University of Minnesota / Medical School Duluth
Office of Curricular Affairs, 109 Med / 1035 University Drive / Duluth, MN 55812
Name: Student ID#: Entering Class: 2011
Classification/Site: (Where you spent the majority of your first 18 years, choose from "Classification/Site" below; Choices 1 - 8.)
Sex: Male: Female: Minority (Optional): Yes: No:
| Classification/Site Table | ||
|---|---|---|
| What Type of Practice do you plan to enter? | 1. Large City (pop. 500,000 or more) | |
Primary Care Choices: |
2. Suburb of a large City | |
| Family Practice: | 3. City of Moderate Size (pop. 50,000 to 500,000) | |
| General Pediatrics: | 4. Suburb of moderate size city | |
| General Internal Medicine: | 5. Small City (pop. 10,000 to 50,000-other than suburb) | |
| Other: If known specify: | 6. Town (pop. 2,500 to 10,000-other than suburb) | |
| Undecided: | 7. Small town (pop. less than 2,500) | |
| 8. Rural/Unincorporated area | ||
| 9. Undecided or no preference |
How did the following influence your choice of UMD?
| Strongly Positive Influence | Moderately Positive Influence | No Influence | Moderately Negative Influence | Strongly Negative Influence | |
|---|---|---|---|---|---|
| 1. Published emphasis on Family Practice | |||||
| 2. Published Emphasis on Rural Practice | |||||
| 3. Small Class Size | |||||
| 4. Student/Faculty interaction | |||||
| 5. UMD Admissions Process | |||||
| 6. Basic Science Curriculum | |||||
| 7. Amount of clinical Experience | |||||
| 8. Problem-Based Learning | |||||
| 9. Preceptorship Opportunity | |||||
| 10 Other |
Which of the items listed below was the MOST influential in your choosing UMD (Choose One)?
2. Small Class Size |
|
|---|---|
| 4. Basic Science Curriculum | |
| 6. Problem Based Learning | |
| 7 Preceptorship Opportunity | 8. Other - Specify: |