6 Summer Research Program

Activity:

Summer Intern Alumni Survey

Site:

National Institutes of Health

Period:

One Year later

Time Period:
Request Date:
Evaluation Type:

Summer Internship Program Alumni Survey

Evaluator:
Subject:
Participation Dates:

Participation Dates:

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No

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Summer Internship Program Alumni Survey
(OMB # 0925-0602; expires 8/31/2012)
Please take a few minutes to complete the survey below, which will ask about your
current professional experiences and other accomplishments. It will also invite you
to retrospectively evaluate your training program and serve, if you are agreeable, to
be a resource or advisor to current and future trainees in your program.
Through this survey, the NIH Office of Clinical Research Training and Medical
Education (OCRTME) is collaborating with your program to (a) identify opportunities
that will enhance the clinical research training we provide and (b) stay better
connected with you and the other graduates of our clinical training programs.
Please note that the information you share with us will only be accessible to
authorized OCRTME staff. When reported external to the office as part of our quality
improvement process, all feedback will be anonymous and reported in the
aggregate.
Thank you for helping us to improve and stay connected.
**If you are accessing this survey at the NIH or another Federal institution, Network
restrictions may prevent you from copying and pasting text directly from Office
documents into this survey via Microsoft Internet Explorer. Please use Google
Chrome or Mozilla Firefox as alternatives to enable copy and paste functions.
Burden Disclosure Statement: Public reporting burden for this collection of
information is estimated to average 20 minutes per survey, including the time for
reviewing instructions, searching existing data sources, gathering and maintaining

the data needed, and completing and reviewing the collection of information. An
agency may not conduct or sponsor, and a person is not required to respond to, a
collection of information unless it displays a currently valid OMB control number.
Send comments regarding this burden estimate or any other aspect of this collection
of information, including suggestions for reducing this burden, to: NIH, Project
Clearance Branch, 6705 Rockledge Drive, MSC 7974, Bethesda, MD 20892-7974,
ATTN: PRA (0925-0602). Do not return the completed form to this address.
To review the NIH/E*Value Privacy Act Notification Statement, please click here
Are you using a different name than the one you used during your summer
internship? (Question 1 of 19 - Mandatory )
Yes

No

If you are using a different name than the one you used during your internship, please
state the name you are currently using. (Question 2 of 19 )

Preferred e-mail address:

(Question 3 of 19 - Mandatory )

Alternate e-mail address:

(Question 4 of 19 - Mandatory )

What year did you participate in the Summer Internship Program?
(Question 5 of 19 - Mandatory )
a. 2007
b. 2008
c. 2009
d. 2010
e. 2011
f. 2012

Which team were you a member of? (choose one)
Bioethics
Communications, Patient Recruitment & Public Liaison
Critical Care Medicine
Department of Anesthesia and Surgical Services
Department of Clinical Research Informatics
Department of Laboratory Medicine

(Question 6 of 19 - Mandatory )

Diagnostic Radiology Department
Hospital Epidemiology
Laboratory of Diagnostic Radiology Research
Nuclear Medicine
Nursing & Patient Care
Nutrition
Pain & Palliative Care
Pharmacy
Positron Emission Tomography
Rehabilitation Medicine Department
Social Work Department
Transfusion Medicine

What is the name of your current employer/institution?
Mandatory )

Employer/institution type: (choose one)

(Question 7 of 19 -

(Question 8 of 19 - Mandatory )

Academic (as student)
Academic (in a professional capacity)
NIH
Government regulatory agency
Pharmaceutical
Other research
Other

If you selected “other,” please explain

What are your current career plans?

(Question 9 of 19 )

(Question 10 of 19 - Mandatory )

What degree of impact did your summer internship have on your ability to:

Clarify academic goals
No Impact

(Question 11 of 19 - Mandatory )

Little Impact

Clarify professional goals
No Impact

Little Impact

Some Impact

Much Impact

Considerable Impact

(Question 12 of 19 - Mandatory )
Some Impact

Much Impact

Considerable Impact

Compete successfully for desired professional or academic opportunities
(Question 13 of 19 - Mandatory )
No Impact

Network

Little Impact

Some Impact

Much Impact

Considerable Impact

Much Impact

Considerable Impact

(Question 14 of 19 - Mandatory )

No Impact

Little Impact

Some Impact

Because of your summer internship, how likely are you to pursue your interest in
clinical research or healthcare operations? (Question 15 of 19 - Mandatory )
No Impact

Little Impact

Some Impact

Much Impact

What were the best parts of your summer internship at the NIH?
- Mandatory )

Considerable Impact

(Question 16 of 19

What was missing from or could have improved your summer internship?
(Question 17 of 19 - Mandatory )

If you could start your summer internship again from the beginning, would you
choose the NIH? (Question 18 of 19 - Mandatory )
Yes

No

Would you be willing to serve as a resource for current or future NIH summer interns
who seek to learn from your experiences? (Question 19 of 19 - Mandatory )
Yes

No

If you are satisfied with the evaluation, click the Submit button. Once submitted, you will no
longer be able to make changes to this evaluation.

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