Unversity of Minnesota l Medical School Duluth

PRACTICE CHOICE SURVEY: CLASS OF 2008
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Name: Student ID#:

Date:


1. Your Home Town Classification/Site: (See Classification/site table) Sex: Male or Female Minority: Optional: Yes or No .


2. What do you think your practice choice will be?
Family Practice: General Pediatrics: General Internal Medicine: Undecided:
Other; Please specify Preferred practice location (See classification/site table)


Classification/Site Table
1. Large City (pop. 500,000 or more) 6. Town (pop. 2,500 to 10,000-other than suburb)
2. Suburb of a large City 7. Small town (pop. less than 2,500)
3. City of Moderate Size (pop. 50,000 to 500,000) 8. Rural/Unincorporated area
4. Suburb of moderate size city 9. Undecided or no preference
5. Small City (pop. 10,000 to 50,000-other than suburb) 10. American Indian Community


3. Did you change your practice choice or practice site since you first started Medical School? Yes or No
If Yes, from what to what?



4. If Practice Choice Changed, how did the following items influence your decision?

A major factor in motivating me to change my decision about my practice choice A minor factor in motivating me to change my decision about my practice choice Neutral A minor factor in motivating me to resist changing my practice choice A major factor in motivating me to resist changing my practice choice
1. Basic science curriculum a. b. c. d. e.
2. Clinical curriculum a. b. c. d. e.
3. Preceptorship a. b. c. d. e.
4. Basic science faculty a. b. c. d. e.
5. Clinical faculty a. b. c. d. e.
6.Tuition Debt a. b. c. d. e.
7. Presumed Future Salary a. b. c. d. e.
8. Summer Internship in Medicine a. b. c. d. e.
9. Other; Please specify a. b. c. d. e.

















5. If Practice Site Changed, how did the following items influence your decision?

A major factor in motivating me to change my decision about my practice choice A minor factor in motivating me to change my decision about my practice choice Neutral A minor factor in motivating me to resist changing my practice choice A major factor in motivating me to resist changing my practice choice
1. Basic science curriculum a. b. c. d. e.
2. Clinical curriculum a. b. c. d. e.
3. Preceptorship a. b. c. d. e.
4. Basic science faculty a. b. c. d. e.
5. Clinical faculty a. b. c. d. e.
6.Tuition Debt a. b. c. d. e.
7. Presumed Future Salary a. b. c. d. e.
8. Summer Internship in Medicine a. b. c. d. e.
9. Other; Please specify a. b. c. d. e.
















6. If practice Choice Remained The Same, how did the following items reinforce your practice choice preference?

A major factor in motivating me to change my decision about my practice choice A minor factor in motivating me to change my decision about my practice choice Neutral A minor factor in motivating me to resist changing my practice choice A major factor in motivating me to resist changing my practice choice
1. Basic science curriculum a. b. c. d. e.
2. Clinical curriculum a. b. c. d. e.
3. Preceptorship a. b. c. d. e.
4. Basic science faculty a. b. c. d. e.
5. Clinical faculty a. b. c. d. e.
6.Tuition Debt a. b. c. d. e.
7. Presumed Future Salary a. b. c. d. e.
8. Summer Intership in Medicine a. b. c. d. e.
9. Other; Please specify a. b. c. d. e.






















7. If practice Site Remained the Same, how did the following items reinforce your practice site preference?
A major factor in motivating me to change my decision about my practice choice A minor factor in motivating me to change my decision about my practice choice Neutral A minor factor in motivating me to resist changing my practice choice A major factor in motivating me to resist changing my practice choice
1. Basic science curriculum a. b. c. d. e.
2. Clinical curriculum a. b. c. d. e.
3. Preceptorship a. b. c. d. e.
4. Basic science faculty a. b. c. d. e.
5. Clinical faculty a. b. c. d. e.
6.Tuition Debt a. b. c. d. e.
7. Presumed Future Salary a. b. c. d. e.
8. Summer Intership in Medicine a. b. c. d. e.
9. Other; Please specify a. b. c. d. e.



















For immediate questions, please e-mail the Office of Curricular Affairs at curaff@d.umn.edu.
Office Curricular Affairs - 109 Med, 1035 University Drive, Duluth, MN 55812
Phone: 218-726-7581

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