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Learner Demographics *

Physician

Nurse

Other

Overall Series Rating *

	Excellent	Satisfactory	Poor
Overall, how would you rate this series?	Overall, how would you rate this series? - Excellent	Overall, how would you rate this series? - Satisfactory	Overall, how would you rate this series? - Poor

Extent to which identified Series objectives were met: I am better able to ... *

	Outstanding	Good	Satisfactory	Fair	Poor
Discuss the translation of discoveries in the laboratory to the clinical care of patients.	Discuss the translation of discoveries in the laboratory to the clinical care of patients. - Outstanding	Discuss the translation of discoveries in the laboratory to the clinical care of patients. - Good	Discuss the translation of discoveries in the laboratory to the clinical care of patients. - Satisfactory	Discuss the translation of discoveries in the laboratory to the clinical care of patients. - Fair	Discuss the translation of discoveries in the laboratory to the clinical care of patients. - Poor
Examine basic science investigations to understand underlying mechanisms of disease.	Examine basic science investigations to understand underlying mechanisms of disease. - Outstanding	Examine basic science investigations to understand underlying mechanisms of disease. - Good	Examine basic science investigations to understand underlying mechanisms of disease. - Satisfactory	Examine basic science investigations to understand underlying mechanisms of disease. - Fair	Examine basic science investigations to understand underlying mechanisms of disease. - Poor
Assess innovative treatments, technology, and devices to optimize patient care and outcomes.	Assess innovative treatments, technology, and devices to optimize patient care and outcomes. - Outstanding	Assess innovative treatments, technology, and devices to optimize patient care and outcomes. - Good	Assess innovative treatments, technology, and devices to optimize patient care and outcomes. - Satisfactory	Assess innovative treatments, technology, and devices to optimize patient care and outcomes. - Fair	Assess innovative treatments, technology, and devices to optimize patient care and outcomes. - Poor
Discuss possible barriers and biases which may impact patient care (i.e., race, ethnicity, language, gender identity/orientation, age, socioeconomic status, attitudes, feelings, or other characteristics).	Discuss possible barriers and biases which may impact patient care (i.e., race, ethnicity, language, gender identity/orientation, age, socioeconomic status, attitudes, feelings, or other characteristics). - Outstanding	Discuss possible barriers and biases which may impact patient care (i.e., race, ethnicity, language, gender identity/orientation, age, socioeconomic status, attitudes, feelings, or other characteristics). - Good	Discuss possible barriers and biases which may impact patient care (i.e., race, ethnicity, language, gender identity/orientation, age, socioeconomic status, attitudes, feelings, or other characteristics). - Satisfactory	Discuss possible barriers and biases which may impact patient care (i.e., race, ethnicity, language, gender identity/orientation, age, socioeconomic status, attitudes, feelings, or other characteristics). - Fair	Discuss possible barriers and biases which may impact patient care (i.e., race, ethnicity, language, gender identity/orientation, age, socioeconomic status, attitudes, feelings, or other characteristics). - Poor

Do you believe the subject matter presented/discussed was: *

	Yes	No
Objective	Objective - Yes	Objective - No
Fair & Balanced	Fair & Balanced - Yes	Fair & Balanced - No
Free of Commercial Bias	Free of Commercial Bias - Yes	Free of Commercial Bias - No

Have you made changes to your practice as a result of this series?

Yes

No

Please describe:

Do you have any recommendations for the moderator(s)/facilitator(s) of this series?

Yes

No

Please describe:

The Series included educational components that addressed cultural linguistic competency and implicit bias

Yes

No

N/A (If a research or non-direct patient care series)

Outside of this activity, what additional topics would you like addressed in other educational opportunities?

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