Excellence in Communication Pre-Course Survey

Are you a:

MD/DO

Advanced Practice Provider

Other Health Care Provider

Are you familiar with the term, “patient-centered” health care?

Yes

No

Do you practice “patient-centered” health care?

Yes

No

Is formulating a correct diagnosis and treatment plan the most important measure of a successful patient encounter for you, as a physician/caregiver?

Yes

No

Is formulating a correct diagnosis and treatment plan the most important measure of a successful patient encounter for the PATIENT?

Yes

No

In general, how important do you feel it is to form an alliance with the patient?

Do you feel the need to improve your communication skills?

Yes

No

In general, how would you rate your ability to communicate?

In general, how would you rate YOUR COLLEAGUES’ ability to communicate?

How important to your career is a workshop to improve your communication skills?

How important to your INSTITUTION is a workshop to improve your communication skills?

How important to patient outcomes is excellent communication with patients?

How important to patient outcomes is excellent communication between COLLEAGUES?

I have a chance to use my strengths every day at work.

I feel like I am thriving at my job.

I feel like I am making a meaningful difference at my job.

I often have something I am very looking forward to at my job.

I always bounce back quickly after difficulties.

I can always regain a positive outlook despite what happens.

I can adapt to events in my life that I cannot influence.

My mood reliably recovers after frustrations and setbacks.

Events from this work setting affect my life in an emotionally unhealthy way.

I feel burned out from my work.

I feel fatigued when I get up in the morning and have to face another day on the job.

I feel frustrated by my job.

I feel I am working too hard on my job.

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