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Poznań UNIVERSITY
Of
Medical Sciences
Poznań
Poland
Poznań UNIVERSITY
Of
Medical Sciences
Poznań
Poland
This questionnaire takes 20 minutes or so as to complete. Most questions require a check or a circle. Please look over the directions to each question before answering it. We realize these questions deal with complex issues and checklist alternatives may not always fully express your opinion. If you want to modify or explain your response to any questions, won’t you just jot a note in the margin? You need not sign this questionnaire. First, some questions about you.
 
 
 
1. Age
 
20-24
 
25-29
 
30-34
 
35-39
 
40 and over
 
 
 
2. Sex
 
Male
 
Female
 
 
 
3. Marital Status
 
Single
 
Married
 
Widowed
 
Divorced
 
Separated
 
 
 
4. What is your parents’ nationality descent?
 
Father Mother
 
a. Polish - Polish ( )
 
b. US/Canadian – US/Canadian ( )
 
c. Irish/British – Irish/British ( )
 
d. Eastern European – Eastern European ( )
 
e. Western European – Western European ( )
 
f. Asian – Asian ( )
 
g. African-African ( )
 
h. Middle Eastern – Middle Eastern ( )
 
I. Polish-Other, Indicate “P” – “O” ( )
 
j. Both-Other ( )
 
 
 
5. What is your fathers’ occupation?
 
a. Professional
 
Medical
 
Dental
 
Relate to medical ( )
 
College professor, Teacher, below college level
 
Clergy
 
Lawyer
 
Engineer
 
Other professional ( )
 
b. Manager, official, proprietor Manager
 
Official ( )
 
Proprietor
 
c. Semiprofessional and technical ( )
 
d. Clerical ( )
 
e. Sales ( )
 
f. Craftsman ( )
 
g. Foreman ( )
 
i. Laborer ( )
 
j. Service worker ( )
 
k.. Farm laborer ( )
 
l. Deceased
 
m. Retired
 
n. Unemployed ( )
 
o. Others ( )
 
p. No responses ( )
 
 
 
6. How many years of education were completed by your father? (Circle the appropriate number.)
 
a. Elementary 1 2 3 4 5 6 7 8
 
b. Secondary School 1 2 3 4
 
c. Trade School/Technical Training 1 2 3 4
 
d . University 1 2 3 4
 
e. Graduate or professional 1 2 3 4 5 6 7 8
 
 
 
7. Academic standing in pre-medical college or university
 
Upper one-third
 
Middle one-third
 
 
 
8. What type of Medical Practice would you like to receive upon your graduation and where?
 
Rotating
 
Straight ( )
 
c. Other
 
Hospital Place Months
 
 
 
9. How important do you regard each of the following aspects of your future training in giving you
 
the knowledge and skill you may find you will need in your future practice?
 
Essential Very Somewhat Not Very
 
Important Important Important
 
First two years of
 
medical school ( ) ( ) ( )
 
Last two years of
 
medical school ( ) ( ) ( )
 
c. Internship ( ) ( ) ( )
 
 
 
10. Assuming that a fundamental criterion for identifying a good physician is his/her knowledge of
 
medicine and his/her ability to apply such knowledge, how important do you consider each of
 
the following in judging how good, a physician should be? Please rank the importance of
 
each. ( E.g., if you consider “a” to be most important and “b” to be second most important,
 
assign them ranks of 1, 2, etc.)
 
Ability to establish rapport with the patients
 
Ability to discern and deal with social and psychological
 
problems of patients
 
Ability to get along with other medical students
 
Ability to get along with the faculty
 
Academic abilities as evidenced by exams, recitations,
 
written assignments, etc.
 
 
 
11. Please list what you consider to be the three most necessary qualities for a faculty member in
 
a medical college.
 
a.
 
b.
 
c.
 
Please explain
 
 
__________________________________________________________________________
 
 
 
12. What do you think are the three major motivating factors that keep a medical student interested once enrolled in school?
 
Please explain
 
 
 
13. Have you taken the Medical College Admissions Tests?
   
 
 
 
14. Do you have any particular reason for choosing the medical profession?
 
a. Yes
 
b. No
 
If “yes,” what are some of the reasons?
 
 
 
15. We are interested in how you assess your fellow student-physicians. Assuming that a
 
fundamental criterion for identifying a good doctor is his/her clinical diagnostic ability, how
 
important do you consider each of the following additional criteria to be in identifying a good
 
doctor? Please rate the importance of each. (E.g., if you consider “a” to be most important and
 
“b” to be second most important, assign them ranks of 1, 2, etc.)
 
His/her ability to establish rapport with the patient
 
His/her ability to discern and deal with social and
 
psychological problems of the patient
 
The recognition given him/her by local colleagues
 
The research and publications he/she has their credit
 
 
 
16. What would you consider very important in obtaining satisfaction in your works as a future
 
physician?
 
 
 
17. What type of practice do you intend to have in the future?
 
Solo
 
Solo, but sharing office, laboratory, or other facilities with
 
other doctor ( )
 
Group practice
 
Full-time hospital appointment
 
Full time appointment as a Zaklad Opieki Zdrowotnej Physician
 
Part time appointment as a Zaklad Opieki Zdrowotnej Physician
 
and part time in Private Practice or Research
 
In partnership with senior physician
 
In partnership with physician of own age or younger
 
Other ( )
 
 
 
 
18. In terms of ability, how do you think you compare with medical students in general?
 
Favorably
 
Unfavorably
 
 
 
19. In terms of ability, how do you think you compare with your medical school classmates?
 
Favorably
 
Unfavorably
 
 
 
20. What particular branch of medicine would you be interested in?
   
 
 
 
21. After completing your internship, what do you want to enter into?
 
a. General practice
 
b. Research
 
c. Teaching
 
d. Residency
 
e. Other ( )
 
 
 
 
22. In what country do you wish to practice?
   
 
 
 
23. What would be some of the motivating factors that would keep you interested during your
 
medical studies?
 
 
 
______________________________________________________________________
 
______________________________________________________________________
 
 
 
24. Among the various professions, which do you think possesses the greatest prestige?
   
 
 
 
25. Would you join one of the international medical organizations such as MEDICO or WHO?
 
a. Yes
 
b. No
 
Why?
 
 
__________________________________________________________________________________________________________________________________________________________
 
c. Uncertain
 
 
 
26. Would the following encourage or discourage you to continue your hospital training beyond
 
your internship?
 
Encourage Discourage Neither
 
a. Parents ( ) ( )
 
b. Spouse ( ) ( )
 
c. Teachers in medical school ( ) ( )
 
d. Medical school dean or advisor ( ) ( )
 
e. Clinical chiefs during internship ( ) ( )
 
f. Attending physician ( ) ( )
 
g. Residents or other house staff ( ) ( )
 
h. Personal physician ( ) ( )
 
i. Other
 
( ) ( )
 
 
 
 
27. Did any of the people you have identified in the previous question give you specific advice
 
which proved to be the deciding factor in your decision to enter this medical college?
 
a. Yes
 
b. No
 
If “yes’” who?
 
 
 
 
28. In treating a future patient, how would you rate the following items in influencing your
 
judgments that he is a like you?
 
Important Not Important No opinion
 
a. The same race ( ) ( )
 
b. The same ethnicity { ) ( )
 
c. The same social class ( ) ( )
 
d. The same educational level ( ) ( )
 
e. The same profession ( ) ( )
 
f. The same religion ( ) ( )
 
g. His ability to speak English ( ) ( )
 
h. From the same neighborhood ( ) ( )
 
 
 
29. Are there any factors you would consider very important to you in obtaining satisfaction in
 
your work as a future physician?
 
a. Yes
 
b. No
 
c. Uncertain
 
 
 
30. Would you please rate the following factors in terms of importance to you.
 
Important Not Important No opinion
 
a. Diagnostic problems ( ) ( )
 
b. Contact with other professional people ( ) ( )
 
c. Contact with patients and families over a
 
considerable period of time ( ) ( )
 
d. Opportunity to specialize ( ) ( )
 
e. Opportunity to utilize skilled techniques ( ) ( )
 
f. Opportunities for research ( ) ( )
 
g. Gratitude of patients ( ) ( )
 
h. Status in community ( ) ( )
 
i. Help for patients ( ) ( )
 
j. Financial reward ( ) ( )
 
k. Other
 
( ) ( )
 
 
 
 
31. After all this preparation, a physician should be able to have an annual gross income of
   
 
 
 
32. What were the influencing factors in selection of a medical school?
 
Much Some None
 
a. General reputation of the school ( ) ( )
 
b. Geographic location ( ) ( )
 
c. Contacts with medical students ( ) ( )
 
d. Estimated cost ( ) ( ) ( )
 
e. Advice of premedical adviser ( ) ( )
 
f. Study of school catalogues ( ) ( )
 
g. Advice of family physician ( ) ( )
 
h. Study of “Admission Requirements of
 
American Medical Colleges” ( ) ( )
 
i. Advice of parents ( ) ( )
 
j. Advice of medical school alumni ( ) ( )
 
k. Other
 
( ) ( )
 
 
 
 
33. Is (are) there any factor(s) you would consider important to you in obtaining satisfaction in
 
your work as a medical student?
 
a. Yes
 
b. No
 
c. Uncertain
 
 
 
34. Please inform me of your previous formal education. (Circle the appropriate number)
 
a. Elementary 1 2 3 4 5 6 7 8
 
b. Secondary School 1 2 3 4
 
c. University 1 2 3 4
 
d. Graduate or professional 1 2 3 4 5 6 7 8
 
e. Other
 
 
 
 
35. What was (were) your undergraduate major subjects(s) in college?
 
Biological science
 
Chemistry
 
Premedical
 
Zoology
 
Languages
 
Humanities
 
Sociology
 
Social sciences ( )
 
Physical sciences ( )
 
Mathematics
 
Other ( )
 
 
No response
 
 
 
36. What is (are) the name(s) of your premedical college(s)?
   
 
 
 
37. What kind of community have you lived in most of your life?
 
A large city ( )
 
The suburb of a large city ( )
 
 
A small city ( )
 
A town ( )
 
A small town ( )
 
The country, but family received income from work in town
 
The country, family owned the ranch or farm it operated
 
Social sciences ( )
 
The country, on rented or tenant farm or ranch
 
No response ( }
 
 
 
38. What were your undergraduate extracurricular activities?
   
 
 
 
40. In your mind how did you rank Jagiellonian Medical College when you made your application?
 
First choice
 
Second choice
 
Third choice
 
Fourth choice
 
Fifth choice
 
No response
 
 
 
41. If you applied for medical schools in a country other than Poland, please indicate which countries in order of preference.
   
 
 
 
42. If you not make Jagiellonian your first choice and yet accepted attendance her, why did you?
 
Conflicting dates of notification by medical schools –
 
had make Binding commitment at another school before
 
hearing from first choice
 
b. Fear of not being accepted by first choice
 
c. Had such a strong desire to be accepted that first offer
 
was accepted
 
Ranked first and second choice schools almost equal, so
 
It made little difference
 
Accepted second choice school, then withdrew when
 
Admitted to first choice
 
Almost accepted second choice school, heard from first
 
Before commitment was due
 
g. Rejected by first choice, so accepted second
 
h. Other ( )
 
i. No response
 
 
 
43. In college, did you major in your field of greatest interest?
 
. a. Yes
 
b. No
 
c. Not sure
 
 
 
44. If “no”, what were the influencing factors in selection of a preferred undergraduate major?
 
Much Some None No response
 
a. Advice of college adviser ( ) ( ) ( )
 
b. Thought it would enhance chances of getting
 
into medical school ( ) ( ) ( )
 
c. Advice of major professor ( ) ( ) ( )
 
d. Advice of a medical school ( ) ( ) ( )
 
e. Advice of parents ( ) ( ) ( )
 
f. Advice of family physician ( ) ( ) ( )
 
g. Other ( ) ( ) ( ) ( )
 
 
 
h. Do not know
 
 
 
45. What is your opinion of the value of psychiatric interview as a regular part of admission
 
procedures?
 
Very valuable
 
Valuable
 
Not valuable
 
Not at all valuable
 
Do not know
 
 
 
46. What is your opinion on the value of psychological tests as a regular part of admission
 
procedures?
 
Very valuable
 
Valuable
 
Not valuable
 
Not at all valuable
 
Do not know
 
 
 
47. What is your opinion of the value of the MCAT( Medical College Admission Test)?
 
Very valuable
 
Valuable
 
Not valuable
 
Not at all valuable
 
Do not know
 
 
 
48. Were these topics covered in your interview(s)?
 
Motives for wishing to study medicine
 
Early development of applicant
 
Knowledge of current events
 
Ability of applicant to withstand stress
 
Cultural interests
 
Specific scientific interests
 
Mental health
 
Physical health
 
Other ( )
 
 
 
49. Did you take psychological tests other than MCAT?
 
Yes ( )
 
No
 
Do not know
 
 
 
50. Will you please comment on special problems concerning admissions procedures?
   
 
 
 
51. Do you have any particular reason for choosing the medical profession?
 
Yes ( )
 
No
 
If “yes,” what are some of the reasons?
 
 
 
__________________________________________________________________________
 
 
 
52. What subject(s) do you think was (were) of most interest to you in your first year of university?
   
 
 
 
53. In terms of ability, how do you think you compare with medical students in general?
 
a. Favorably
 
b. Unfavorably
 
 
 
54. What particular branch of medicine would you be interested in?
   
 
 
 
55. After completing your internship, which of the following do you want to enter into?
 
General practice
 
Research
 
Specialization
 
Teaching
 
National Health Service
 
Group Practice
 
Other ( )
 
 
 
 
56. What do you understand by socialized medicine?
   
 
 
 
57. Are you in favor of socialized medicine for the country in which you will practice?(Explain)
 
Yes
 
No
 
 
 
__________________________________________________________________________
 
__________________________________________________________________________
 
 
 
58. Are you acquainted with the names of any medical journals?
 
Yes
 
No
 
If “yes,” what are some of the journals?
 
a.
 
 
b. ________________________________________________________________________
 
c. ________________________________________________________________________
 
 
 
59. Do you plan to take a residency after internship?
 
Yes
 
No
 
 
 
60. In what country would you like to do your internship?
   
 
 
 
61. What type of hospital would you wish to do your internship in?
 
Private
 
Public
 
Why?
 
 
_____________________________________________________________________
 
 
 
62. Are you in favor of or opposed to socialized medicine for the United States?
 
In favor
 
Opposed
 
Why?
 
 
_____________________________________________________________________
 
 
 
63. Do you think that one can predict what type of physician a medical student will become from
 
his preclinical work?
 
Yes
 
No
 
Uncertain
 
Please explain
 
 
______________________________________________________________________
 
 
 
64. Do you think the medical student who does well in his preclinical years will also do equally
 
well in his clinical years?
 
Yes
 
No
 
Uncertain
 
Please explain
 
 
______________________________________________________________________
 
 
 
65. Now that you are in medical school, are you happy?
 
Yes
 
No
 
Uncertain
 
Please explain
 
 
______________________________________________________________________
 
 
 
66. Do you have any motivating factors that will keep you interested during your preclinical years
 
in medical school?
 
Yes
 
No
 
Uncertain
 
Please explain
 
 
______________________________________________________________________
 
 
 
67. Do you think the first year of medical school is exciting and interesting?
 
Yes
 
No
 
Uncertain
 
Please explain
 
 
______________________________________________________________________
 
 
 
68. Do you have any close friends in medical school?
 
Yes
 
No
 
Uncertain
 
If “yes’” who are they?
 
 
 
______________________________________________________________________
 
 
 
69. In what areas do you consider these people good friends?
 
Social life
 
Studies
 
Both
 
Please explain
 
 
______________________________________________________________________
 
 
 
70. Why do you consider medicine to be a profession?
   
 
 
 
71. What is your opinion of group health plans where medical care is rendered for a prepaid sum
 
and the physicians are usually paid a salary?
 
 
 
______________________________________________________________________
 
______________________________________________________________________
 
 
 
72. What is your opinion of compulsory health insurance?
   
 
 
 
73. Are there any international medical organizations which assist underdeveloped countries?
 
Yes
 
No
 
Uncertain
 
If “yes,” can you name some?
 
 
 
_________________________________ _________________________________
 
Where are the headquarters?
 
_________________________________ _________________________________
 
_________________________________ _________________________________
 
Who are the founders?
 
_________________________________ _________________________________
 
_________________________________ _________________________________
 
 
 
74. What is your opinion of international medical organizations such as MEDICO?
   
 
 
 
76. Among the various professions, which do you think possesses the greatest prestige in the
 
country in which you hold citizenship?
 
 
 
Why? _________________________________________________________________
 
______________________________________________________________________
 
______________________________________________________________________
 
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