Survey Comparison

Survey Comparison.docx

Impact of Clinical Research Training and Medical Education at the Clinical Center on Physician Careers in Academia and Clinical Research

Survey Comparison

OMB: 0925-0602

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Personal Information


  • NameAre you using a different name than the one you used during training (stated at the top of this survey)?

  • If you are using a different name than the one you used during your CRTP training, please state the name you are currently using.

  • Email Address Preferred e-mail address

  • Alternate e-mail address

  • Gender

  • Ethnicity

  • Telephone Number Phone Number


CRTP/MRSP Program Information


  • Program

  • What year did you start your participation?

  • How many years of professional school had you completed prior to participating in the program?

  • CRTP/MRSP Mentor

  • CRTP/MRSP Tutor

  • At which Institute did you conduct your research?

  • Primary CRTP/MRSP project title

  • Secondary CRTP/MRSP project title

  • Key words describing your CRTP/MRSP research project

  • Did you make presentations at national meetings while in the program?

    • How many

    • What was the general subject

    • Please list national meetings where you presented

  • Please list your publications, and add an asterisk in front of your publications that are based on research performed during your CRTP year. Feel free to copy and paste from your resume or other document. Did you have any peer-reviewed publications with your CRTP/MRSP mentor?

    • How many

    • What was the general subject

    • Citations

  • Did you have any published chapters or reviews with your CRTP/MRSP mentor?

    • How many

    • What was the general subject

    • Citations

  • What is your global assessment the overall degree of impact CRTP has had of the program’s value to on your professional career?

  • What degree of impact did CRTP have on your ability to:


    • Successfully complete your Board Exam(s)

    • Perform typical procedures for specialty

    • Perform successfully in an academic or research setting

    • Perform successfully in a non-academic or non-research setting

    • Teach (medical students, residents, fellows, and/or patients)

    • Compete successfully for grants

    • Compete successfully for desired professional opportunities

    • Work well with other members of a healthcare team

    • Manage and lead others

    • Stay current in specialty

    • Network with other key individuals in field

    • Achieve work-life balance

    • Become a life-long learner

    • Be knowledgeable of established and evolving biomedical, clinical, epidemiological and social-behavioral sciences, when applying this knowledge to patient care (Medical Knowledge)

    • Provide patient care that is compassionate, appropriate, and effective for the treatment of health problems and the promotion of health (Patient Care)

    • Effectively exchange information and collaborate with patients, their families, and health professionals (Interpersonal & Communication Skills)

    • Carry out professional responsibilities and demonstrate an adherence to ethical principles (Professionalism & Ethics)

    • Investigate and evaluate one’s care to patients, to appraise and assimilate scientific evidence, and to continuously improve patient care based on constant self-evaluation and life-long learning (Practice-based Learning and Improvement)

    • Be aware of and responsive to the larger context and system of healthcare, as well as the ability to call effectively on other resources in the system to provide optimal healthcare (Systems-based Practice)


  • Were you able to find and begin employment (or additional training) of your choice within your specialty/subspecialty upon completing your CRTP training at NIH? (if applicable)

  • Employment/Additional Training: Notes

  • If you could start another year-out enrichment program again from the beginning, would you choose NIH for some or all of this training?

  • CRTP Selection: Notes

  • How likely are you to recommend NIH for a year-out enrichment program to medical/dental students? Have you ever spoken to predoctoral health professional students about applying to the program?

    • How many times

  • Have you spent any additional time at NIH after completing the program?

    • How was it spent

  • How likely are you to recommend NIH for clinical or translational research training to prospective research-oriented medical/dental students and physicians?

  • Likelihood to Recommend NIH for medical/dental student programs and GME training: Notes

  • Likelihood to Recommend NIH for medical/dental student programs and GME training: Notes

  • Please provide any additional comments about CRTP, GME or research training at NIH. (optional) Please provide any other comments about your experiences in the CRTP/MRSP?

  • What were the best parts of your CRTP training at NIH?

  • What was missing from or could be improved about your CRTP training (if applicable)?

  • Would you be willing to serve as a resource for current CRTP trainees who seek to learn from your professional experiences?



Professional Degree Information


  • In what type of professional school were you enrolled?

  • University What medical or dental school did you attend?

  • What clinical degree or equivalent did you earn?

  • What is the date you received this degree?

  • Did you go to residency training after graduating from professional school? Please list your residency training program, location and dates of training.

    • In what field

    • At which Institution

    • Have you completed the training

  • Did you participate in fellowship training? If you completed fellowship training, please let us know the program’s name, location, specialty/subspecialty, and dates of training

    • In what field

    • At which Institution

    • Have you completed the training

  • What is your clinical specialty?

  • Have you earned any graduate degrees in addition to your initial professional degree? What professional degrees do you hold?

    • Please Specify Degree

  • Have you had any scholarly publications after receiving your professional degree?

    • How Many

    • What is the general subject

    • Please list up to 10 citations of peer-reviewed publications

  • Have you received any honors since graduating professional school?

    • How many

    • Please list your five most notable honors

  • When you complete/completed professional school, do you expect/did you have student debt? When you completed medical or dental school what was your debt burden?

    • Did it affect your career decisions

  • Has the potential for lower income prevented you from entering an academic career?

  • Did you complete an NIH ACGME-accredited training program?

  • If you completed an NIH ACGME-accredited training program, in which program below did you train?

  • If you trained at the NIH, but not in an NIH ACGME-accredited training program, which which of the other clinical and translational programs did you participate in?

  • If the clinical and translational training program you attended is not listed above, please let us know its name:

  • Which Institute/Center sponsored the clinical or translational program that was not listed?

  • What professional degrees do you hold?

  • Please list your ABMS (Board) certification(s):  


Current Profession


  • What term best describes your current primary professional activity? What is your current status/title?  

  • What best describes the current site of your primary professional activity? Employer/institution type  

  • Name of your current employer/institution  

  • Employer/Institution: Notes  (if other)

  • Do you have a current academic appointment?

    • What is your rank?

    • Which category of time best describes your appointment?

  • Academic Status/Title: Notes  (if other)

  • Is your current academic appointment a tenure track position?  

  • If your current academic appointment is a tenure track position, do you currently have tenure?  

  • Are you currently involved in teaching?

  • How much of your time do you spend teaching?

  • In what primary discipline is your teaching?

  • Are you currently engaged in research?

    • How much of your time is spent conducting research?

    • In what primary discipline is your research?

    • How is the research funded?

  • Are you currently the Principal Investigator of at least one funded grant?

    • What is the number of currently funded grants you have as a PI?

    • What is the total amount of peer-reviewed research funding you currently have as a PI?

    • What is the source of your peer-reviewed research funding?

  • Are you currently a co-investigator of at least one funded grant?

    • What is the number of currently funded grants you have as a co-investigator?

    • What is the total amount of peer-reviewed research funding you currently have as a co-investigator?

    • What is the source of your peer-reviewed research funding?

  • Do you currently receive research funding from non-peer-reviewed sources (e.g. negotiated contracts, private donors, etc.)?

    • What is the source of your non-peer reviewed funding?

  • Are you currently performing clinical and/or translational research?

  • What are your current funding sources? 

  • If you selected ‘other federal funding,’ ‘private funding,’ or ‘other funding,’ please explain.

  • What are the most important clinical research challenges facing you in your career currently?

  • What is your professional title?

  • What organization and/or department do you work for?

  • What are your clinical and/or research interests?

  • If you have completed your residency and fellowship training, what proportion of your time is devoted to the following:

    • Research

    • Teaching

    • Administration

  • Please note any professional honors or awards you have received.

  • If you published during and after participating in the CRTP, please share with us the total number of peer-reviewed publications.








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