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PRACTICAL SURVEY FORM

Year of Practical & Study : ______________________________

Group Number and no of students : ______________________________

Hospital Name : _______________________________

Department / Discipline : _______________________________

Please tick among the following choices:

1) How long did you do your practicals?


The full course
2-4 weeks
1-2 weeks
<1 week

2) How many times per week do you attend the sessions?


1-2
3-5
>5

3) How many of the listed practical manipulations have you done throughout the practicals?

Injections ( IV, SC, IM )

IV drip

Blood test (Group& Rh)

Blood transfusion

BP measurement (Korotkoff’s)

ECG

Gastric aspiration and lavage

Gastro-duodenal intubation

Enema

Preparing patients for X-ray and endoscopy

Catheterization of urinary bladder

Operation theater(scrub in), dressing of wounds, bandaging

USG

Others :
__________________________________________________________________________________
_
4) If you did, how many times were you allowed to do the interventions?

Once

2-5 times

Frequently

5) Why were you not allowed to do the manipulations above?

I did not ask to perform these manipulations

It was not necessary for my department

I was not allowed by doctors/nurse

There was no opportunity/patients

I was unsure of myself

Others:___________________________________________________________________________
_________

6) Did you clerk patients at the department?

Yes

No

If no, why?
______________________________________________________________________________________

7) Did you manage to review case histories in the departments?

Yes

No

8) If no, why did you not attain the case histories?

I was not allowed by the doctor/nurse

I do not understand Russian


Others:
__________________________________________________________________________________
__

9) How was the doctors’ attitude towards the students?

Helpful

They don’t even know we were coming

Satisfactory

Too busy to attend the students

Others :
__________________________________________________________________________________
_

10) How is your communication with your supervisor?

I can communicate very well because he/she speaks English

I can communicate with him/her although he/she speaks Russian

I cannot understand him/her because he/she speaks Russian

Others:
__________________________________________________________________________________
__

11) How was the patients’ attitude towards the students?

Cooperative

No patients

Refusal. Why?
______________________________________________________________________________

12) How was the environment/equipment/staff/nurses in the department in terms of


helping you in the practical?

Accessible

Not accessible. Why?


________________________________________________________________________
13) How would you rate the whole practical session?

Excellent

Good

Satisfactory

Bad

Very bad

14) Do you think you will benefit more if you did your practicals in Malaysia?

Yes

No

Why?
______________________________________________________________________________________
____

15) The practicals in Russia are inconvenient because:

Additional living expenses during summer (food, accommodation, transportation,


allowances)

Hospitals are located far away

Language barrier

I was not allowed to choose the department I want to attach to

Others:
__________________________________________________________________________________
__

16) I want to do practicals in Malaysia because :

To familiarize with Malaysian Healthcare system

Better accessibility to healthcare facilities/hospitals/clinics/departments

Better comprehension of language and knowledge

No additional living cost required (food, accommodation, transportation,


allowances)

Others:
__________________________________________________________________________________
__
17) If we are to conduct practical sessions during weekdays of our current academic
semester (in evening 3-5pm) to cut down the duration of summer practicals, are you
willing to attend this sessions :

Yes

No

If no, why?
_____________________________________________________________________________________

18) If payment is required would you comply? If yes how much

No Why not?
_______________________________________________________________________________

Yes - <500 Roubles

- >500 Roubles

- State the maximum amount you’re willing to pay


:____________________

19) How would you prefer the practical sessions be arranged?

It should be included in the curriculum and time table of our academic year

It should be done during summer in Russia

It should be done during summer in Malaysia

Others:
__________________________________________________________________________________
__

20) What would you suggest as to improve the quality of practical session in Russia?

_________________________________________________________________________________________
_________________________________________________________________________________________
_________________________________________________________________________________________
_________________________________________________________________________________________
_________________________________________________________________________________________
_________________________________________________________________________________________
______________________________________________________

21) Additional information; please fill in the below table with your personal comments
about summer practicals in Russia.
*Please note that the comments only apply to the hospital you attended

PROS CONS
22. if the practicals are to be held here; we would like to :

choose hospital which we are attached to (please state choice: ____________


_ )

choose our own supervisor (please state choice :___________________)

choose our own department (please state choce


:________________ )

give full authority to the dean's office

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