<p> JRC-DMS Graduate Survey</p><p>The primary goal of a Diagnostic Medical Sonography Education program is to prepare the graduate to function as a competent sonographer. This survey is designed to help the program faculty determine the strengths and areas for improvement for our program. All data will be kept confidential and will be used for program evaluation purposes only. </p><p>Consider each item separately and rate each item independently of all others. Check the rating that indicates the extent to which you agree with each statement. Please do not skip any rating. Select N/A if you do not know about a particular area. </p><p>5 - Strongly Agree 4 - Generally Agree 3 - Neutral 2 - Generally Disagree 1 - Strongly Disagree N/A - Not Applicable</p><p>Name of graduate: </p><p>Institution name: </p><p>JRC-DMS program number: </p><p>Length of employment at time of evaluation: years, months</p><p>Specialty education completed: General Adult Cardiac Pediatric Cardiac Vascular</p><p>Credential status (select all that apply):</p><p>RDMS ( Ab Ob) RDCS ( AE PE) RVT RT(S) Other: </p><p>1. Knowledge Base (Cognitive Domain)</p><p>The program:</p><p>A. Helped me acquire the sonography care knowledge 5 4 3 2 1 N/A necessary to function in a health care setting. B. Helped me acquire the general medicine knowledge base 5 4 3 2 1 N/A necessary to function in a health care setting. C. Prepared me to collect data from charts and patients. 5 4 3 2 1 N/A</p><p>D. Prepared me to interpret patient data. 5 4 3 2 1 N/A E. Prepared me to evaluate diagnostic findings in order to 5 4 3 2 1 N/A perform appropriate diagnostic procedures. F. Trained me to use sound judgment while functioning in a 5 4 3 2 1 N/A health care setting.</p><p>Graduate Survey (SAMPLE) 1 Comments: </p><p>2. Clinical Proficiency (Psychomotor Domain)</p><p>The program:</p><p>A. Prepared me to perform a broad range of sonography examinations in the following specialty in which I trained: </p><p>General 5 4 3 2 1 N/A Cardiac Vascular 5 4 3 2 1 N/A 5 4 3 2 1 N/A</p><p>B. Prepared me with the skills to perform patient assessment. 5 4 3 2 1 N/A</p><p>C. Prepared me to perform up-to-date sonography procedure. 5 4 3 2 1 N/A</p><p>D. Prepared me to perform and interpret diagnostic procedures. 5 4 3 2 1 N/A</p><p>Comments: </p><p>3. Behavioral Skills (Affective Domain)</p><p>The program:</p><p>A. Prepared me to communicate effectively within a healthc are 5 4 3 2 1 N/A setting. B. Prepared me to conduct myself in an ethical and professional 5 4 3 2 1 N/A manner. C. Prepared me to manage my time efficiently while 5 4 3 2 1 N/A functioning in a health care setting.</p><p>Comments: </p><p>4. General Information</p><p>A. I have actively pursued attaining my sonography credentials. Yes No</p><p>B. I am a member of a state/local sonography professional association. Yes No</p><p>C. I am a member of a national sonography professional association. Yes No</p><p>D. I actively participate in continuing education activities. Yes No</p><p>Comments: </p><p>5. Overall Rating of the Program</p><p>Please rate and comment on the OVERALL quality and your Excellent Good Satisfactory preparation as an ENTRY-LEVEL sonographer: Fair Poor</p><p>Comments: </p><p>Graduate Survey (SAMPLE) 2 6. Additional Comments</p><p>Based on your work experience, please identify two or three strengths of the program: </p><p>Based on your work experience, please make two or three suggestions to further strengthen the program:</p><p>What qualities/skills (if any) were expected of you upon employment that were not included in this program? </p><p>Please provide comments and suggestions that would help to better prepare future graduates: </p><p>______Signature Title Date</p><p>Graduate Survey (SAMPLE) 3</p>