Name of Cardiologist
Email address of Cardiologist
Name of Hematologist/Oncologist
Email address of Hematologist/Oncologist
Name of Institution
University of Maryland
How would you describe your institution?
Is your C-O program a dedicated C-O clinic?
How long has your cardio-oncology program been in operation?
On average how many C-O patients do you see each month?
Do you have any training program in C-O at your institution?
Have you become a member of IC-OS?
Did you take the IC-OS Certifying exam or did anyone at your practice?
What hematology/oncology or other subspecialties are regularly engaged with the C-O team (list the top 5)?
Oncology, Interventional Cardiology, Cardiac Imaging, Pre-chemotherapy or stem cell evaluation, Hypertension