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2016 COG/ASPHO Joint Sponsorship: How SIOP Can Expand an Oncologist's World View: Co-design of Clinical Trials, Achieving Consensus on Key Elements of Care and Advancing Pediatric Cancer Care in LMIC

1. Name (as you would like it to appear on your certificate): *This question is required.

2. E-mail Address: *This question is required. This question requires a valid email address.

3. Objectives:

Describe current opportunities for involvement with SIOP.
Discuss results from recently completed clinical trials, consensus conferences, and projects sponsored by the SIOP Committee on Pediatric Oncology in Developing Countries.
Describe the important role of international collaboration in pediatric oncology.

*This question is required.Please rate your level of agreement with the following statement:
Presenters met stated learning objectives

4. Speaker Evaluation-Please rate your level of agreement for each speaker on the following: *This question is required.Presenter was effective

Space Cell	5-Agree Strongly	4-Agree Moderately	3-Neither Agree nor Disagree	2-Disagree Moderately	1-Disagree Strongly	N/A
Lindsay Frazier, MD	Lindsay Frazier, MD: 5-Agree Strongly	Lindsay Frazier, MD: 4-Agree Moderately	Lindsay Frazier, MD: 3-Neither Agree nor Disagree	Lindsay Frazier, MD: 2-Disagree Moderately	Lindsay Frazier, MD: 1-Disagree Strongly	Lindsay Frazier, MD: N/A
Eric Bouffet, MD	Eric Bouffet, MD: 5-Agree Strongly	Eric Bouffet, MD: 4-Agree Moderately	Eric Bouffet, MD: 3-Neither Agree nor Disagree	Eric Bouffet, MD: 2-Disagree Moderately	Eric Bouffet, MD: 1-Disagree Strongly	Eric Bouffet, MD: N/A
Allison O'Neill, MD	Allison O'Neill, MD: 5-Agree Strongly	Allison O'Neill, MD: 4-Agree Moderately	Allison O'Neill, MD: 3-Neither Agree nor Disagree	Allison O'Neill, MD: 2-Disagree Moderately	Allison O'Neill, MD: 1-Disagree Strongly	Allison O'Neill, MD: N/A
David Freyer, DO MS	David Freyer, DO MS: 5-Agree Strongly	David Freyer, DO MS: 4-Agree Moderately	David Freyer, DO MS: 3-Neither Agree nor Disagree	David Freyer, DO MS: 2-Disagree Moderately	David Freyer, DO MS: 1-Disagree Strongly	David Freyer, DO MS: N/A
Sumit Gupta, MD	Sumit Gupta, MD : 5-Agree Strongly	Sumit Gupta, MD : 4-Agree Moderately	Sumit Gupta, MD : 3-Neither Agree nor Disagree	Sumit Gupta, MD : 2-Disagree Moderately	Sumit Gupta, MD : 1-Disagree Strongly	Sumit Gupta, MD : N/A
Catherine Lam, MD MPH	Catherine Lam, MD MPH : 5-Agree Strongly	Catherine Lam, MD MPH : 4-Agree Moderately	Catherine Lam, MD MPH : 3-Neither Agree nor Disagree	Catherine Lam, MD MPH : 2-Disagree Moderately	Catherine Lam, MD MPH : 1-Disagree Strongly	Catherine Lam, MD MPH : N/A

5. Demonstrated expertise in content area *This question is required.

Space Cell	5-Agree Strongly	4-Agree Moderately	3-Neither Agree nor Disagree	2-Disagree Moderately	1-Disagree Strongly	N/A
Lindsay Frazier, MD	Lindsay Frazier, MD: 5-Agree Strongly	Lindsay Frazier, MD: 4-Agree Moderately	Lindsay Frazier, MD: 3-Neither Agree nor Disagree	Lindsay Frazier, MD: 2-Disagree Moderately	Lindsay Frazier, MD: 1-Disagree Strongly	Lindsay Frazier, MD: N/A
Eric Bouffet, MD	Eric Bouffet, MD: 5-Agree Strongly	Eric Bouffet, MD: 4-Agree Moderately	Eric Bouffet, MD: 3-Neither Agree nor Disagree	Eric Bouffet, MD: 2-Disagree Moderately	Eric Bouffet, MD: 1-Disagree Strongly	Eric Bouffet, MD: N/A
Allison O'Neill, MD	Allison O'Neill, MD: 5-Agree Strongly	Allison O'Neill, MD: 4-Agree Moderately	Allison O'Neill, MD: 3-Neither Agree nor Disagree	Allison O'Neill, MD: 2-Disagree Moderately	Allison O'Neill, MD: 1-Disagree Strongly	Allison O'Neill, MD: N/A
David Freyer, DO MS	David Freyer, DO MS: 5-Agree Strongly	David Freyer, DO MS: 4-Agree Moderately	David Freyer, DO MS: 3-Neither Agree nor Disagree	David Freyer, DO MS: 2-Disagree Moderately	David Freyer, DO MS: 1-Disagree Strongly	David Freyer, DO MS: N/A
Sumit Gupta, MD	Sumit Gupta, MD: 5-Agree Strongly	Sumit Gupta, MD: 4-Agree Moderately	Sumit Gupta, MD: 3-Neither Agree nor Disagree	Sumit Gupta, MD: 2-Disagree Moderately	Sumit Gupta, MD: 1-Disagree Strongly	Sumit Gupta, MD: N/A
Catherine Lam MD, MPH	Catherine Lam MD, MPH: 5-Agree Strongly	Catherine Lam MD, MPH: 4-Agree Moderately	Catherine Lam MD, MPH: 3-Neither Agree nor Disagree	Catherine Lam MD, MPH: 2-Disagree Moderately	Catherine Lam MD, MPH: 1-Disagree Strongly	Catherine Lam MD, MPH: N/A

6. Presentation was scientifically rigorous, balanced, and free of commercial bias *This question is required.

Space Cell	5-Agree Strongly	4-Agree Moderately	3-Neither Agree nor Disagree	2-Disagree Moderately	1-Disagree Strongly	N/A
Lindsay Frazier, MD	Lindsay Frazier, MD: 5-Agree Strongly	Lindsay Frazier, MD: 4-Agree Moderately	Lindsay Frazier, MD: 3-Neither Agree nor Disagree	Lindsay Frazier, MD: 2-Disagree Moderately	Lindsay Frazier, MD: 1-Disagree Strongly	Lindsay Frazier, MD: N/A
Eric Bouffet, MD	Eric Bouffet, MD: 5-Agree Strongly	Eric Bouffet, MD: 4-Agree Moderately	Eric Bouffet, MD: 3-Neither Agree nor Disagree	Eric Bouffet, MD: 2-Disagree Moderately	Eric Bouffet, MD: 1-Disagree Strongly	Eric Bouffet, MD: N/A
Allison O'Neill, MD	Allison O'Neill, MD: 5-Agree Strongly	Allison O'Neill, MD: 4-Agree Moderately	Allison O'Neill, MD: 3-Neither Agree nor Disagree	Allison O'Neill, MD: 2-Disagree Moderately	Allison O'Neill, MD: 1-Disagree Strongly	Allison O'Neill, MD: N/A
David Freyer, DO MS	David Freyer, DO MS: 5-Agree Strongly	David Freyer, DO MS: 4-Agree Moderately	David Freyer, DO MS: 3-Neither Agree nor Disagree	David Freyer, DO MS: 2-Disagree Moderately	David Freyer, DO MS: 1-Disagree Strongly	David Freyer, DO MS: N/A
Sumit Gupta, MD	Sumit Gupta, MD: 5-Agree Strongly	Sumit Gupta, MD: 4-Agree Moderately	Sumit Gupta, MD: 3-Neither Agree nor Disagree	Sumit Gupta, MD: 2-Disagree Moderately	Sumit Gupta, MD: 1-Disagree Strongly	Sumit Gupta, MD: N/A
Catherine Lam, MD MPH	Catherine Lam, MD MPH: 5-Agree Strongly	Catherine Lam, MD MPH: 4-Agree Moderately	Catherine Lam, MD MPH: 3-Neither Agree nor Disagree	Catherine Lam, MD MPH: 2-Disagree Moderately	Catherine Lam, MD MPH: 1-Disagree Strongly	Catherine Lam, MD MPH: N/A

7. Please identify how you will change your practice as a result of attending this activity (select all that apply). *This question is required.

This activity validated my current practice; no changes will be made
Create/revise protocols, policies, and/or procedures
Change the management and/or treatment of my patients
Other (please specify) Please enter an 'other' value for this selection.

8. Specifically, what change(s) do you intend to make? *This question is required.

9. Other comments regarding the session: