a lot during this rotation.
* must provide value
reset For the learning experiences available,
the amount of time I spent on the rotation was about right.
* must provide value
reset I would be very likely to recommend
this learning experience to another student.
* must provide value
reset Please provide any comments or suggestions about your
clinical rotation.
Expand Optional
CAREER INTERESTS
PRE-MSSP INTERESTS
PRIOR TO participating in MSSP, please indicate how interested you were in the following areas.
Strongly
Agree Agree Neutral Disagree Strongly
Disagree I had not considered it I was interested in pursuing residency
at a free-standing children's hospital.
* must provide value
reset I was interested in pursuing residency
at a large residency program (greater than 100 residents).
* must provide value
reset I was interested in pursuing residency
at Children's National Health System.
* must provide value
reset I was interested in pursuing fellowship
after residency.
* must provide value
pediatric residency class diversity to improve patient outcomes and address structural racism. Acad Med.
I was interested in a career in academic pediatrics (defined as scholarly activities related to research, advocacy, education, quality improvement, patient safety, leadership, community health, or other topics)
* must provide value
reset POST-MSSP INTERESTS
AFTER participating in MSSP, please indicate your current agreement with the following statements.
Strongly
Agree Agree Neutral Disagree Strongly
Disagree I have not considered it I am interested in pursuing residency at
a free-standing children's hospital.
* must provide value
reset I am interested in pursuing residency at
a large residency program (greater than 100 residents)
* must provide value
reset I am interested in pursuing residency at
Children's National Health System.
* must provide value
reset I am interested in pursuing fellowship
after residency.
* must provide value
reset I am interested in a career in academic
pediatrics (defined as scholarly activities related to research, advocacy, education, quality improvement, patient safety, leadership, community health, or other topics).
* must provide value
reset MSSP has had (or will have) a
significant impact on my career.
* must provide value
reset I would recommend MSSP to another
student.
* must provide value
reset Participating in MSSP has made me more likely to pursue a
career in academic pediatrics. (Academic pediatrics is defined as careers in pediatrics, which include engagement in scholarly activities such as research, education, quality improvement, public policy, advocacy, and leadership.)
* must provide value
Strongly Agree Agree Neutral Disagree Strongly Disagree
reset
OVERALL PROGRAM RATING
Please provide an overall rating for your experience during MSSP.
* must provide value
Outstanding Excellent Good Fair Poor
reset
What, if any, impact did MSSP have on your career?
* must provide value
Expand
pediatric residency class diversity to improve patient outcomes and address structural racism. Acad Med.
Other Comments
Expand Optional
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