How would you like your name to appear on your certificate?

Organization name:

Organization city:

Organization state:

Have you participated in any other bias training(s) prior to this date?

Work/Volunteer setting:

Understand and be able to identify implicit bias, the cognitive basis that informs bias, and its impact on maternity care settings.

Explain how structural racism has played a key role in shaping care settings within the U.S. and contributes to implicit biases in patient/provider encounters.

Recognize ones potential for implicit bias and apply strategiies, such as the CARES Framework^TM and practice cultural humility, to effectively mitigate their own implicit biases.

Recognize and establish a culture of equity as an organizational committment to elevate the quality of maternity care.

Was the educational content scientifically sound?

If no, please explain...

Was the educational content of value to you?

Did this activity improve your competence or performance? 

If yes, how...

What did you learn that will help you in your practice?

This educational activity helped address a gap in my knowledge.

This activity changed my opinion/attitude about bias.

One change I am willing to make/action I am likely to take as a result of this educational activity is:

How would you rate the overall quality of this activity?

Do you have any recommendations on how this activity can be improved?

The facilitator met or exceeded my expectations.

Please list any additional topics that would be of value to you.

Did you perceive any commercial bias or influence in the educational content?

If yes, please explain...

Additional comments/questions/feedback:

Would you be willing to be contacted for a follow-up evaluation?