Senior Health Professions Students Survey
The aim of this survey is to evaluate the current situation  of primary health care (PHC) services and its supporting functions (such as centers, platform, training programs, diploma or other professional studies, etc)  in your institution and the level of participation of senior students of school of medicine and other allied health sciences schools (how and to what limit senior students and other students in the training year can share in the primary health care clinic in your institution) .
The main goal is to improve the compactness and skills of the medical and health sciences graduates to provide high quality medical and health services to the patients.
We are planning to establish a number of Primary health care centers where senior students and house officers will taka a very active role in the all center medical and management activities. Thus your reply is important for our next phase of establishment of the centers

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1- University/faculty and department *
2- Name
3- Age *
4-Major *
5- Clinical practice/rotation year *
6- Gender *
7-Do you have a primary health care center in your institution? *
If yes please give names
8-As a senior students would you like to descript the process and content of your involvement as a house officer/internship/practice *
Based on your answer to last question would you mentation main challenges and opportunities (your suggestion of improvement) *
9-As senior students in the health field, do you have access to any primary health care center/UNIT/activities  as part of your clinical orientation? *
10-Are you involved in the delivery of primary health care center services or any other similar center? *
If the answer is No. would you like to be involved ?
11-How do you describe your participation in the delivery of services as a house officer/internship or practice *
If no Why not
12-Please specify the activities that you participate in; you may select more than one *
Required
If other specify
13-Please mention the main the services provided and or should be provided by the primary health care center; you may select more than one answer: *
Required
If other specify
14-Please mention the main specialties covering the services provided or should be provided by the primary health care center; you may select more than one answer *
Required
If others specify
15- What is the seniority level of the physician providing medical consultation: ; you may select more than one answer *
Required
If others specify
16- Kindly mention all health  professionals involved in the delivery of care in the center/unit/dep; you may select more than one answer *
Required
If others specify
17- Are there any instruments, devices, (such as cameras, displays, health information system,  …) and platforms that help you as students to learn and participate in the service delivery? *
If the answer is Yes,  Kindly mention in the space below some of these instruments, devices,  and or platforms
18- Did you participate in any In-service training or capacity building activities run by the primary health care center or other health units in your institution (such as life support training, simulation training…)? *
If previous question answer is yes please describe in brief , and if no please say why not
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