DIVERSITY QUESTIONNAIRIE FOR MEDICAL SCHOOL STUDENTS



DRAFT

DIVERSITY QUESTIONS FOR MEDICAL SCHOOL STUDENTS

1. Overall, how would you describe your academic experience in medical school so far?

|Extremely disappointing |Disappointing |Neither gratifying nor |Gratifying |Extremely gratifying |

| | |disappointing | | |

|1 |2 |3 |4 |5 |

2. Overall, how would you describe your social experience in medical school so far?

|Extremely disappointing |Disappointing |Neither gratifying nor |Gratifying |Extremely gratifying |

| | |disappointing | | |

|1 |2 |3 |4 |5 |

3. Overall, what degree of self-confidence do you have in establishing positive relationships with people of a different race or ethnicity?

|No self-confidence |Minimal self-confidence |Moderate self-confidence |Strong self-confidence |Complete self-confidence |

|1 |2 |3 |4 |5 |

4. To what extent do you feel that the profession of physicians should reflect society’s future racial and ethnic composition?

|Not at all |To a slight degree |To a moderate degree |To a significant degree |As closely as possible |

|1 |2 |3 |4 |5 |

5. How much contact, if any, have you had with students of a race or ethnicity different from your own, and how has your level of contact compared to that of your peers (same race/ethnicity as you):

a) As you grew up?

|My level of contact: |__ None |__ Occasional |__ Moderate |__ Frequent |__ Continuous |

|My level compared to |__ Much less than |__ Less than average |__ About average |__ Greater than |__ Much greater than |

|my peers: |average | | |average |average |

b) In secondary school?

|My level of contact: |__ None |__ Occasional |__ Moderate |__ Frequent |__ Continuous |

|My level compared to |__ Much less than |__ Less than average |__ About average |__ Greater than |__ Much greater than |

|my peers: |average | | |average |average |

c) In college?

|My level of contact: |__ None |__ Occasional |__ Moderate |__ Frequent |__ Continuous |

|My level compared to |__ Much less than |__ Less than average |__ About average |__ Greater than |__ Much greater than |

|my peers: |average | | |average |average |

d) In medical school?

|My level of contact: |__ None |__ Occasional |__ Moderate |__ Frequent |__ Continuous |

|My level compared to |__ Much less than |__ Less than average |__ About average |__ Greater than |__ Much greater than |

|my peers: |average | | |average |average |

6. Have you had a roommate of a race or ethnicity different from your own:

a) In college? ___ Yes ___ No

b) In medical school? ___ Yes ___ No

7. How many students of a race or ethnicity different from your own do you have, or have you had, as a close friend?

a) African American, Black None 1 2 3 More (please specify): _________

b) Native American, Alaskan Native None 1 2 3 More (please specify): _________

c) Asian American None 1 2 3 More (please specify): _________

d) Asian, including from

Indian Subcontinent None 1 2 3 More (please specify): _________

e) Hispanic, Latina/o None 1 2 3 More (please specify): _________

f) Mexican American, Chicano None 1 2 3 More (please specify): _________

g) Native Hawaiian, Pacific Islander None 1 2 3 More (please specify): _________

h) Puerto Rican None 1 2 3 More (please specify): _________

i) White or Caucasian None 1 2 3 More (please specify): _________

j) Other (please specify): None 1 2 3 More (please specify): _________

8. On balance, do you consider having students of different races and ethnicities to be a positive or negative element of your educational experience at medical school?

|Negative | |Neutral | |Positive |

|1 |2 |3 |4 |5 |

9. How often, if at all, do you study outside of law school class with students of a race or ethnicity different from your own? (Select the nearest percent of your study time.)

|__ 0% |__ Up to 25% |__ Up to 50% |__ Up to 75% |__ Up to 100% |

10. Overall, do you feel that diversity detracts from or enhances how you and others think about problems and solutions in law school classes?

|Detracts |Generally negative |No impact |Generally positive |Enhances |

|1 |2 |3 |4 |5 |

11. Overall, how much has a diverse student population in law school helped you to work more effectively with members of other races?

|Not at all |To a minor degree |To a memorable degree |To a significant degree |To a profound degree |

|1 |2 |3 |4 |5 |

12. Overall, how much has a diverse student population in law school helped you to get along better with members of other races?

|Not at all |To a minor degree |To a memorable degree |To a significant degree |To a profound degree |

|1 |2 |3 |4 |5 |

13. Overall, do you feel that racial and ethnic diversity detracts from or enhances the way topics are discussed informally at meals, over coffee, etc.?

|Detracts |Generally negative |No impact |Generally positive |Enhances |

|1 |2 |3 |4 |5 |

14. In the majority of your classes, do you feel overall that diversity detracts from or enhances the way topics are discussed?

|Detracts |Generally negative |No impact |Generally positive |Enhances |

|1 |2 |3 |4 |5 |

15. Have discussions with students of different racial and ethnic backgrounds changed your view of any of the following:

a) The healthcare delivery system ___ Yes ___ No ___ Unsure

b) Access to health care for underserved

populations ___ Yes ___ No ___ Unsure

c) Cultural competency when treating a diverse

population ___ Yes ___ No ___ Unsure

d) Priority areas for future research ___ Yes ___ No ___ Unsure

e) Your values on rights to medical care ___ Yes ___ No ___ Unsure

16. Comparing classes that have student enrollments predominantly of one race, versus those that are racially and ethnically diverse, have you seen differences in:

a) The subjects raised and examples used in discussion or in research:

___ More in a single race setting ___ No difference ___ More in a diverse setting

b) The seriousness with which alternative perspectives are discussed:

___ More in a single race setting ___ No difference ___ More in a diverse setting

c) The level of intellectual conflict or challenge in the classroom:

___ More in a single race setting ___ No difference ___ More in a diverse setting

17. Is greater understanding of medical conditions and treatments regarding disease/health problems concentrated among certain racial and ethnic groups more or less likely to occur when the classroom is diverse?

___ More in a single race setting ___ No difference ___ More in a diverse setting

18. Conflicts do occur at times because of racial differences. When those incidents have occurred, have you found that:

a) They simply reinforce stereotypical values ___ Yes ___ No ___ Unsure

b) They challenge you to rethink your own values ___ Yes ___ No ___ Unsure

c) They ultimately become positive

learning experiences ___ Yes ___ No ___ Unsure

19. What is your opinion on the importance of a diverse student body in improving medical education?

|Not at all important |Slightly important |Moderately important |Very important |Vitally important |

|1 |2 |3 |4 |5 |

20 What is your opinion on the importance of a diverse basic science faculty in improving medical education?

|Not at all important |Slightly important |Moderately important |Very important |Vitally important |

|1 |2 |3 |4 |5 |

21. What is your opinion on the importance of exposure to diverse clinical faculty in improving medical education?

|Not at all important |Slightly important |Moderately important |Very important |Vitally important |

|1 |2 |3 |4 |5 |

22. Overall, do you think an admissions policy at your medical school that seeks a student body that includes under-represented minorities should be:

|Discontinued |De-emphasized |Maintained in its present|Somewhat strengthened |Significantly |

| | |form | |strengthened |

|1 |2 |3 |4 |5 |

23. Approximately when was the last significant racial or ethnic incident reported:

|At your school? |___ Not sure |___ In the last month |___ 2-6 months ago |___ Over 6 months ago |

|Locally? |___ Not sure |___ In the last month |___ 2-6 months ago |___ Over 6 months ago |

|Regionally? |___ Not sure |___ In the last month |___ 2-6 months ago |___ Over 6 months ago |

|Nationally? |___ Not sure |___ In the last month |___ 2-6 months ago |___ Over 6 months ago |

24. Has there been any single, salient event or experience that has most formed your views on race and ethnicity? If so, please describe it:

25. What year are you in medical school?

|First year |Second year |Third year |Fourth year |Other (please specify): |

26. What is your sex? ___ Female ___ Male

27. What is your nationality?

28. If you are a US citizen, how do you identify yourself?

___ African American, Black

___ Native American, Alaskan Native

___ Asian American

___ Asian, including from Indian Subcontinent

___ Hispanic, Latina/o

___ Mexican American, Chicano

___ Native Hawaiian, Pacific Islander

___ Puerto Rican

___ White or Caucasian

___ Other (please specify):

29. If you are a Canadian citizen, how do you identify yourself? (Source, Canada census 2001.)

___ White

___ Chinese

___ South Asian (e.g., East Indian, Pakistani, Sri Lankan, etc.)

___ Black

___ Filipino

___ Latin American

___ Southeast Asian (e.g., Cambodian, Indonesian, Laotian, Vietnamese, etc.)

___ Arab

___ West Asian (e.g., Afghan, Iranian, etc.)

___ Japanese

___ Korean

___ Other (please specify):

30. Optional: Please provide comments on your own experiences with racial and ethnic diversity that will help us better understand the effects of diversity on you as well as on the student body:

Thank you for your response.

22 August 2004

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