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
Identify areas in the literature where our patient population is not well represented and come up with research ideas that can be performed at City of Hope.	Identify areas in the literature where our patient population is not well represented and come up with research ideas that can be performed at City of Hope. - Outstanding	Identify areas in the literature where our patient population is not well represented and come up with research ideas that can be performed at City of Hope. - Good	Identify areas in the literature where our patient population is not well represented and come up with research ideas that can be performed at City of Hope. - Satisfactory	Identify areas in the literature where our patient population is not well represented and come up with research ideas that can be performed at City of Hope. - Fair	Identify areas in the literature where our patient population is not well represented and come up with research ideas that can be performed at City of Hope. - Poor
Discuss scientific publications as they become available.	Discuss scientific publications as they become available. - Outstanding	Discuss scientific publications as they become available. - Good	Discuss scientific publications as they become available. - Satisfactory	Discuss scientific publications as they become available. - Fair	Discuss scientific publications as they become available. - Poor
Identify and change our practice to adhere to most current recommendations.	Identify and change our practice to adhere to most current recommendations. - Outstanding	Identify and change our practice to adhere to most current recommendations. - Good	Identify and change our practice to adhere to most current recommendations. - Satisfactory	Identify and change our practice to adhere to most current recommendations. - Fair	Identify and change our practice to adhere to most current 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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