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 accurate and up-to-date understanding of inpatient mortality among Department of Medicine patients.	Demonstrate accurate and up-to-date understanding of inpatient mortality among Department of Medicine patients. - Outstanding	Demonstrate accurate and up-to-date understanding of inpatient mortality among Department of Medicine patients. - Good	Demonstrate accurate and up-to-date understanding of inpatient mortality among Department of Medicine patients. - Satisfactory	Demonstrate accurate and up-to-date understanding of inpatient mortality among Department of Medicine patients. - Fair	Demonstrate accurate and up-to-date understanding of inpatient mortality among Department of Medicine patients. - Poor
Integrate institutional resources into clinical practice regarding end-of-life care and goals of care discussions.	Integrate institutional resources into clinical practice regarding end-of-life care and goals of care discussions. - Outstanding	Integrate institutional resources into clinical practice regarding end-of-life care and goals of care discussions. - Good	Integrate institutional resources into clinical practice regarding end-of-life care and goals of care discussions. - Satisfactory	Integrate institutional resources into clinical practice regarding end-of-life care and goals of care discussions. - Fair	Integrate institutional resources into clinical practice regarding end-of-life care and goals of care discussions. - Poor
Identify barriers to early and effective goals-of-care discussions among end-of-life patients.	Identify barriers to early and effective goals-of-care discussions among end-of-life patients. - Outstanding	Identify barriers to early and effective goals-of-care discussions among end-of-life patients. - Good	Identify barriers to early and effective goals-of-care discussions among end-of-life patients. - Satisfactory	Identify barriers to early and effective goals-of-care discussions among end-of-life patients. - Fair	Identify barriers to early and effective goals-of-care discussions among end-of-life patients. - Poor
Examine the role of Department of Medicine providers in relation to institutional goals and objectives regarding end-of-life care in the inpatient setting.	Examine the role of Department of Medicine providers in relation to institutional goals and objectives regarding end-of-life care in the inpatient setting. - Outstanding	Examine the role of Department of Medicine providers in relation to institutional goals and objectives regarding end-of-life care in the inpatient setting. - Good	Examine the role of Department of Medicine providers in relation to institutional goals and objectives regarding end-of-life care in the inpatient setting. - Satisfactory	Examine the role of Department of Medicine providers in relation to institutional goals and objectives regarding end-of-life care in the inpatient setting. - Fair	Examine the role of Department of Medicine providers in relation to institutional goals and objectives regarding end-of-life care in the inpatient setting. - 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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