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 most expeditious, safest, highest yield approaches to diagnosis and staging for chest neoplasms in specific clinical scenarios.	Identify most expeditious, safest, highest yield approaches to diagnosis and staging for chest neoplasms in specific clinical scenarios. - Outstanding	Identify most expeditious, safest, highest yield approaches to diagnosis and staging for chest neoplasms in specific clinical scenarios. - Good	Identify most expeditious, safest, highest yield approaches to diagnosis and staging for chest neoplasms in specific clinical scenarios. - Satisfactory	Identify most expeditious, safest, highest yield approaches to diagnosis and staging for chest neoplasms in specific clinical scenarios. - Fair	Identify most expeditious, safest, highest yield approaches to diagnosis and staging for chest neoplasms in specific clinical scenarios. - Poor
Discuss pros and cons of various diagnostic and treatment strategies.	Discuss pros and cons of various diagnostic and treatment strategies. - Outstanding	Discuss pros and cons of various diagnostic and treatment strategies. - Good	Discuss pros and cons of various diagnostic and treatment strategies. - Satisfactory	Discuss pros and cons of various diagnostic and treatment strategies. - Fair	Discuss pros and cons of various diagnostic and treatment strategies. - Poor
Determine compliance with NCCN treatment guidelines, and when deviation from those guidelines may be appropriate.	Determine compliance with NCCN treatment guidelines, and when deviation from those guidelines may be appropriate. - Outstanding	Determine compliance with NCCN treatment guidelines, and when deviation from those guidelines may be appropriate. - Good	Determine compliance with NCCN treatment guidelines, and when deviation from those guidelines may be appropriate. - Satisfactory	Determine compliance with NCCN treatment guidelines, and when deviation from those guidelines may be appropriate. - Fair	Determine compliance with NCCN treatment guidelines, and when deviation from those guidelines may be appropriate. - Poor
Obtain assistance in clinical staging by real time review of imaging studies with the radiologist.	Obtain assistance in clinical staging by real time review of imaging studies with the radiologist. - Outstanding	Obtain assistance in clinical staging by real time review of imaging studies with the radiologist. - Good	Obtain assistance in clinical staging by real time review of imaging studies with the radiologist. - Satisfactory	Obtain assistance in clinical staging by real time review of imaging studies with the radiologist. - Fair	Obtain assistance in clinical staging by real time review of imaging studies with the radiologist. - Poor
Review pathology slides with pathologists in cases where diagnosis is uncertain, allowing correlation of clinical and pathologic findings.	Review pathology slides with pathologists in cases where diagnosis is uncertain, allowing correlation of clinical and pathologic findings. - Outstanding	Review pathology slides with pathologists in cases where diagnosis is uncertain, allowing correlation of clinical and pathologic findings. - Good	Review pathology slides with pathologists in cases where diagnosis is uncertain, allowing correlation of clinical and pathologic findings. - Satisfactory	Review pathology slides with pathologists in cases where diagnosis is uncertain, allowing correlation of clinical and pathologic findings. - Fair	Review pathology slides with pathologists in cases where diagnosis is uncertain, allowing correlation of clinical and pathologic findings. - 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?

Leave this field blank