Program Resource Survey

STUDENT

PROGRAM RESOURCE SURVEY

NAME OF INSTITUTION

The purpose of this survey instrument is to evaluate our program resources. The data compiled will aid the program in an ongoing process of program improvement.

INSTRUCTIONS: Consider each item separately and rate each item independently of all others. Circle the rating that indicates the extent to which you agree with each statement. Please do not skip any rating. If you do not know about a particular area, please circle N/A.

5 = Strongly Agree4 = Generally Agree3 = Neutral (acceptable)2 = Generally Disagree1 = Strongly DisagreeN/A = Not Applicable

I.PERSONNEL RESOURCES (PROGRAM FACULTY)

A.FACULTY TEACH EFFECTIVELY:

1.In the classroom54321N/A

2.In the laboratory54321N/A

3.In the clinical area54321N/A

B.FACULTY NUMBER IS ADEQUATE:

1.In the classroom54321N/A

2.In the laboratory54321N/A

3.In the clinical area54321N/A

C.FACULTY MEMBERS HAVE GOOD RAPPORT

WITH STUDENTS.54321N/A

D.FACULTY MEMBERS ARE WILLING

TO HELP STUDENTS WITH ACADEMIC NEEDS.54321N/A

Comments:

II.PHYSICAL RESOURCES

A.INSTRUCTIONAL RESOURCES: CLASSROOMS

Are adequate in size.54321N/A

2.Have adequate lighting.54321N/A

3.Contain adequate seating.54321N/A

4.Have adequate ventilation.54321N/A

5.Are provided with appropriate equipment to

support effective instruction54321N/A

5 = Strongly Agree4 = Generally Agree3 = Neutral (acceptable)2 = Generally Disagree1 = Strongly DisagreeN/A = Not Applicable

B.INSTRUCTIONAL RESOURCES: LABORATORY

1.Is adequate in size.54321N/A

2.Has adequate lighting.54321N/A

3.Has adequate seating.54321N/A

4.Has adequate ventilation.54321N/A

Is equipped with the amount of equipment necessary for

student performance of required laboratory exercises.54321N/A

6.Is equipped with the variety of equipment necessary for

student performance of required laboratory exercises.54321N/A

7.Is equipped with the amount of supplies necessary for

student performance of required laboratory exercises.54321N/A

8.Is equipped with the variety of supplies necessary for

student performance of required laboratory exercises.54321N/A

9.Activities prepare the student to perform

effectively in the clinical setting.54321N/A

10.Is accessible to students outside regularly

scheduled class times.54321N/A

Comments:

III.LEARNING RESOURCES

A.LIBRARIES (SCHOOL AND/OR CLINICAL AFFILIATES LIBRARIES)

1.The program faculty and/or the library personnel, offer

orientation and demonstration of the library services.54321N/A

2.The institutional library personnel provide assistance

to the students when needed.54321N/A

3.The libraries provide sufficient materials to support

classroom assignments.54321N/A

4.The library hours are convenient to student schedules.54321N/A

Program assignments require the use of library

resources.54321N/A

B.STUDENT INSTRUCTIONAL SUPPORT SERVICES (TUTORS, COMPUTER LAB, ETC.)

Tutors provide assistance to the students when needed.54321N/A
Audiovisual and computer equipment are available

to students for class assignments and activities.54321N/A

Computer resources are adequate to support the curriculum.54321N/A
Student Instructional Support Services are readily

accessible to all students.54321N/A

Comments:

5 = Strongly Agree4 = Generally Agree3 = Neutral (acceptable)2 = Generally Disagree1 = Strongly DisagreeN/A = Not Applicable

IV.CLINICAL RESOURCES

A.CLINICAL ROTATIONS

1.Facilities

a.The clinical facilities offer an adequate number of

procedures for the student to meet clinical objectives.54321N/A

b.The clinical facilities offer an adequate variety of

procedures for the student to meet clinical objectives.54321N/A

c.The clinical facilities provide a variety of current

equipment.54321N/A

2.Experiences

a.Each clinical rotation is of sufficient length to

enable the student to complete clinical objectives.54321N/A

b.Each clinical rotation is of sufficient number of

hands-on anesthetics.54321N/A

c.Clinical rotations are sufficient to provide overall

equivalent competencies for all students.54321N/A

B.CLINICAL INSTRUCTION

1.Students are adequately oriented to assigned clinical

areas, and procedures.54321N/A

2.Clinical instructors are sufficiently knowledgeable to

provide student instruction.54321N/A

3.Clinical instructors direct the students in completing the

assigned objectives.54321N/A

4.Clinical instructors are consistent in their evaluation of

student performance.54321N/A

5.Clinical instructors are readily available to assist

students when needed.54321N/A

Comments:

V.PHYSICIAN INTERACTION

A.Physician/student interaction facilitates the

development of effective communication skills

between physicians and students.54321N/A

B.Physician contact is sufficient to provide

the student with a physician perspective of patient care.54321N/A

C.Overall student exposure to physicians in the program

is adequate.54321N/A

Comments:

VI.ADDITIONAL COMMENTS

How long have you been a student in the program?

OVERALL RATING:

Please rate the OVERALL quality of the resources supporting the program. (Circle one)

5 = Excellent4 = Very Good3 = Good2 = Fair1 = Poor

Based on your experience, which program resources provided you with the most support?

Based on your experience, which program resources could be improved?

Please provide comments and suggestions what would help to improve the program's overall resources.

Thank You!Date:

PROGRAM PERSONNEL

PROGRAM RESOURCE SURVEY

NAME OF INSTITUTION

The purpose of this survey instrument is to evaluate our program resources. The data compiled will aid the program in an ongoing process of program improvement. Unless specified, all sections should be completed by program faculty, Medical Director, and Advisory Committee.

5 = Strongly Agree4 = Generally Agree3 = Neutral (acceptable)2 = Generally Disagree1 = Strongly DisagreeN/A = Not Applicable

I.PERSONNEL RESOURCES

A.PROGRAM FACULTY (Completed by Medical Directors & Advisory Committee Members)

1.Faculty keep the Advisory Committee informed of

program status.54321N/A

2.Faculty encourage and utilize input from the advisory

board/communities of interest.54321N/A

3.Faculty fosters positive relations with clinical affiliates.54321N/A

4.Faculty encourage student participation in professional

activities.54321N/A

5.Faculty request annual review of goals and standards

by the Advisory Committee.54321N/A

B.MEDICAL DIRECTOR(S) (Completed by Program Faculty and Advisory Committee)

1.Medical Director(s) assist(s) the program faculty to

provide physician interaction opportunities for students.54321N/A

2.Medical Director(s) participate(s) in curriculum design

modification to ensure appropriate scope and accuracy of

medical content.54321N/A

Comments:

II.FACILITIES

A.Classrooms

Are adequate in size54321N/A
Have adequate lighting 54321N/A
Contain adequate seating. 54321N/A
Have adequate ventilation. 54321N/A
Are provided with appropriate equipment to

support effective instruction.54321N/A

5 = Strongly Agree4 = Generally Agree3 = Neutral (acceptable)2 = Generally Disagree1 = Strongly DisagreeN/A = Not Applicable

B.Laboratory

1.Is adequate in size54321N/A

2.Has adequate lighting54321N/A

3.Contains adequate seating54321N/A

4.Has adequate ventilation54321N/A

5.Is accessible to students outside regularly

scheduled class times.54321N/A

III.LABORATORY EQUIPMENT

A.The amount of equipment is sufficient for student

performance of required laboratory exercises.54321N/A

B.The variety of equipment is sufficient for student

performance of required laboratory exercises.54321N/A

C.Supplies are sufficient for student

performance of required laboratory exercises.54321N/A

D.Laboratory activities prepare the student to perform

effectively in the clinical setting.54321N/A

IV.LEARNING RESOURCES

A.Libraries (school and hospital/affiliate)

1.Program assignments require the use of library

resources.54321N/A

2.The libraries provide sufficient materials to

support assignments.54321N/A

B.Computer resources are adequate to support the

curriculum.54321N/A

C.Learning resources are available outside regular

classroom hours.54321N/A

Comments:

V.PROGRAM SUPPORT PERSONNEL

A.SECRETARIAL SUPPORT

1.The secretarial staff is adequate to meet the

clerical needs of the program.54321N/A

Comments:

VI.FINANCIAL RESOURCES

A.INSTITUTIONAL BUDGET

1.The institutional budget provides the Anesthesiologist

Assistant Program with equal access to all financial

resources available to all other instructional programs.54321N/A

5 = Strongly Agree4 = Generally Agree3 = Neutral (acceptable)2 = Generally Disagree1 = Strongly DisagreeN/A = Not Applicable

B.PROGRAM BUDGET

1.Provides for sufficient access to functioning and

up-to-date equipment to achieve classroom and laboratory

competencies.54321N/A

2.Provides for supply purchases necessary to achieve the

program's classroom and laboratory competencies.54321N/A

3.Provides for a sufficient number of faculty for didactic

(classroom) instruction.54321N/A

4.Provides for a sufficient number of faculty for laboratory

and clinical instruction.54321N/A

5.Provides for adequate continuing professional development

of full-time faculty.54321N/A

Comments:

VII.CLINICAL RESOURCES

A.CLINICAL ROTATIONS

1.Facilities

a.The clinical facilities offer an adequate number

of procedures for the student to meet

clinical objectives.54321N/A

b.The clinical facilities offer an adequate

variety of procedures for the student to meet

clinical objectives.54321N/A

c.The clinical facilities provide adequate

exposure to current equipment.54321N/A

2.Experiences

a.Each clinical rotation is of sufficient length

to enable the student to complete clinical

objectives/competencies.54321N/A

B.CLINICAL INSTRUCTION (To be completed by clinical instructors only)

1.Students are adequately prepared to perform scheduled

procedures in the clinical setting.54321N/A

2.Clinical activity is sequential to laboratory and

didactic instruction.54321N/A

3.Students are prepared to behave in a professional

manner in the clinical setting.54321N/A

4.Clinical instructors feel adequately prepared for each

group of students.54321N/A

5.There is a sufficient number of instructors for the

number of assigned students.54321N/A

6.Students are adequately oriented to the clinical setting.54321N/A

5 = Strongly Agree4 = Generally Agree3 = Neutral (acceptable)2 = Generally Disagree1 = Strongly DisagreeN/A = Not Applicable

C.CLINICAL INSTRUCTION (To be completed by key personnel)

1.Clinical instructors are sufficiently knowledgeable

to provide student instruction.54321N/A

2.Clinical instructors work with the students to complete

the assigned objectives/procedures.54321N/A

3.Clinical instructors are consistent in their evaluation of

student performance.54321N/A

4.Clinical instructors are readily available to assist

students when needed.54321N/A

Comments:

VIII.PHYSICIAN INTERACTION

A.Physician/student interaction is sufficient to facilitate

development of effective communication skills between

physicians and students.54321N/A

B.Physician contact is sufficient to provide the student

with a physician perspective of patient care.54321N/A

C.Overall student exposure to physicians in the program

is adequate.54321N/A

Comments:

IX.ADDITIONAL COMMENTS

What position do you hold with this program?

OVERALL RATING:

Please rate the OVERALL quality of the resources supporting the program: (Please circle one)

5 = Excellent4 = Very Good3 = Good2 = Fair1 = Poor

Based on your experience, which program resources provide students with the most support?

Based on your experience, which program resources could be improved?

Please provide comments and suggestions that would help to improve the program's overall resources.

Thank You!Date:

RESOURCE ASSESSMENT MATRIX

(TO BE COMPLETED AT LEAST ANNUALLY)

# / RESOURCE / PURPOSE(S) / MEASUREMENT SYSTEM / DATE(S) OF MEASUREMENT / RESULTS - ANALYSIS (COMPOSITE SUMMARY) / ACTION PLAN
1 / FACULTY
2 / MEDICAL DIRECTOR(S)
3 / SUPPORT PERSONNEL
4 / FACILITIES
5 / LABORATORY EQUIPMENT AND SUPPLIES

PROGRAM RESOURCE ASSESSMENT MATRIX – Continued

# / RESOURCE / PURPOSE(S) / MEASUREMENT SYSTEM / DATE(S) OF MEASUREMENT / RESULTS - ANALYSIS (COMPOSITE SUMMARY) / ACTION PLAN
6 / LIBRARY
7 / FINANCIAL RESOURCES
8 / CLINICAL RESOURCES
9 / PHYSICIAN INPUT

“SAMPLE” RESOURCE ASSESSMENT MATRIX

(TO BE COMPLETED AT LEAST ANNUALLY)

# / RESOURCE / PURPOSE(S) / MEASURE-MENT SYSTEM / DATE(S) OF MEASUREMENT / RESULTS - ANALYSIS (COMPOSITE SUMMARY) / ACTION PLAN
1 / FACULTY / To provide effective laboratory, classroom and clinical instruction to insure that the program's goals and objectives are met. / 1) Student resource surveys.
2) Faculty resource surveys. / 1) May each year.
2) May each year. / 1) All students surveyed in 2001 related the number of faculty at or above the "cut score" of 3 on a 5 point Likert scale.
2) All faculty surveyed in 2001 rated the number of faculty at or above the "cut score" of 3 on a 5 point Likert scale. / Continue to monitor.
2 / MEDICAL DIRECTOR(S) / To provide effective medical direction and administration for the program to insure that current standards of medical practice are met. / 1) Student resource surveys.
2) Faculty resource surveys. / 1) May each year.
2) May each year. / 1) All students surveyed in 2001 related the Medical Director at or above the "cut score" of 3 on a 5 point Likert scale.
2) All faculty surveyed in 2001 rated the Medical Director at or above the "cut score" of 3 on a 5 point Likert scale. / Continue to monitor.
3 / SUPPORT PERSONNEL / To provide clerical support for the program. / 1) College Word Processing Services Evaluations.
2) Faculty resource surveys. / 1) May each year.
2) May each year. / 1) Both full time faculty surveyed in 2001 rated all W.P. services to be less than desirable.
2) All faculty surveyed in 2001 rated support personnel below the "cut score" of 3 on a 5 point Likert scale. / The College is evaluating ways to re-allocate the workload of the clerical support staff to better serve the faculty and program needs.
4 / FACILITIES / To provide adequate classroom, laboratory and office space and accommodations to insure that the program's goals and standards are met. / 1) Student resource surveys.
2) Faculty resource surveys. / 1) May each year.
2) May each year. / 1) All students surveyed in 2001 rated Facilities at or above the "cut score" of 3 on a 5 point Likert scale.
2) All faculty surveyed in 2001 rated Facilities at or above the "cut score" of 3 on a 5 point Likert scale. / Continue to monitor.
5 / LABORATORY EQUIPMENT AND SUPPLIES / To provide students with the equipment and exercises that will adequately prepare them for clinical practice. / 1) Student resource surveys.
2) Faculty resource surveys. / 1) May each year.
2) May each year. / 1) All students surveyed in 2001 rated lab equipment and supplies below the "cut score" of 3 on a 5 point Likert scale.
2) All faculty surveyed in 2001 rated lab equipment and supplies below the "cut score" of 3 on a 5 point Likert scale. / The faculty has developed a 3-year financial plan to address equipment and supply needs. We will continue to track the progress being made.

“SAMPLE” PROGRAM RESOURCE ASSESSMENT MATRIX – Continued

# / RESOURCE / PURPOSE(S) / MEASUREMENT SYSTEM / DATE(S) OF MEASUREMENT / RESULTS - ANALYSIS (COMPOSITE SUMMARY) / ACTION PLAN
6 / LIBRARY / To support student needs for supplemental reading, electronic and print reference materials, research and computing resources. / 1) Student resource surveys.
2) Faculty resource surveys. / 1) May each year.
2) May each year. / 1) All students surveyed in 2001 rated the library resources at or above the "cut score" of a 3 on a 5 point Likert scale.
2) All faculty surveyed in 2001 rated the library resources 5 on a 5 point Likert scale. / Continue to monitor.
7 / FINANCIAL RESOURCES / To provide adequate fiscal support for the retention of personnel and the acquisition and maintenance of equipment and supplies / 1) Program budget analysis
required.2)
Faculty resource surveys / 1) May each year.
2) May each year. / 1) Operating budgets for the last five years have been adequate. Personnel (instructional) budgets for the last five years have been adequate.
2) All faculty surveyed in 2001 rated financial resources above the "cut score" or 3 on a 5 point Likert scale. / Budget Process. Budget allocations have been made to update and expand the laboratory equipment & supply concerns noted above.
8 / CLINICAL RESOURCES / To provide a sufficient variety of tasks and procedures for instruction to allow for student mastery of the program's required clinical competencies. / 1) Student resource surveys.
2) Faculty resource surveys. / 1) May each year.
2) May each year. / 1) All students surveyed in 2001 rated the clinical resources above the "cut score" of a 3 on a 5 point Likert scale.
2) All faculty surveyed in 2001 rated the clinical resources 3 on a 5 point Likert scale. / Continue to monitor.
9 / PHYSICIAN INPUT / To assure that program graduates can communicate and work effectively with physicians in a confident and professional manner. / 1) Student resource surveys.
2) Faculty resource surveys. / 1) May each year.
2) May each year. / 1) All students surveyed in 2001 rated physician instructional input above the "cut score" of 3 on a 5 point Likert scale.
2) All faculty surveyed in 2001 rated physician instructional input above the "cut score" of 3 on a 5 point Likert scale. / Continue to monitor.

GRADUATE SURVEY

The primary goal of an Anesthesiologist Assistant Education program is to prepare the graduate to function as a competent Anesthetist. This survey is designed to help the program faculty determine the strengths and areas for improvement for our program. All data will be kept confidential and will be used for program evaluation purposes only.

BACKGROUND INFORMATION:

Name of Graduate:

Length of employment at time of evaluation: years and months.

Name (if different from that on the cover):

5=Strongly Agree4 =Generally Agree3 =Neutral (acceptable)2 =Generally Disagree1 =Strongly DisagreeN/A =Not Applicable

I.KNOWLEDGE BASE (Cognitive Domain)

THE PROGRAM:

A.Helped me acquire the anesthesia care knowledge

necessary to function in a healthcare setting.54321N/A

B.Helped me acquire the general medical knowledge

base necessary to function in a healthcare setting.54321N/A

C.Prepared me to collect data from charts and patients.54321N/A

D.Prepared me to interpret patient data.54321N/A

E.Prepared me to evaluate diagnostic findings in order

to perform appropriate anesthetic.54321N/A

F.Trained me to use sound judgment while functioning

in a healthcare setting.54321N/A