1. 1. Select the option that best describes your current teaching setting:
2. What is your role within your teaching program? (select the best option)
3. Does your sponsoring institution or department provide any introductory training to
clinical faculty/preceptors on how to be effective clinical educators?
Faculty Development Survey
*
*
*
University hospital ­ based teaching program
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Community hospital ­ based teaching program
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Other
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Department Chair
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Residency Program Director
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Clerkship Director/Site Director
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Designated Institutional Official
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Full­time/Part­time Faculty
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Community­based Preceptor
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Other
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Yes, it is required.
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Yes, but it is optional.
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No
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Unsure
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2. 4. What are the methods used to deliver the introductory training for clinical
faculty/preceptors? (check all that apply)
Faculty Development Survey
*
In­person interactive workshops
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In­person lectures
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Online modules
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Other
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3. 5. Does your sponsoring institution or department provide any on­going training to
clinical faculty/preceptors on how to be effective clinical educators?
Faculty Development Survey
*
Yes, it is required.
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Yes, but it is optional.
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No
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Unsure
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4. 6. What are the methods used to deliver the on­going training to clinical
faculty/preceptors? (check all that apply)
Faculty Development Survey
*
In­person interactive workshops
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In­person lectures
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Online modules
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Support to attend educational meetings
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Other
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5. 7. Does your sponsoring institution or department require full­time faculty to attend a
minimum amount of extramural faculty development focused on medical education and/or
teaching?
Faculty Development Survey
*
Unsure
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No
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Yes (please describe the requirement)
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6. 8. Thus far you have indicated that your institution or department does not provide any
formal education to your faculty concerning their role as teachers. Please explain which of
the following factors you believe are the reasons for this lack of education (check all that
apply).
Faculty Development Survey
*
There is no perception of the need
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There is no time available for this activity
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Lack of support from senior administration (Dean, DIO, Chairman)
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Lack of financial support from sponsoring institution and/or Department
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Lack of appropriate clinical coverage
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Lack of a curriculum to follow
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Lack of faculty expertise to lead / teach the sessions
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Other
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7. 9. Does your sponsoring institution or department utilize community based preceptors
or non­physician faculty to educate your learners?
Faculty Development Survey
*
Yes
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No
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Unsure
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Comments:
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8. 10. What criteria does your sponsoring institution or department utilize in screening
your community­based preceptors (check all that apply)?
11. Does your sponsoring institution or department require community based
preceptors to attend a minimum amount of extramural faculty development focused on
medical education and/or teaching?
12. What incentives or recognition does your sponsoring institution or department
provide to your community based preceptors?
Faculty Development Survey
*
*
*
None
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Word of mouth
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Historical Observation
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CV/previous teaching experience
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Board certification
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Other
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Yes, an annual requirement
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Yes, a one­time requirement
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No
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Unsure
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Comments:
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None
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Monetary Stipend
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Access to University email account
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Access to University library account
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Certificate of Appreciation
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Academic Appointment
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Other
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Comments:

9. 13. What clinical educator training opportunities does your institution / department
provide to community based preceptors? Please check all that apply.
*
New faculty orientation
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Annual education retreat
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Medical education grand rounds
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APGO Membership
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Support for attending the APGO Faculty Development Meeting
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Support for attending the APGO/CREOG Meeting
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Other
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10. 14. If APGO were to develop an exportable program for clinical faculty and preceptors
engaged in clinical education, what would you like to see covered (check all that apply)?
15. If APGO were to develop an exportable program for your residents, what would you
like to see covered (check all that apply)?
Faculty Development Survey
*
*
How to prepare for teaching: what to do before the learners arrive.
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How to teach in the inpatient hospital setting.
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How to teach in the ambulatory setting.
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How to teach in the operating room.
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How to effectively evaluate your learner.
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How to lead small group discussion
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Dealing with the difficult learner.
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Career development/advancement.
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Other
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How to give feedback
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How to lead small group discussions
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Dealing with the difficult learner
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How to teach in the clinical setting
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Setting goals for the teacher­learner interaction
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Generational issues
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Other
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11. 16. If APGO were to develop a program to assist you in enhancing your faculty's
teaching skills how would you like the product delivered? (check all that apply)
Faculty Development Survey
*
In­person workshops/lectures for all faculty/preceptors delivered at your institution by visiting APGO faculty
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In­person training for only key faculty leadership delivered at your institution by visiting APGO faculty
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On­line interactive web conferences
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Web based self­directed learning modules
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Other
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