The code block below illustrates how one might use # and // as comments in your logic and calculations.

# Text can be put here to explain what the logic/calculation does and why.
if ([field1] = '1' and [field2] > 7,

	// This comment can explain what the next line does.
	[score] * [factor],

	// Return '0' if the condition is False.
	0
)

Working …

This value you provided is not a number. Please try again.

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The value entered is not a valid Vanderbilt Medical Record Number (i.e. 4- to 9-digit number, excluding leading zeros). Please try again.

The value you provided must be within the suggested range

The value you provided is outside the suggested range

This value is admissible, but you may wish to double check it.

The value entered must be a time value in the following format HH:MM within the range 00:00-23:59 (e.g., 04:32 or 23:19).

This field must be a 5 or 9 digit U.S. ZIP Code (like 94043). Please re-enter it now.

This field must be a 10 digit North American phone number (like 415 555 1212). Please re-enter it now.

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The value you provided could not be validated because it does not follow the expected format. Please try again.

Required format:

Cancer Clinical Trials ECHO- In collaboration with the Pennsylvania Cancer Coalition Clinical Trials Collaborative Registration

Thank you for your interest in the Cancer Clinical Trials ECHO- In collaboration with the Pennsylvania Cancer Coalition Clinical Trials Collaborative series.

Please complete the information below to register for this series. For questions related to prior knowledge or current practice, please complete as applicable to your situation.

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M-D-Y H:M

First name

* must provide value

Last name

* must provide value

Full Name

View equation

E-mail

* must provide value

Phone number

* must provide value

Phone extension

Country

* must provide value

United States

Other

If other, what country?

* must provide value

Address 1

* must provide value

Address 2

City

* must provide value

State/Territory

* must provide value

County

* must provide value

Zip code

* must provide value

Is the mailing address above your personal address or your work address?

* must provide value

Personal address

Work address

Other

Please indicate other address type

* must provide value

What is your age?

* must provide value

Under 25

25-34

35-44

45-54

55-64

65 or older

Prefer not to answer

How do you identify your gender?

* must provide value

Please describe:

What is your race/ethnicity?

* must provide value

White

Black or African American

Asian

American Indian or Alaska Native

Native Hawaiian or Other Pacific Islander

Other

More than one Race

Prefer not to answer

Are you of Hispanic/Latino origin?

* must provide value

Yes

No

Prefer not to answer

Job title

* must provide value

Please select your highest credential

* must provide value

APP?

View equation

This ECHO program offers continuing education credit. Your credits can be claimed using the certificates that are automatically generated after completing session evaluations. Please type the credentials you would like to appear in your CE certificates for the duration of this ECHO program.

If you do not have any credentials to list, please leave this question blank.

What is your area of practice?

* must provide value

Primary care

Specialty care

Non-clinical

Specialty or area of practice

* must provide value

If other, please include your specialty

What is your primary practice setting?

* must provide value

Please describe:

* must provide value

Workplace, facility, clinic, medical center, or organization name

* must provide value

Is your clinic a Federally Qualified Health Center?

* must provide value

Yes

No

Are you a Penn State Health or Penn State College of Medicine employee?

* must provide value

Yes

No

If yes, what department?

* must provide value

Do you currently provide direct patient care?

* must provide value

Yes

No

Approximately how many patients are under your care?

Approximately what percentage of the patients under your care have a cancer diagnosis?

Have you referred a patient to participate in a Cancer Clinical Trial?

Yes

No

Strongly disagree

Disagree

Neutral

Agree

Strongly agree

Unsure

I have a good foundational knowledge of cancer clinical trials.

* must provide value

I have a good understanding of how to support cancer clinical trials.

* must provide value

I know how to assess individuals' concerns about participating in cancer clinical trials.

* must provide value

I know how to address individuals' concerns about participating in cancer clinical trials.

* must provide value

I know how to promote a culture within my organization that supports cancer clinical trials

* must provide value

I am aware of social determinants of health, that can impact enrollment in cancer clinical trials

* must provide value

I know how to identify cancer clinical trial opportunities in my healthcare setting.

* must provide value

I am aware of disparities in access to cancer clinical trials and understand their implications.

* must provide value

I am familiar with the evidence-based strategies that can improve cancer clinical trial participation.

* must provide value

I am familiar with the institutional practices that can improve cancer clinical trial participation.

* must provide value

Strongly disagree

Disagree

Neutral

Agree

Strongly agree

Unsure

I have the skills needed to promote or support cancer clinical trials in my healthcare setting.

* must provide value

I have sufficient time in my work environment to promote or support cancer clinical trials.

* must provide value

I have sufficient resources in my work environment to promote or support cancer clinical trials.

* must provide value

I have sufficient materials in my work environment to promote or support cancer clinical trials.

* must provide value

I am confident in my ability to support cancer clinical trials based on my professional training and experience.

* must provide value

I am personally motivated to support cancer clinical trials.

* must provide value

Supporting cancer clinical trials is something I do automatically, without needing to consciously plan or think about it.

* must provide value

I have the skills to adapt strategies that can improve clinical trial participation in my healthcare setting.

* must provide value

Never

Rarely

Sometimes

Often

Always

In the last 3 months, how often have you engaged in discussions about clinical trials with your patients?

* must provide value

In the last 3 months, how often have you engaged in discussions about clinical trials with your colleagues?

* must provide value

In the last 3 months, how often have you engaged in discussions about clinical trials within your organization?

* must provide value

Which of the following are barriers specific to YOU when promoting cancer clinical trials?

* must provide value

Clinical priorities at primary care settings

Communication challenges in explaining risks/benefits

Cultural awareness/language barriers

Inclusion/exclusion criteria limiting patient eligibility

Lack of awareness of clinical trials

Lack of community outreach or engagement

Lack of institutional support

Lack of provider awareness or comfort discussing trials

Lack of research staff/skilled staff/mentorship

Lack of staff at primary care settings

Lack of time

Lack of written provider resources (e.g., education, materials)

Limited financial resources/insufficient funding

Need for more training

No opportunities to support clinical trials in my setting

No trials available for my patients (or restrictive eligibility criteria)

Patient recruitment challenges

Perception of burden

Promotion of trial awareness

Regulatory/administrative burdens (e.g., IRB, complex regulations, delays in approval)

Trials not representing diverse populations

Other

Please describe:

Which of the following are barriers specific to YOUR PATIENTS when promoting cancer clinical trials?

* must provide value

Concerns/fear of side effects or loss of control

Costs associated with accommodations, transportation, etc.

Cost of treatment

Cultural barriers

Immigration status

Language barriers

Lack of awareness and understanding of clinical trials

Lack of insurance (Confusion r/t varied insurance: in network vs out of network, Medicare, etc)

Lack of transportation

Lost wages

Low health literacy

Mistrust of medical system or trials

Travel distances/geographic barriers

Time commitments (multiple appointments/treatments, lengthy enrollment processes)

Other

Please describe:

Can you think of a situation where you may have struggled with how best to manage a patient or support a client?

* must provide value

Yes

No

Not applicable

What topics are you interested in learning about in this ECHO series?

Expand

I heard about Project ECHO from

Colleague

Email

Event

Grand rounds

Penn State newsletter

Phone call

Postcard

Publication

Social media

Web search

Other

If other, please describe

Have you participated in Project ECHO before?

Yes

No

Click "Continue" to go to the next page and complete your registration

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