XXXXX Evaluation Survey 2019-20

(1)

Thank you for taking the time to complete this evaluation! This survey should take you no more than 10 minutes to complete, and includes questions about your experience in [THE ACADEMY] and your view on continuing education within [THE INSTITUTION].

Your responses are anonymous, and our [THE INSTITUTION] Institutional Review Board determined that this survey was not Human Subjects Research. [1507293] If you have any questions about the survey, please feel free to email XXXX at XXXXX@[THE INSTITUTION]health.org.

Thank you for helping to make [THE ACADEMY] a positive, unique force within [THE INSTITUTION]!

Which was your first Academic Year of [THE ACADEMY]?

2019-2020 2018-2019 2017-2018

Have any of your peers participated in [THE ACADEMY]? Yes No I don't know

Have other members of your team/department participated in [THE ACADEMY]? Yes No I don't know How would you describe [THE ACADEMY] Academy to someone who has never participated in a [THE ACADEMY] event?

Have you created any educational program or content as a result of your participation in [THE ACADEMY]? Yes Somewhat No

We would love to know more about your work! Please describe what you've created as a result of your participation in [THE ACADEMY].

Have you volunteered for more teaching, presenting, or facilitating opportunities since your time in Somewhat [THE ACADEMY]? Yes No

Please describe the teaching, presenting, or facilitating opportunities that you've taken on after your time in [THE ACADEMY].

Have you applied any of the skills you learned through [THE ACADEMY]? Yes Somewhat No Kudos to you! Please describe the skills you've applied that you learned through [THE ACADEMY].

What makes it difficult to apply the skills you've learned in [THE ACADEMY]?

Since your participation in [THE ACADEMY], please indicate how your understanding of the following concepts changed.

My understanding My understanding My understanding My understanding did not change increased a little increased moderately increased a great deal Motivation

Reframing failure Reflection Feedback

Innovative teaching strategies Learning climate

Growth mindset

How relevant was the content you learned in [THE ACADEMY] to your work?

Not at all relevant A little relevant Somewhat relevant Mostly relevant Very relevant

(2)

Please rate your agreement with the following statements about the [THE ACADEMY] Community.

Strongly Disagree Disagree Neither agree nor disagree Agree Strongly Agree I am likely to ask one of my previous [THE ACADEMY] facilitators for mentoring in education.

I am likely to ask one of my previous [THE ACADEMY] facilitators for mentoring in leadership.

I am comfortable reaching out to someone I met through [THE ACADEMY] to ask specific questions (e.g., asking for a contact).

I am comfortable reaching out to someone I met through [THE ACADEMY] to ask for help in my professional growth (e.g., asking for feedback)

I am likely to collaborate with someone I met through [THE ACADEMY].

[THE ACADEMY] Academy feels like a community.

How likely are you to recommend [THE ACADEMY] to others Not at all likely within your team or department? Somewhat likely Likely Very likely

Please rate your agreement with the following statements.

Strongly Disagree Disagree Neither agree nor disagree Agree Strongly Agree [THE ACADEMY] Academy has a unique, positive culture within [THE INSTITUTION].

I think [THE ACADEMY] can change the culture of [THE INSTITUTION] for the better.

What else would you like to say about [THE ACADEMY] Academy or your experience within it?

We'd like to know more about your experience. Please rate your agreement with the following questions about [THE INSTITUTION] Health.

Strongly Disagree Disagree Neither Agree nor Disagree Agree Strongly Agree

[THE INSTITUTION] supports continuing professional development in programs like [THE ACADEMY] Academy.

[THE INSTITUTION] values education.

My leader values my professional development through programs like [THE ACADEMY].

The content I learned through [THE ACADEMY] has direct application in my work area.

Many employees in [THE INSTITUTION] would benefit from [THE ACADEMY].

Demographics

Profession Nurse Physician Pharmacist

Advanced Practitioner (NP, APRN, CNM, PA, etc) Trainee (Resident or Fellow)

Administrator (non-clinical) Other (please describe below) What is your role?

______________________________

How likely are you to attend each of the following if your schedule allowed?

Not at all Likely Somewhat Likely Likely Very Likely [THE ACADEMY] Leadership Journal Club

[THE ACADEMY] Bites (1-hour sessions on various content) [THE ACADEMY] Graphic Medicine 1/2 Day Interactive Event

[THE ACADEMY] Scholars Workshops (1-hour sessions on scholarship skills)