Appendix G

Questionnaire

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PLEASE RESPOND TO THE FOLLOWING QUESTIONS/ STATEMENTS BY

CHECKING ( ) THE APPROPRIATE SPACES, OR FILLING IN THE

BLANKS.

The MEU Director

1. Please indicate your graduate and professional

degree(s):

( ) Ph.D.,_______________________________(field).

( ) Ed.D., _____________________________ (field).

( ) M.D.

( ) Masters: ________(degree), __________(field).

Other (please specify):

( ) _____________________________________________

( ) _____________________________________________

( ) _____________________________________________

2. In what year did you become the Director of this MEU?

19 ___.

3. Are you the founding Director of the MEU in this medical

school?

( ) No. (Please proceed to question No. 4)

( )_Yes. Please answer questions A – D:

A. The initiative to establish an MEU in this medical

school are came from:

(Check all that apply)

( ) The dean of the medical school.

( ) The associate dean(s)of the medical school.

( ) The key faculty of the medical school.

( ) Other faculty of the medical school.

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( ) Yourself.

( ) ___________________________________________

( ) ___________________________________________

B. Was the groundwork laid in this medical school

before the MEU was established (e.g.: by discussing

the costs and benefits of having an MEU with the

dean and the faculty, by forming an educational

research committee, etc.)?

( ) No.

( ) Yes.Please describe who laid the groundwork

and the method(s)used:

____________________________________________

____________________________________________

____________________________________________

____________________________________

C. The early activities of the MEU were based upon: (Check all that apply)( ) The educational needs of the medical

school, as expressed by: ___________________________________________

( ) Your own judgments.Other (please describe):

( ) __________________________________________

( ) _________________________________________

( ) __________________________________________

Comments:

___________________________________________________

________________________________________________

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___________________________________________________

___________________________________________________

________________________________________________

D. Did you sign a contract when establishing the MEU

in this medical school?

( ) No.

( ) Yes,with: ________________________________

Please specify the areas covered by the contract:

(Check all that apply)

( ) Budget for the MEU.

( ) Academic ranks for professional staff.

( ) Office space.

( ) Geographical location.

( ) Physical facilities.

( ) Official name of the unit, i.e.:

___________________________________________

( ) Departmental status.

( ) Programs and activities of the unit.

( ) Agreement to serve other schools in the

university.

( ) Agreement to review the contract regularly.

Other (please describe):

( ) ___________________________________________

( ) ___________________________________________

( ) ___________________________________________

Comments:

_________________________________________________

___________________________________________________

_________________________________________________

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4. What academic rank do you hold now, and in what

discipline (e.g: Medical Education, Health

Professions Education, Biochemistry)?

( ) None.

( ) Assistant Professor, ______________(discipline).

( ) Associate Professor, _____________ (discipline).

( ) Full Professor, __________________ (discipline).

( ) _______________________________________________

5. Is your academic rank a tenured one?

( ) No.

( ) Yes.

6. Have you been promoted in academic rank during your

directorship in this MEU?

( ) No.

( ) Yes, from _______________________(academic rank)

in 19__,

to ________________________ (academic rank)

in 19__,

to ________________________ (academic rank)

in 19__.

7. Do you work full-time as MEU Director?

( ) Yes.

( ) No.

___% of your time is spent as MEU Director.

___% of your time is spent as/for: ______________

________________________________________________

100% (Total time on the job)

8. As MEU Director , how do you spend your time on the

job?

___% for MEU administrative work.

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____% for direct involvement in internal MEU activities (with the people inside the medical school)

____% for direct involvement in external MEU activities (with the people outside the medical school)

___________________________________________________

100% (Total time on the job as MEU Director)

9. How often are you in demand as external consultant?

(Check one in each row)

Once a year or more

Less than

once a year

Not at all

At the international level

( ) ( ) ( )

By other universities in the country

( ) ( ) ( )

By other agencies in the country

( ) ( ) ( )

By other schools in the university

( ) ( ) ( )

Other (please describe):

( ) ( ) ( )

_______________________ ( ) ( ) ( )

_______________________ ( ) ( ) ( )

_______________________ ( ) ( ) ( )

10. As MEU Director, to whom do you report directly as higher authority?

( ) To a single source.

To whom? _______________________________________

( ) To more than one source.

To whom? 1. ____________________________________ 2. ____________________________________ 3. ____________________________________

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11. How would you best describe your working approach? (Check the one most characteristic of your style)

( ) As a change-agent (e.g.: conduct fundamental research, initiative innovative programs, being proactive).

( ) As a service-agent (e.g.: conduct research that is rendering a service, work with the faculty on their problems, being reactive).

( ) Other (please describe):_____________________________________________

Comments: ________________________________________

__________________________________________________

12. As MEU Director, what do you consider to be your

professional strengths? (Check all that apply)

( ) A generalist in education.

( ) A specialist in an area in education, i.e.:

_____________________________________________

( ) Practical understanding of the instructional

process.

( )Practical understanding of the applicability

of educational research.

( ) A good manager of resources.

( )Influential through formal channels.

( )Influential through informal channels.

( )A facilitator in interpersonal relations.

Other (please describe):

( ) ___________________________________________

( ) __________________________________________

( ) ___________________________________________

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The MEU

13. What is (are)the present full official name(s) of

your MEU?

Internal name(s) (used in the medical school):

___________________________________________________

________________________________________________

External name(s) (used for outside the medical

school):

14. When was your MEU established?

19___.

15. Please characteristic the personnel, other than

yourself, working in your MEU according to the

following classification:

Number of persons

Full-

time

Part-

time

Total

1. Professionals ______ _______ ______

2. Technicians ______ _______ ______

3. Secretarial ______ _______ ______

Other(please describe):

4. ________________ ______ ______ ______

5. ________________ ______ ______ ______

6. ________________ ______ ______ ______

Total number of MEU personnel: ______

16. Please list the KEY professional staff members

(e.g.: associate directors, specialists), other than

yourself, working in your MEU on the following list:

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Description of position

Highest professional & academic degree(s) of present incumbent

Full-time (FT) or Part-time

(PT)

1. _________ ____________________ ____________

2. _________ ____________________ ____________

3. _________ ___________________ ____________

4. _________ ___________________ ____________

5. _________ ___________________ ____________

6. _________ ___________________ ____________

(For more space, please write on the back of this page)

17. Has your MEU an academic department/ division

status (equal to all other department/ divisions in

the medical school)?

( ) No.

( ) Yes.

Comments: _________________________________________

__________________________________________________

18. Is your MEU strategically located (e.g.: medical

faculty members and students have to pass by your

MEU when going to their offices, classes, or lab)?

( ) No.

( ) Yes.

Comments: ________________________________________

__________________________________________________

19. Where is the geographical location of your MEU?

( ) In the dean’s office.

( ) In the medical school’s administration building.

( ) Next to the other departments in the medical

school.

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( ) Other (please describe): _____________________

______________________________________________

20. Where does your MEU get it funds, and what is the

percentage received from each source?

When you first become

Director of this MEU

For the last 12 months

From routine

university funds:

___% ___ %

From payments for

services:

___% ___ %

From research grants: ___ % ___ %

From contracts:

From other sources

(please specify):

___% ___%

____________________: ___% ___%

____________________: ___ % ___ %

Total: 100% 100%

21. How many publications have personnel in your MEU

produced during the last 12 months?

Books : _____

Journal articles : _____

Newsletter : _____

Other (please specify)

________________________ : _____

________________________ : _____

________________________ : _____

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22. Does your MEU have written developmental objectives

(long-range plans)?

( ) No.

( ) Yes.

Please indicate how effective your MEU was in meeting these objectives during the last 12 months:( ) Effective.( ) Somewhat effective.( ) Somewhat ineffective. ( ) Ineffective. Comments: ___________________________________

____________________________________________

23. Does your MEU have written performance objectives

(short-range plans)?

( ) No.

( ) Yes.

Please indicate how effective your MEU was in meeting these objectives during the last 12 months: ( ) Effective.( ) Somewhat effective.( ) Somewhat ineffective. ( ) Ineffective. Comments: ___________________________________

____________________________________________

24. Does your MEU have written job-descriptions?

( ) No.

( ) Yes.

Please indicate how effective your MEU was in following these job-descriptions during the last 12 months: ( ) Effective.

( ) Somewhat effective.

223

( ) Somewhat ineffective. ( ) Ineffective. Comments: ___________________________________

____________________________________________

25. In the last 12 months how much of your MEU resources (time, money, expertise, etc.) were allocated to internal and external activities:___% to activities with people inside the medical school. ___% to activities with people outside the medical school. ___________________________________________________100% (Total MEU resources)

26. In the last 12 months how much emphasis was given by your MEU to each activity with different people inside the medical school? Please respond by filling each cell with a number; if the emphasis was:Null Write 0 Very little Write 1Little Write 2 Much Write 3Very much Write 4

GROUPS OF PEOPLE IN THE MEDICAL SCHOOLMEU ACTIVITIES

The Dean’s Office

Faculty committees

Individual departments

Individual faculty members

Undergrad. Medical students

Professional consultationsTechnical services*Research projectsNon-degree training programs**Academic degree programs***

******

E.G.: Construction and analysis of examinations, AV material production, etc. Long-term and short-term programs, seminars, workshop, etc. Masters and doctoral programs in medical education, etc.

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Comments: _______________________________________

_________________________________________________

_________________________________________________

27. In the last 12 months how much emphasis was given by your MEU to each activity with different people outside the medical school? Please respond by filling each cell with a number; if the emphasis was:

Null Write 0 Very little Write 1Little Write 2 Much Write 3Very much Write 4

PEOPLE FROM

MEU

ACTIVITIES

Other schools in the university

Other universities in the country

Other agencies in the country

Other countries

Professional consultationsTechnical servicesResearch projectsNon-degree training programsAcademic degree programs

Comments: _______________________________________

_________________________________________________

_________________________________________________

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The Medical School

28. How old is the medical school?

_____ years

29. How would you best describe the educational decision making process in the medical school? (Check the one most characteristic of your medical school)

( ) Departmental autonomy.

( ) Run by committees.

( ) Other (please describe):

______________________________________________

______________________________________________

30. Are there other units in the medical school that engage in similar activities like your MEU (e.g.: the medical school library, a learning resources center, an educational unit in the teaching hospital, etc.) ( ) No.

( ) Yes.

Please identify the names of these unit(s) and the overlapping activities:

Name of unit Overlapping

activities

1.___________________________: ________________

________________

_________________

2.__________________________ : _________________

_________________

_________________

3.___________________________: _________________

_________________

_________________

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31. Any other comments:

32. Are you interested in receiving a summary of the findings?

( ) No.

( ) Yes.

THANK YOU

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