The Pennsylvania AHEC, in partnership with your school, is seeking to help meet the health care needs of our communities and to make health careers training a more valuable experience. Results from these surveys will be used to support these goals. All survey responses are confidential. Data will only be used within the AHEC program and never for commercial purposes.
ONLY fill out the Student Profile Form ONE TIME – this information is stored and will link to any further submissions.
Submit a CR2 Rotation Survey Form AT THE END of EACH ROTATION that you want to report. Make sure to provide the name of the Preceptor and the name of the Preceptor Site correctly.
NOTE: We only collect information on Primary Care rotations – FP, Peds, General IM, and OB/GYN.
When filling out the forms please make sure to answer all questions. The data is only used for reporting purposes – we do not share any information so please include address and phone numbers.
If you have any questions please email: Jane Mullinax: firstname.lastname@example.org
Clinical Training Rotation/Survey Form