Name of Cardiologist
Phone Number of Cardiologist
Email address of Cardiologist
Email address of Hematologist/Oncologist
Phone Number of Hematologist/Oncologist
Administrative Contact Person
Email of key Administrative
Phone of Key Administrative
Name of Institution
MD Anderson Cancer Center
How would you describe your institution?
Number One cancer Center
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)?
Electrophysiology, Interventional Cardiology, Cardiomyopathy/Heart Failure, Arrhythmia including QT prolongation, Myocarditis