{
  "module": "ORIENT.E",
  "title": "ORIENT.E CHW Work as a Path to the Health Professions",
  "pass_percent": 75,
  "pre_test": {
    "graded": false,
    "questions": [
      {
        "question": "Which is one of the four parts of the pre-health portfolio?",
        "options": [
          "A signed hours log",
          "A list of grades",
          "A selfie with clients",
          "A copy of the textbook"
        ],
        "correct": 0,
        "explanation": "The portfolio includes a signed hours log, three reflections, a project and a supervisor letter."
      },
      {
        "question": "How many reflections on social and political determinants are in the portfolio?",
        "options": [
          "One",
          "Three",
          "Ten",
          "None"
        ],
        "correct": 1,
        "explanation": "Pathway E students write three reflections."
      },
      {
        "question": "Which statement shows a partner mindset?",
        "options": [
          "I am here to fix this community",
          "I already know what people need",
          "Residents are the experts on their own lives",
          "This is just a resume line"
        ],
        "correct": 2,
        "explanation": "Partnering means learning from residents and following local leaders."
      },
      {
        "question": "A pre-med student wants to write an essay about a client using his name and illness. What should the student do?",
        "options": [
          "Use the details to make it vivid",
          "Post it online first",
          "Ask classmates to vote on it",
          "Focus on her own growth and remove identifying details"
        ],
        "correct": 3,
        "explanation": "Client stories are confidential; students write about their own learning."
      },
      {
        "question": "At a health fair, someone asks a pre-med CHW student whether to stop a medicine. What should the student do?",
        "options": [
          "Give advice based on class notes",
          "Explain the student role and help connect her to her doctor or pharmacist",
          "Tell her to stop if it hurts",
          "Ignore the question"
        ],
        "correct": 1,
        "explanation": "Medication decisions belong to providers; CHWs connect people to them."
      },
      {
        "question": "A student has a practicum shift during finals week. What is the best step?",
        "options": [
          "Tell the site supervisor early and offer to swap shifts",
          "Skip the shift without notice",
          "Send a friend in your place",
          "Quit the practicum"
        ],
        "correct": 0,
        "explanation": "Early notice and a plan keep trust with the site and community."
      },
      {
        "question": "What is cultural humility?",
        "options": [
          "Knowing everything about every culture",
          "Treating everyone exactly the same",
          "Avoiding people who are different",
          "A lifelong practice of self-reflection and learning from others"
        ],
        "correct": 3,
        "explanation": "Cultural humility is ongoing self-reflection and learning, not a finished skill."
      },
      {
        "question": "What does the chart label nonadherent often miss?",
        "options": [
          "The patient's name",
          "The date of the visit",
          "Upstream barriers such as cost, food access and work schedules",
          "The clinic's address"
        ],
        "correct": 2,
        "explanation": "CHW work reveals the social and political causes behind health outcomes."
      },
      {
        "question": "A pre-PA student wants to take blood pressures alone at the site. What should happen first?",
        "options": [
          "Pass the program's vital signs lab with RN sign-off and follow site rules",
          "Start right away since he learned it in college",
          "Ask a client to show him how",
          "Skip it entirely forever"
        ],
        "correct": 0,
        "explanation": "Students do skills only as trained, signed off and supervised in the program."
      },
      {
        "question": "Who writes the supervisor letter in the portfolio?",
        "options": [
          "A family friend",
          "The student",
          "Your practicum supervisor",
          "A classmate"
        ],
        "correct": 2,
        "explanation": "The practicum supervisor describes your work, skills and growth."
      }
    ]
  },
  "post_test": {
    "graded": true,
    "questions": [
      {
        "question": "Which statement shows a partner mindset?",
        "options": [
          "I am here to fix this community",
          "I already know what people need",
          "Residents are the experts on their own lives",
          "This is just a resume line"
        ],
        "correct": 2,
        "explanation": "Partnering means learning from residents and following local leaders."
      },
      {
        "question": "What is cultural humility?",
        "options": [
          "Knowing everything about every culture",
          "Treating everyone exactly the same",
          "Avoiding people who are different",
          "A lifelong practice of self-reflection and learning from others"
        ],
        "correct": 3,
        "explanation": "Cultural humility is ongoing self-reflection and learning, not a finished skill."
      },
      {
        "question": "A student has a practicum shift during finals week. What is the best step?",
        "options": [
          "Tell the site supervisor early and offer to swap shifts",
          "Skip the shift without notice",
          "Send a friend in your place",
          "Quit the practicum"
        ],
        "correct": 0,
        "explanation": "Early notice and a plan keep trust with the site and community."
      },
      {
        "question": "What does the chart label nonadherent often miss?",
        "options": [
          "The patient's name",
          "The date of the visit",
          "Upstream barriers such as cost, food access and work schedules",
          "The clinic's address"
        ],
        "correct": 2,
        "explanation": "CHW work reveals the social and political causes behind health outcomes."
      },
      {
        "question": "How many reflections on social and political determinants are in the portfolio?",
        "options": [
          "One",
          "Three",
          "Ten",
          "None"
        ],
        "correct": 1,
        "explanation": "Pathway E students write three reflections."
      },
      {
        "question": "Who writes the supervisor letter in the portfolio?",
        "options": [
          "A family friend",
          "The student",
          "Your practicum supervisor",
          "A classmate"
        ],
        "correct": 2,
        "explanation": "The practicum supervisor describes your work, skills and growth."
      },
      {
        "question": "A pre-med student wants to write an essay about a client using his name and illness. What should the student do?",
        "options": [
          "Use the details to make it vivid",
          "Post it online first",
          "Ask classmates to vote on it",
          "Focus on her own growth and remove identifying details"
        ],
        "correct": 3,
        "explanation": "Client stories are confidential; students write about their own learning."
      },
      {
        "question": "Which is one of the four parts of the pre-health portfolio?",
        "options": [
          "A signed hours log",
          "A list of grades",
          "A selfie with clients",
          "A copy of the textbook"
        ],
        "correct": 0,
        "explanation": "The portfolio includes a signed hours log, three reflections, a project and a supervisor letter."
      },
      {
        "question": "At a health fair, someone asks a pre-med CHW student whether to stop a medicine. What should the student do?",
        "options": [
          "Give advice based on class notes",
          "Explain the student role and help connect her to her doctor or pharmacist",
          "Tell her to stop if it hurts",
          "Ignore the question"
        ],
        "correct": 1,
        "explanation": "Medication decisions belong to providers; CHWs connect people to them."
      },
      {
        "question": "A pre-PA student wants to take blood pressures alone at the site. What should happen first?",
        "options": [
          "Pass the program's vital signs lab with RN sign-off and follow site rules",
          "Start right away since he learned it in college",
          "Ask a client to show him how",
          "Skip it entirely forever"
        ],
        "correct": 0,
        "explanation": "Students do skills only as trained, signed off and supervised in the program."
      }
    ]
  }
}