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The following questions were presented to and completed by medical students in Canada in 2010.
| Medical Student Demographics | ||
| Please indicate your current status. | ||
| Are you in your final year of study? |
| Q1: Age. | ||
| Q2: Sex. | ||
| Q3: How many years of POST-SECONDARY education did you complete before beginning medical school? | ||
| Q4: Beyond secondary school, what degrees/ diplomas did you complete prior to entering medical school? | ||
| Q5: At which university are you currently doing your medical training? | ||
| Q6: Are you studying at a regional or satellite medical campus? If yes, please specify: | ||
| Q7: What led you to select a career in medicine? | ||
| Q8: When did you decide that you would like to be a doctor? |
| Q9: Please indicate your overall satisfaction with your current medical education program. | ||
| Q10: Please rate your satisfaction with the ability to access electives of your choice in your medical education. | ||
| Q11: Please indicate your satisfaction with the following at your medical school: | ||
| Q12a: Please indicate the type of exposure you have had, during your medical training to date, to the work carried out by the following types of physicians. | ||
| Q12b: Please indicate the type of exposure you have had, during your medical training to date, to the work carried out by the following health care providers. | ||
| Q13: To what extent do you agree that your medical training program has prepared you (or will prepare you) to select a residency training program? |
| Q14: At this time, which area of specialty do you hope to enter? Please select your top 3 choices. | ||
| Q15: At this time, in which of the following do you hope to be involved? | ||
| Q16: Select the ONE statement which best describes the environment in which you plan to practice for the majority of your medical career. | ||
| Q17: Please indicate the languages that you could comfortably speak with your future patients. | ||
| Q18a: What do you think will be factors in having a satisfying and successful medical practice? | ||
| Q18b: Please indicate which of the factors in 18a. is the one most important factor for you to have a satisfying and successful medical practice. |
| Q19: How would you prefer to be paid for your services as a physician? |
| Q20: How much did the level of tuition and other fees affect your choice of which medical school(s) to apply to? | ||
| Q21: How much did being able to afford the cost of living in the city where the school was located affect which medical school(s) you chose to apply to? | ||
| Q22: Have you held any paying jobs (part-time, occasional, etc.) during the current academic year? If yes, approximately how many hours do you work per month? | ||
| Q23a-c: Please indicate how much education-related debt you incurred during each of the following timeframes, and how much debt you estimate you will have after the completion of your medical school education. | ||
| Q23d: To pay off the debts you have accumulated during your medical education, do you intend to do any of the following? | ||
| Q24: Have you received financial support that does not require repayment for your post-secondary education? If yes, how much? | ||
| Q25: Have you received financial aid that requires repayment for your post-secondary education? If yes, how much in total? | ||
| Q26: To what extent do you believe that the amount of financial assistance available to you through grants and loans from either the government or university institutions, meets your actual financial need? | ||
| Q27: Which of the following best describes your financial situation? | ||
| Q28: What proportion of your debt is privately or publicly loaned? | ||
| Q29: Have you sought or do you plan to seek financial counseling through your medical school? | ||
| Q30: Thinking about stress in your day to day life, please rate the following potential sources of stress. |
| Q31: What certificates, diplomas, or degrees did your parents obtain? | ||
| Q32: Are any of your immediate family members working in medically related jobs? | ||
| Q33: What is your best estimate of the total income, before taxes and deductions, of your parental household in the last 12 months? |
| Q34a: Where were you born? | ||
| Q34b: Please indicate your status in Canada. | ||
| Q35: Select the ONE statement which best describes the environment in which you grew up prior to university. | ||
| Q36: Where did you grow up prior to going to university? | ||
| Q37: Current Marital status: | ||
| Q38: Do you have children (including stepchildren)? |