8/9/2016

TyphonGroup:EASIEvaluation&SurveyInstrument

Responses About You - Details - "IMRT Planning Competency (rev2015)"

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Evaluation by: Clinical Instructors (FRANCIS, Louise)

Evaluation of: Students (Coffey, Ashley)
Evaluation Period: 7/20/2016
Survey Completed: 7/20/2016 10:30:51 AM CT
Add your comments

Select the external beam IMRT planning competency from the drop down menu below:
Prostate with nodes IMRT

If Other competency, specify the type here:

Competency done with Tayisiya Polishchuk on 7/8/2016

Please assign each task a score of Satisfactory or Unsatisfactory.

Unsatisfactory in any essential task constitutes competency failure.
The student will repeat the competency at a later date.
Discusses the plan prescription with the physician. - Satisfactory[2 pts]
Loads the patient imaging studies into the planning computer. - N/A
Accurately fuses image data sets together. - Satisfactory[2 pts]
Contours the appropriate anatomy on the image data set. - Satisfactory[2 pts]
Successfully places the isocenter using simulation data. - Satisfactory[2 pts]
Correctly generates optimal beam angles for specic anatomical area. - Satisfactory[2 pts]
Generates plan with appropriate energies. - Satisfactory[2 pts]
Able to manipulate ROI/PTV constraints in the optimizer to obtain an optimal plan. - Satisfactory[2 pts]
Accurately optimizes and generates a concomitant boost plan. - Satisfactory[2 pts]
Accurately generates an individual DVH or composite DVH (for correct # of fractions). - Satisfactory[2 pts]
Understands the concept of prescribing to a point vs. prescribing to a volume and is able to adjust the plan % normalization
as needed. - Satisfactory[2 pts]
Communicates effectively with physician for plan review and makes changes as requested. - Satisfactory[2 pts]
Exports/Prints appropriate plan data. - Satisfactory[2 pts]
Accurately generates the QA for the plan. - Satisfactory[2 pts]
Enters in correct parameters for patient chart. - Satisfactory[2 pts]
Performs pretreatment checks/calculations. - Satisfactory[2 pts]
Observes IMRT QA and analysis of QA. - N/A
Observes patient treatment. - N/A
MEAN: 2.00 (out of possible 2), POINTS: 30, % SCORE: 100.0%

Overall rating:
Pass[2 pts]
MEAN: 2.00 (out of possible 2), POINTS: 2, % SCORE: 100.0%

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Total points for all rating scale questions: 32

Mean percentage score for all rating scale questions: 100.0%
(Each main question equally weighted)
Responses as of 8/9/2016 3:00:32 PM CT

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8/9/2016

TyphonGroup:EASIEvaluation&SurveyInstrument

Responses About You - Details - "IMRT Planning Competency (rev2015)"

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1 of 3

Evaluation by: Clinical Instructors (FRANCIS, Louise)

Evaluation of: Students (Coffey, Ashley)
Evaluation Period: 6/9/2016
Survey Completed: 6/9/2016 10:52:05 AM CT
Add your comments

Select the external beam IMRT planning competency from the drop down menu below:
H & N IMRT

If Other competency, specify the type here:

H&N IMRT with Taisa Polishchuk on 5/26/2016

Please assign each task a score of Satisfactory or Unsatisfactory.

Unsatisfactory in any essential task constitutes competency failure.
The student will repeat the competency at a later date.
Discusses the plan prescription with the physician. - Satisfactory[2 pts]
Loads the patient imaging studies into the planning computer. - Satisfactory[2 pts]
Accurately fuses image data sets together. - Satisfactory[2 pts]
Contours the appropriate anatomy on the image data set. - Satisfactory(Additional Comment: Planning PTVs and any
additional structures needed for planning were contoured by Ashley and reviewed by dosimetrist and attending
physician.)[2 pts]
Successfully places the isocenter using simulation data. - Satisfactory[2 pts]
Correctly generates optimal beam angles for specic anatomical area. - Satisfactory[2 pts]
Generates plan with appropriate energies. - Satisfactory[2 pts]
Able to manipulate ROI/PTV constraints in the optimizer to obtain an optimal plan. - Satisfactory[2 pts]
Accurately optimizes and generates a concomitant boost plan. - N/A
Accurately generates an individual DVH or composite DVH (for correct # of fractions). - Satisfactory[2 pts]
Understands the concept of prescribing to a point vs. prescribing to a volume and is able to adjust the plan % normalization
as needed. - Satisfactory[2 pts]
Communicates effectively with physician for plan review and makes changes as requested. - N/A(Additional Comment:
The physician wasn't available to show him the plan. The plan was reviewed by the physician after hours, with no issues.)
Exports/Prints appropriate plan data. - Satisfactory[2 pts]
Accurately generates the QA for the plan. - Satisfactory[2 pts]
Enters in correct parameters for patient chart. - Satisfactory[2 pts]
Performs pretreatment checks/calculations. - Satisfactory[2 pts]
Observes IMRT QA and analysis of QA. - N/A
Observes patient treatment. - N/A
MEAN: 2.00 (out of possible 2), POINTS: 28, % SCORE: 100.0%

Overall rating:
Pass[2 pts]
MEAN: 2.00 (out of possible 2), POINTS: 2, % SCORE: 100.0%
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Total points for all rating scale questions: 30

Mean percentage score for all rating scale questions: 100.0%
(Each main question equally weighted)
Responses as of 8/9/2016 2:59:59 PM CT

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8/9/2016

TyphonGroup:EASIEvaluation&SurveyInstrument

Responses About You - Details - "IMRT Planning Competency (rev2015)"

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3 of 3

Evaluation by: Clinical Instructors (FRANCIS, Louise)

Evaluation of: Students (Coffey, Ashley)
Evaluation Period: 7/20/2016
Survey Completed: 7/20/2016 10:34:28 AM CT
Add your comments

Select the external beam IMRT planning competency from the drop down menu below:
Thoracic IMRT (e.g. Lung, Esophagus..)

If Other competency, specify the type here:

Competency done with John Spindler on 7/14/2016

Please assign each task a score of Satisfactory or Unsatisfactory.

Unsatisfactory in any essential task constitutes competency failure.
The student will repeat the competency at a later date.
Discusses the plan prescription with the physician. - Satisfactory[2 pts]
Loads the patient imaging studies into the planning computer. - N/A
Accurately fuses image data sets together. - N/A
Contours the appropriate anatomy on the image data set. - Satisfactory[2 pts]
Successfully places the isocenter using simulation data. - Satisfactory[2 pts]
Correctly generates optimal beam angles for specic anatomical area. - Satisfactory[2 pts]
Generates plan with appropriate energies. - Satisfactory[2 pts]
Able to manipulate ROI/PTV constraints in the optimizer to obtain an optimal plan. - Satisfactory(Additional Comment:
Conformal PTV coverage and sparing of critical structures done well!!)[2 pts]
Accurately optimizes and generates a concomitant boost plan. - N/A(Additional Comment: No Boost plan needed per
Radiation Oncologist.)
Accurately generates an individual DVH or composite DVH (for correct # of fractions). - Satisfactory[2 pts]
Understands the concept of prescribing to a point vs. prescribing to a volume and is able to adjust the plan % normalization
as needed. - Satisfactory[2 pts]
Communicates effectively with physician for plan review and makes changes as requested. - Satisfactory[2 pts]
Exports/Prints appropriate plan data. - Satisfactory[2 pts]
Accurately generates the QA for the plan. - Satisfactory[2 pts]
Enters in correct parameters for patient chart. - Satisfactory[2 pts]
Performs pretreatment checks/calculations. - Satisfactory[2 pts]
Observes IMRT QA and analysis of QA. - N/A
Observes patient treatment. - N/A
MEAN: 2.00 (out of possible 2), POINTS: 26, % SCORE: 100.0%

Overall rating:
Pass[2 pts]
MEAN: 2.00 (out of possible 2), POINTS: 2, % SCORE: 100.0%
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TyphonGroup:EASIEvaluation&SurveyInstrument

Total points for all rating scale questions: 28

Mean percentage score for all rating scale questions: 100.0%
(Each main question equally weighted)
Responses as of 8/9/2016 3:00:40 PM CT

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8/9/2016

TyphonGroup:EASIEvaluation&SurveyInstrument

Responses About You - Details - "Photon Planning Competency Evaluation (rev2015)"

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Evaluation by: Clinical Instructors (FRANCIS, Louise)

Evaluation of: Students (Coffey, Ashley)
Evaluation Period: 6/9/2016
Survey Completed: 6/9/2016 10:39:14 AM CT
Add your comments

Select the external beam photon planning competency from the drop down menu below:
Other: (e.g.Emergent case: Sim and Treat same day)

If Other competency, please specify the type here:

Sim and Treat esophagus done with Taisa Polishuk on 6/8/2016.

Please assign each task a score of Satisfactory or Unsatisfactory.

Unsatisfactory in any essential task constitutes competency failure.
The student will repeat the competency at a later date.
Discusses the plan prescription with the physician. - Satisfactory[2 pts]
Loads the patient imaging studies into the planning computer. - Satisfactory[2 pts]
Contours the appropriate anatomy on the image data set. - Satisfactory[2 pts]
Successfully places the isocenter using simulation data. - Satisfactory[2 pts]
Correctly generates plan using blocks, wedges, segmented elds. - Satisfactory[2 pts]
Generates plan with appropriate weighting. - Satisfactory[2 pts]
Generates plan with appropriate energies. - Satisfactory[2 pts]
Accurately calculates daily isocenter dose for each treatment eld using prescription % and weighting. - Satisfactory[2 pts]
Accurately generates a single fraction DVH or composite DVH (for correct # of fractions). - Satisfactory[2 pts]
Communicates effectively with physician for plan review and makes changes as requested. - Satisfactory[2 pts]
Exports/Prints appropriate plan data. - Satisfactory[2 pts]
Performs a verication calculation for plan MU settings. - Satisfactory[2 pts]
Enters correct parameters for the patient chart. - Satisfactory[2 pts]
Performs pretreatment checks/calculations. - Satisfactory[2 pts]
Observes patient treatment. - N/A
MEAN: 2.00 (out of possible 2), POINTS: 28, % SCORE: 100.0%

Overall rating:
Pass(If applicable, please specify reason for failure: Great job! Very time efcient!)[2 pts]
MEAN: 2.00 (out of possible 2), POINTS: 2, % SCORE: 100.0%
Total points for all rating scale questions: 30
Mean percentage score for all rating scale questions: 100.0%
(Each main question equally weighted)
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Responses as of 8/9/2016 3:00:59 PM CT

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8/9/2016

TyphonGroup:EASIEvaluation&SurveyInstrument

Responses About You - Details - "Photon Planning Competency Evaluation (rev2015)"

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Evaluation by: Clinical Instructors (FRANCIS, Louise)

Evaluation of: Students (Coffey, Ashley)
Evaluation Period: 8/1/2016
Survey Completed: 8/1/2016 2:57:15 PM CT
Add your comments

Select the external beam photon planning competency from the drop down menu below:
ReTreat avoiding or matching old port (any area)

If Other competency, please specify the type here:

Competency completed with Tayisiya Polishchuk. 7/27/2016

Please assign each task a score of Satisfactory or Unsatisfactory.

Unsatisfactory in any essential task constitutes competency failure.
The student will repeat the competency at a later date.
Discusses the plan prescription with the physician. - Satisfactory[2 pts]
Loads the patient imaging studies into the planning computer. - Satisfactory[2 pts]
Contours the appropriate anatomy on the image data set. - Satisfactory[2 pts]
Successfully places the isocenter using simulation data. - Satisfactory[2 pts]
Correctly generates plan using blocks, wedges, segmented elds. - Satisfactory[2 pts]
Generates plan with appropriate weighting. - Satisfactory[2 pts]
Generates plan with appropriate energies. - Satisfactory[2 pts]
Accurately calculates daily isocenter dose for each treatment eld using prescription % and weighting. - Satisfactory[2 pts]
Accurately generates a single fraction DVH or composite DVH (for correct # of fractions). - Satisfactory[2 pts]
Communicates effectively with physician for plan review and makes changes as requested. - Satisfactory[2 pts]
Exports/Prints appropriate plan data. - Satisfactory[2 pts]
Performs a verication calculation for plan MU settings. - N/A
Enters correct parameters for the patient chart. - Satisfactory[2 pts]
Performs pretreatment checks/calculations. - N/A
Observes patient treatment. - N/A
MEAN: 2.00 (out of possible 2), POINTS: 24, % SCORE: 100.0%

Overall rating:
Pass[2 pts]
MEAN: 2.00 (out of possible 2), POINTS: 2, % SCORE: 100.0%
Total points for all rating scale questions: 26
Mean percentage score for all rating scale questions: 100.0%
(Each main question equally weighted)
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TyphonGroup:EASIEvaluation&SurveyInstrument

Responses as of 8/9/2016 3:01:08 PM CT

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8/9/2016

TyphonGroup:EASIEvaluation&SurveyInstrument

Responses About You - Details - "Brachytherapy Planning Competency"

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Evaluation by: Clinical Instructors (FRANCIS, Louise)

Evaluation of: Students (Coffey, Ashley)
Evaluation Period: 8/1/2016
Survey Completed: 8/1/2016 3:35:26 PM CT

Select the brachytherapy planning competency from the drop down menu below:
Intracavitary

Please assign each task a score of Satisfactory or Unsatisfactory.

Unsatisfactory in any essential task constitutes competency failure.

The student will repeat the competency at a later date.
Discusses the plan prescription with the physician. - Satisfactory[2 pts]
Loads the patient imaging studies into the planning computer. - Satisfactory[2 pts]
Contours the appropriate anatomy on the image data set. - Satisfactory[2 pts]
Identies appropriate dose points on the image data set. - Satisfactory[2 pts]
Successfully identies source positions. - Satisfactory[2 pts]
Identies available isotope and activity for date and time of treatment. - Satisfactory[2 pts]
Correctly generates plan using appropriate isotope and activity to achieve treatment objective. - Satisfactory[2 pts]
Accurately generates DVH/Dose point summary for implant. - Satisfactory[2 pts]
Communicates effectively with physician for plan review and makes changes as requested. - Satisfactory[2 pts]
Exports/Prints appropriate plan data. - Satisfactory[2 pts]
Performs hand verication calculations for dwell time. - N/A(Additional Comment: Hand calculations are not performed for
dwell time verication.)[0 pts]
Assembles necessary equipment for source loading. - Satisfactory[2 pts]
Makes appropriate entries in source log and lls out necessary paperwork for appropriate room posting. - Satisfactory[2
pts]
Prepares sources for transport and loading. - N/A(Additional Comment: HDR Source used.)[0 pts]
Observes source insertion. - Satisfactory[2 pts]
Performs appropriate patient room surveys. - Satisfactory[2 pts]
Uses appropriate radiation measuring devices for brachytherapy procedures and source inventory. - Satisfactory[2 pts]
Uses time, distance and shielding principles during brachytherapy procedures. - Satisfactory[2 pts]
MEAN: 1.78 (out of possible 2), POINTS: 32, % SCORE: 88.9%

Overall rating:
Pass[2 pts]
MEAN: 2.00 (out of possible 2), POINTS: 2, % SCORE: 100.0%

Additional Comments:
Ashley asked relevant questions of the physician regarding vaginal cylinder placement, treatment volume delineation, and
prescription doses.

Total points for all rating scale questions: 34

Mean percentage score for all rating scale questions: 94.4%
(Each main question equally weighted)
Responses as of 8/9/2016 2:58:33 PM CT
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