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
Adapt interdisciplinary patient management recommendations into practice.	Adapt interdisciplinary patient management recommendations into practice. - Outstanding	Adapt interdisciplinary patient management recommendations into practice. - Good	Adapt interdisciplinary patient management recommendations into practice. - Satisfactory	Adapt interdisciplinary patient management recommendations into practice. - Fair	Adapt interdisciplinary patient management recommendations into practice. - Poor
Identify those patients best suited to benefit from entrance into clinical trials and hematopoietic cell transplantation.	Identify those patients best suited to benefit from entrance into clinical trials and hematopoietic cell transplantation. - Outstanding	Identify those patients best suited to benefit from entrance into clinical trials and hematopoietic cell transplantation. - Good	Identify those patients best suited to benefit from entrance into clinical trials and hematopoietic cell transplantation. - Satisfactory	Identify those patients best suited to benefit from entrance into clinical trials and hematopoietic cell transplantation. - Fair	Identify those patients best suited to benefit from entrance into clinical trials and hematopoietic cell transplantation. - Poor
Evaluate outcomes of a multidisciplinary treatment approach for patients with hematologic malignancies.	Evaluate outcomes of a multidisciplinary treatment approach for patients with hematologic malignancies. - Outstanding	Evaluate outcomes of a multidisciplinary treatment approach for patients with hematologic malignancies. - Good	Evaluate outcomes of a multidisciplinary treatment approach for patients with hematologic malignancies. - Satisfactory	Evaluate outcomes of a multidisciplinary treatment approach for patients with hematologic malignancies. - Fair	Evaluate outcomes of a multidisciplinary treatment approach for patients with hematologic malignancies. - 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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