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
Discuss multidisciplinary management of complex cancers.	Discuss multidisciplinary management of complex cancers. - Outstanding	Discuss multidisciplinary management of complex cancers. - Good	Discuss multidisciplinary management of complex cancers. - Satisfactory	Discuss multidisciplinary management of complex cancers. - Fair	Discuss multidisciplinary management of complex cancers. - Poor
Integrate multidisciplinary care into daily practice.	Integrate multidisciplinary care into daily practice. - Outstanding	Integrate multidisciplinary care into daily practice. - Good	Integrate multidisciplinary care into daily practice. - Satisfactory	Integrate multidisciplinary care into daily practice. - Fair	Integrate multidisciplinary care into daily practice. - Poor
Review and discuss pertinent imaging modalities (e.g. X-ray, CT, MRI, and Nuclear Medicine Scans) as related to the case.	Review and discuss pertinent imaging modalities (e.g. X-ray, CT, MRI, and Nuclear Medicine Scans) as related to the case. - Outstanding	Review and discuss pertinent imaging modalities (e.g. X-ray, CT, MRI, and Nuclear Medicine Scans) as related to the case. - Good	Review and discuss pertinent imaging modalities (e.g. X-ray, CT, MRI, and Nuclear Medicine Scans) as related to the case. - Satisfactory	Review and discuss pertinent imaging modalities (e.g. X-ray, CT, MRI, and Nuclear Medicine Scans) as related to the case. - Fair	Review and discuss pertinent imaging modalities (e.g. X-ray, CT, MRI, and Nuclear Medicine Scans) as related to the case. - 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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