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
Demonstrate competency in patient selection, product selection and toxicity management when providing cellular therapy to potential patients.	Demonstrate competency in patient selection, product selection and toxicity management when providing cellular therapy to potential patients. - Outstanding	Demonstrate competency in patient selection, product selection and toxicity management when providing cellular therapy to potential patients. - Good	Demonstrate competency in patient selection, product selection and toxicity management when providing cellular therapy to potential patients. - Satisfactory	Demonstrate competency in patient selection, product selection and toxicity management when providing cellular therapy to potential patients. - Fair	Demonstrate competency in patient selection, product selection and toxicity management when providing cellular therapy to potential patients. - Poor
Outline the process of a multidisciplinary approach to optimize a patient journey.	Outline the process of a multidisciplinary approach to optimize a patient journey. - Outstanding	Outline the process of a multidisciplinary approach to optimize a patient journey. - Good	Outline the process of a multidisciplinary approach to optimize a patient journey. - Satisfactory	Outline the process of a multidisciplinary approach to optimize a patient journey. - Fair	Outline the process of a multidisciplinary approach to optimize a patient journey. - Poor
Discuss patient cases with various supporting groups.	Discuss patient cases with various supporting groups. - Outstanding	Discuss patient cases with various supporting groups. - Good	Discuss patient cases with various supporting groups. - Satisfactory	Discuss patient cases with various supporting groups. - Fair	Discuss patient cases with various supporting groups. - Poor
Integrate SOP-based knowledge into daily patient care.	Integrate SOP-based knowledge into daily patient care. - Outstanding	Integrate SOP-based knowledge into daily patient care. - Good	Integrate SOP-based knowledge into daily patient care. - Satisfactory	Integrate SOP-based knowledge into daily patient care. - Fair	Integrate SOP-based knowledge into daily patient care. - 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