Student Information Student and rotation information. DATES of ROTATION: REQUIRED or ELECTIVE: PRECEPTOR(S): NAME: UNIVERSITY and PROFESSIONAL PROGRAM (i.e. Howard UniversityPA): ROTATION SITE TYPE and LENGTH of ROTATION (i.e. Internal Medicine 8 hrs/wk x1 month) SERVICE LEARNING Question 1: Overall did this service learning clinical experience meet your expectations? a: Unsatisfactory b: Satisfactory c: More than Satisfactory d: Excellent Question 2: How would you rate the quality of precepting you received during your service learning experience? a: Unsatisfactory b: Satisfactory c: More than Satisfactory d: Excellent Question 3: How would you rate your AHEC experience for opportunities to explore the health care beliefs and practices of different cultures and population groups? a: Not at all b: Minimal c: Satisfactory d: More than Satisfactory e: Excellent Question 4: How would you rate your AHEC experience for opportunities to increase your understanding of the nature of Community Oriented Primary Care? a: Not at all b: Minimal c: Satisfactory d: More than Satisfactory e: Excellent Question 5: How would you rate your AHEC experience for opportunities to experience working with different members of the Health Profession team and understand their roles in providing health care to underserved populations? a: not at all b: minimal c: satisfactory d: more than satisfactory e: excellent Question 6: How would you rate your AHEC experience for opportunities for population-based health promotion and health education (activities outside of the individual patient encounters)? a: Not at all b: Minimal c: Satisfactory d: More than Satisfactory e: Excellent Question 7: What did you learn that was of the most value from this experience? Question 8: What would you suggest to improve or enhance this experience? Question 9: How much interst do you NOW have in working with underserved populations in a community-oriented primary care site following completion of your professional training/education? a: None b: Minimal c: Somewhat d: Very Much Question 10: Please explain your answer to future interest in working with the community. ONLINE CURRICULUM How well did the on-line curriculum help you meet the stated objectives? Question 1: Define the concept of Service Learning and describe how it was applied to your work setting. a: Not at all b: Minimal c: Somewhat d: For the most part e: Very much Question 2: Provide a working definition of community-oriented primary care including the essential elements. a: Not at all b: Minimal c: Somewhat d: For the most part e: Very Much Question 3: Identify unique skills and knowledge needed by health care providers working in a community-based setting with culturally diverse populations. a: Not at all b: Minimal c: Somewhat d: For the most part e: Very Much Question 4: Develop strategies for creating successful partnerships between health care providers and specific communities. a: Not at all b: Minimal c: Somewhat d: For the most part e: Very much Question 5: Describe the special health care needs of the least-served populations in the District of Columbia snd identify community strengths which could form solutions for those health care problems. a: Not at all b: Minimal c: Somewhat d: For the most part e: Very much Question 6: What did you like most about the online curriculum? Question 7: What did you like least? Question 8: Comments/ Suggestions