This Project is Funded by:
Chinese American Medical Society
http://www.camsociety.org/
Medical Language and Cultural Competency Training Questionnaire
Kerberos ID:
*Please press the Summit button at the end after you have completed the form.
To cut down on spam, please answer the following simple math equation:
A) DEMOGRAPHICS
1) Please indicate your class.
2) What ethnic background(s) do you consider yourself? Please check all that apply.
3) If you checked Southern Asian, Southeastern Asian, Eastern Asian, Central American, South American, or Black in question 2a, please indicate all the specific ethnic group(s) that you identify with.
4) In how many Chinese dialects are you conversationally fluent?
5) In how many Chinese dialects are you medically fluent (i.e., able to discuss medical matters)?
(B) MANDARIN - CHINESE
6) How confident are you in your ability to build rapport with Mandarin (Chinese)-only speaking patients, without the aid of an interpreter (1=not at all confident to 7=extremely confident)?
7) How confident are you in your ability to take a patient history with Mandarin (Chinese)- only speaking patients, without the aid of an interpreter (1=not at all confident to 7=extremely confident)?
8) How confident are you in your ability to conduct a review of systems on Mandarin (Chinese)-only speaking patients, without the aid of an interpreter (1=not at all confident to 7=extremely confident)?
9) How confident are you in your ability to conduct a physical exam on Mandarin (Chinese)-only speaking patients, without the aid of an interpreter (1=not at all confident to 7=extremely confident)?
10) How fluent are you in conversational Mandarin (Chinese) (1=not at all fluent to 7=extremely fluent)?
11) How fluent are you in medical Mandarin (Chinese) (i.e., able to discuss medical matters in Mandarin) (1=not at all fluent to 7=extremely fluent)?
12) Considering your familiarity with Mandarin (Chinese), are you:
Able to speak?
Able to listen/understand?
*Medically fluent (Medically fluent implies that you can discuss medical matters - in this language only.)
13) How did you learn Mandarin (Chinese)? Please check all that apply.
C) CANTONESE - CHINESE
14) How confident are you in your ability to build rapport with Cantonese (Chinese)-only speaking patients, without the aid of an interpreter (1=not at all confident to 7=extremely confident)?
15) How confident are you in your ability to take a patient history with Cantonese (Chinese)-only speaking patients, without the aid of an interpreter (1=not at all confident to 7=extremely confident)?
16) How confident are you in your ability to conduct a review of systems on Cantonese (Chinese)-only speaking patients, without the aid of an interpreter (1=not at all confident to 7=extremely confident)?
17) How confident are you in your ability to conduct a physical exam on Cantonese (Chinese)-only speaking patients, without the aid of an interpreter (1=not at all confident to 7=extremely confident)?
18) How fluent are you in conversational Cantonese (Chinese) (1=not at all fluent to 7=extremely fluent)?
19) How fluent are you in medical Cantonese (Chinese) (i.e., able to discuss medical matters in Cantonese) (1=not at all fluent to 7=extremely fluent)?
20) Considering your familiarity with Cantonese (Chinese), are you:
21) How did you learn your Cantonese (Chinese)? Please check all that apply.
D) MEDICAL CHINESE COURSE
22) Have you taken the Medical Chinese course offered by Master Scholars Program at NYUSoM? If not, skip to question #26.
23) If so, for how many semesters did you take Medical Chinese at NYUSoM?
24) Medical Chinese was offered for both Mandarin and Cantonese, please check all that you participated in:
25) Please evaluate your participation in our Medical Chinese program.
Did the course(s) meet your expectations?
Do you plan to use what you learned in your future practice?
Did you find the course(s) helpful?
Do you feel that more students or faculty should have taken the course?
Do you feel more comfortable in interacting with Chinese speaking patients, without theaid of an interpreter, compared to before you took the course(s)?
26) At this point, how motivated are you to learn some medical Chinese through this online module?
27) Please comment on the survey in general and on any question(s) that you thought was/were confusing or unclear.
E) Mandarin Pre-test
1) gan1
2) mang2 chang2 yan2
3) gan3 mao4 .
4) ni3 hao3
5) tai2 qi3 ni3 de5 tui3
6) wo3 shi4 yi1 sheng1
7) yong4 li4 wo4 zhu4 wo3 de5 shou3 zhi3 .
8) bian3 tao2 xian4
9) ni3 jue2 de5 mei2 you3 pai2 jin4 xiao3 bian4 ma5
10) bai2 nei4 zhang4
11) ni3 zui4 jin4 you3 shi1 yi4 ma5
12) xie4 xie5
13) ni3 you3 guo5 zi3 gong1 wai4 yun4 ma5?
14) tui3
15) chao1 yin1 bo1 jian3 cha2
16) dian1 xian2
17) xin1 jiao3 tong4
18) qing3 ni3 jiang3 de5 xiang2 xi4 yi1 xie1
19) ni3 tun1 yan4 zheng4 chang2 ma5
20) ni3 yong4 zhen1 guan3 zhu4 sh4 du2 pin3 ma5
E) Cantonese Pre-test
1) sam1 jong6
2) yi4 sin3 yim4
3) sam1 jong6 beng6 faat3 jok3 .
4) jou2 san4
5) san1 jik6 nei5 jek3 sau2
6) nei5 yi4 ga1 yau5 mou5 tung3 a3
7) da2 hoi1 nei5 ge3 sau2 baan2 .
8) lam4 ba1
9) nei5 hoi1 chi2 siu2 bin6 ge3 si4 hau6, yau5 mou5 gok3 dak1 kwan3 naan4?
10) ching1 gwong1 ngaan5
11) nei5 yi5 chin4 yau5 mou5 si3 gwo3 yau5 jing1 san4 chong3 seung1
12) joi3 gin3
13) nei5 ge3 yam1 dou6 yau5 mou5 fan1 bei3
14) sau2 bei
15) chiu1 yam1 bo1 gim2 cha4
16) chi1 ngoi4 beng6
17) gou1 daam2 gu3 seun4 hyut3 jing3
18) m4 goi1 nei5 maan6 maan2 gong2
19) nei5 yau5 mou5 fu1 kap1 kwan3 naan4
20) nei5 yi5 chin4 yau5 mou5 si3 gwo3 yau5 sing3 beng6 a3
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