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Introduction

Dear Learner,

Providing a quality education experience for learners is important to TBRHSC. In order for us to ensure your time here was valuable, we ask you to give us your feedback by completing this short 10 minute survey.

All information provided will be used to plan improvements and celebrate successes. Please note to accomplish this goal we will be required to report or provide a summary of the data collected. During this process, all information will remain confidential and will only be shared anonymously. 

Please do not hesitate to contact us if you have any ideas or concerns you would personally like to bring to our attention.

Thank you

Kendra Walt
Director, Academics and Interprofessional Education
Thunder Bay Regional Health Sciences Centre

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* 1. Please select your academic institution

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* 2. Please indicate which profession you are currently in training for.

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* 3. Please indicate the start and end date of your placement

Date
Date

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* 4. Please indicate which department/unit/service you spent the majority of your time learning within.

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* 5. The information provided to me in orientation was relevant and prepared me for my first day of placement.

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* 6. I received all the relevant information I needed prior to starting my first day of placement (department info, preceptor, schedule etc.)

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* 7. The curriculum covered in my academic program prepared me for my placement at TBRHSC

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* 8. I felt welcomed and accepted as part of the team at TBRHSC

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* 9. I had appropriate space to keep my personal belongings

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* 10. I felt physically safe at all times.

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* 11. I felt psychologically safe at all times.

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* 12. During your placement, how often were you subjected to negative behaviours directed to your psychological well-being (e.g. yelling, bullying, ridicule, insults, rumours about you, harassment or discrimination, someone withholding necessary information, devaluation, silence or hostility, etc.)

  Never Once or Twice A Few Times Daily Not Applicable
From other students
From your preceptor/ instructor
From Staff or Professional Staff (physicians; midwives etc.)
From Patients
From Patients' Families/Visitors

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* 13. If any of the above occurred, did you formally report the occurrence?

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* 14. I had opportunities to work with other professions during my placement.

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* 15. I had the opportunity to learn best practices for delivering  care that was specific to the patient population I was serving.

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* 16. I was able to meet my academic learning objectives during this placement.

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* 17. I was given an appropriate level of responsibility and autonomy.

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* 18. Feedback is defined as both informal (in-the-moment, ongoing) and formaI (set time and schedule, documented).
I received feedback at appropriate times throughout my placement.

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* 19. I had opportunities to provide feedback to my preceptor/instructor.

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* 20. Overall, I feel TBRHSC respects and values diverse groups that both work and receive care here.  (People of diverse groups include: people with disabilities, members or ethnic or racial minority groups, new immigrants, indigenous people, ages and various gender and sexual identities)

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* 21. Knowing what I know about TBRHSC, I would apply to work here after graduation.

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* 22. What's one change you would recommend to make TBRHSC a better academic institute?

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* 23. Is there a person(s) or team you would like to recognize as being key to the success of your learning experience

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