1 Start 2 Complete

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
Integrate consensus treatment recommendations and published guidelines into daily practice.	Integrate consensus treatment recommendations and published guidelines into daily practice. - Outstanding	Integrate consensus treatment recommendations and published guidelines into daily practice. - Good	Integrate consensus treatment recommendations and published guidelines into daily practice. - Satisfactory	Integrate consensus treatment recommendations and published guidelines into daily practice. - Fair	Integrate consensus treatment recommendations and published guidelines into daily practice. - Poor
Demonstrate a commitment to the advancement of the scientific pursuit by enrolling appropriate patients on clinical trials.	Demonstrate a commitment to the advancement of the scientific pursuit by enrolling appropriate patients on clinical trials. - Outstanding	Demonstrate a commitment to the advancement of the scientific pursuit by enrolling appropriate patients on clinical trials. - Good	Demonstrate a commitment to the advancement of the scientific pursuit by enrolling appropriate patients on clinical trials. - Satisfactory	Demonstrate a commitment to the advancement of the scientific pursuit by enrolling appropriate patients on clinical trials. - Fair	Demonstrate a commitment to the advancement of the scientific pursuit by enrolling appropriate patients on clinical trials. - Poor
Identify the pros and cons of various treatment approaches for patients for whom various treatment options exist.	Identify the pros and cons of various treatment approaches for patients for whom various treatment options exist. - Outstanding	Identify the pros and cons of various treatment approaches for patients for whom various treatment options exist. - Good	Identify the pros and cons of various treatment approaches for patients for whom various treatment options exist. - Satisfactory	Identify the pros and cons of various treatment approaches for patients for whom various treatment options exist. - Fair	Identify the pros and cons of various treatment approaches for patients for whom various treatment options exist. - Poor
Discuss the literature supporting treatment recommendations.	Discuss the literature supporting treatment recommendations. - Outstanding	Discuss the literature supporting treatment recommendations. - Good	Discuss the literature supporting treatment recommendations. - Satisfactory	Discuss the literature supporting treatment recommendations. - Fair	Discuss the literature supporting treatment recommendations. - 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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