The American Association of Colleges of Nursing will award 1.5 contact hours of continuing education (up to a total of 15 hours for the entire Bench to Bedside series) for viewing this tape/CD-ROM as an educational activity. This Continuing Education Credit (CEC) Form must be submitted to verify you viewed the tape/CD-ROM and earned the credit.
Steps
1. Print this copy of the Continuing Education Credit Form
2. View the videotape or CD-ROM
3. Complete all information requested
4. Copy the completed form for your records of contact hours earned. No additional verification will be sent to you.
5. Send original copy of completed form to: CenterNet/HMTV, 529 14th Street, N.W., Suite 1292, Washington, DC 20045
Breast Cancer: Women at Risk,
Prevention Strategies and Current Treatment Options
is part of the Bench to Bedside Video/CD-ROM Series for clinicians. At
the conclusion of this activity, the learner will be able to:
Describe trends in breast cancer incidence and mortality in the U.S. by
ethnic group and age
Identify selective exposures related to risk of breast cancer
Identify women at high risk of developing invasive breast cancer and
strategies to decrease this risk
Discuss recommendations for adjuvant treatment of breast cancer
Discuss future directions in breast cancer research
(Please print)
Name________________________________________________ RN License # and
state______________________
(Last)
(M.I.)
(First)
Address______________________________________________ City/State/Zip_____________________________
Date tape viewed______________ CE form printed on: Signature _____________________________
1.
Relationship to program purpose.
Learning objectives for Breast Cancer support the overall purpose for
which the series is designed.
___Yes ___Partially ___No
2. Objectives
Has this program enabled you to have a better
understanding of the objectives listed above:
___Yes ___Partially ___No
3. Presenters
Please rate effectiveness of each presenter:
| JoAnne Zujewski, MD | _____Somewhat Effective | _____Effective | _____Very Effective |
| Sandra M. Swain MD | _____Somewhat Effective | _____Effective | _____Very Effective |
| Michele Forman, PhD, MS | _____Somewhat Effective | _____Effective | _____Very Effective |
4.
Overall Program
Overall this educational activity was: _____Marginal _____Good _____Excellent
Comments: