2026 MCI Breast Cancer Performance Improvement and Quality Improvement Series Evaluation Form - February 19, 2026

Please select one: *

I am in active clinical practice

I am retired

I am a student

Please score your agreement with or assessment of the following questions and statements by rating on a scale of 1 to 5, with 5 representing the highest level of satisfaction or agreement. *

Scoring Key: 5=Strongly Agree 4=Agree 3=Neutral 2=Disagree 1=Strongly Disagree 0=Not applicable to my practice

	5	4	3	2	1	0
The information and/or skills learned will enhance my professional competence or ability.	The information and/or skills learned will enhance my professional competence or ability. - 5	The information and/or skills learned will enhance my professional competence or ability. - 4	The information and/or skills learned will enhance my professional competence or ability. - 3	The information and/or skills learned will enhance my professional competence or ability. - 2	The information and/or skills learned will enhance my professional competence or ability. - 1	The information and/or skills learned will enhance my professional competence or ability. - 0
This activity conveyed information which will assist me in improving the health and/or treatment outcomes of of my patients.	This activity conveyed information which will assist me in improving the health and/or treatment outcomes of of my patients. - 5	This activity conveyed information which will assist me in improving the health and/or treatment outcomes of of my patients. - 4	This activity conveyed information which will assist me in improving the health and/or treatment outcomes of of my patients. - 3	This activity conveyed information which will assist me in improving the health and/or treatment outcomes of of my patients. - 2	This activity conveyed information which will assist me in improving the health and/or treatment outcomes of of my patients. - 1	This activity conveyed information which will assist me in improving the health and/or treatment outcomes of of my patients. - 0

As a result of participating in this activity, to what extent do you agree that you will be better able to accomplish these objectives *

Scoring Key: 5=Strongly Agree 4=Agree 3=Neutral 2=Disagree 1=Strongly Disagree 0=Not applicable to my practice

	5	4	3	2	1	0
Describe key gaps identified in baseline findings related to ADC education, AE monitoring, documentation, and care coordination.	Describe key gaps identified in baseline findings related to ADC education, AE monitoring, documentation, and care coordination. - 5	Describe key gaps identified in baseline findings related to ADC education, AE monitoring, documentation, and care coordination. - 4	Describe key gaps identified in baseline findings related to ADC education, AE monitoring, documentation, and care coordination. - 3	Describe key gaps identified in baseline findings related to ADC education, AE monitoring, documentation, and care coordination. - 2	Describe key gaps identified in baseline findings related to ADC education, AE monitoring, documentation, and care coordination. - 1	Describe key gaps identified in baseline findings related to ADC education, AE monitoring, documentation, and care coordination. - 0
Assess interventions to strengthen patient education, streamline referrals, and improve multidisciplinary communication for ADC management.	Assess interventions to strengthen patient education, streamline referrals, and improve multidisciplinary communication for ADC management. - 5	Assess interventions to strengthen patient education, streamline referrals, and improve multidisciplinary communication for ADC management. - 4	Assess interventions to strengthen patient education, streamline referrals, and improve multidisciplinary communication for ADC management. - 3	Assess interventions to strengthen patient education, streamline referrals, and improve multidisciplinary communication for ADC management. - 2	Assess interventions to strengthen patient education, streamline referrals, and improve multidisciplinary communication for ADC management. - 1	Assess interventions to strengthen patient education, streamline referrals, and improve multidisciplinary communication for ADC management. - 0
Define clear roles and responsibilities across the care team to support safer, more coordinated ADC delivery.	Define clear roles and responsibilities across the care team to support safer, more coordinated ADC delivery. - 5	Define clear roles and responsibilities across the care team to support safer, more coordinated ADC delivery. - 4	Define clear roles and responsibilities across the care team to support safer, more coordinated ADC delivery. - 3	Define clear roles and responsibilities across the care team to support safer, more coordinated ADC delivery. - 2	Define clear roles and responsibilities across the care team to support safer, more coordinated ADC delivery. - 1	Define clear roles and responsibilities across the care team to support safer, more coordinated ADC delivery. - 0

Was this course fair, balanced and without commercial bias? *

Yes

No

If you checked "No,” please explain why: *

As a result of what was discussed at this activity what do you intend to do differently? Identify at least two learnings that could be incorporated into your practice *

What are the potential barriers or obstacles that might prevent you from implementing new strategies you learned at this activity? *

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2026 MCI Breast Cancer Performance Improvement and Quality Improvement Series Evaluation Form - February 19, 2026