5/5/2017 TyphonGroup:EASIEvaluation&SurveyInstrument

Responses About You - Summary - "3D CRT Photon Planning Competency Evaluation"
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TOTAL RESPONSES: 5

Select the external beam photon planning competency from the drop down menu below:
Response Response
(Choice - One Answer Drop Down)
Percent Total
Palliative (Spine, Hip, Ribs,
20.0% 1
etc)
Para-aortic or Nodal
0.0% 0
Irradiation
Limb Sarcoma 20.0% 1
Conformal Lung with Boost 20.0% 1
Pelvis (GYN or other) 20.0% 1
Intact Breast Tangents 0.0% 0
Chestwall Tangents
(Bolus:Non-Bolus
0.0% 0
Weighting) with SClav and
PAB
Lymphoma 20.0% 1
ReTreat avoiding or
0.0% 0
matching old port (any area)
Emergent case: Sim and
0.0% 0
Treat same day
Other: 0.0% 0
Total Respondents: 5
Skipped this question: 0

If Other competency, please specify the type here:

(Open Ended - Comments Box)
Total Respondents: 5

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5/5/2017 TyphonGroup:EASIEvaluation&SurveyInstrument
Skipped this question: 0

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.

(Rating Scale - Matrix) 1 2 Mean Total Percentage
N/A Additional Comment
Statistical Mode in BOLD Unsatisfactory Satisfactory [1-2] Points Score
Discusses the plan prescription with
0.0% (0) 100.0% (5) 0.0% (0) 2.00 10 100.0%
the physician.
Loads the patient imaging studies
0.0% (0) 100.0% (5) 0.0% (0) 2.00 10 100.0%
into the planning computer.
Contours the appropriate anatomy on
0.0% (0) 100.0% (5) 0.0% (0) 2.00 10 100.0%
the image data set.
Successfully places the isocenter
0.0% (0) 100.0% (5) 0.0% (0) 2.00 10 100.0%
using simulation data.
Correctly generates plan using
0.0% (0) 100.0% (5) 0.0% (0) 2.00 10 100.0%
blocks, wedges, segmented elds.
Generates plan with appropriate
0.0% (0) 100.0% (5) 0.0% (0) 2.00 10 100.0%
weighting.
Generates plan with appropriate
0.0% (0) 100.0% (5) 0.0% (0) 2.00 10 100.0%
energies.
Accurately calculates daily isocenter
dose for each treatment eld using 0.0% (0) 100.0% (5) 0.0% (0) 2.00 10 100.0%
prescription % and weighting.
Accurately generates a single
fraction DVH or composite DVH (for 0.0% (0) 100.0% (5) 0.0% (0) 2.00 10 100.0%
correct # of fractions).
Communicates effectively with
physician for plan review and makes 0.0% (0) 100.0% (5) 0.0% (0) 2.00 10 100.0%
changes as requested.
Exports/Prints appropriate plan data. 0.0% (0) 100.0% (5) 0.0% (0) 2.00 10 100.0%
Performs a verication calculation
0.0% (0) 100.0% (5) 0.0% (0) 2.00 10 100.0%
for plan MU settings.
Enters correct parameters for the
0.0% (0) 100.0% (5) 0.0% (0) 2.00 10 100.0%
patient chart.
Performs pretreatment 0.0% (0) 100.0% (5) 0.0% (0) 2.00 10 100.0%
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checks/calculations.
Observes patient treatment. 0.0% (0) 100.0% (5) 0.0% (0) 2.00 10 100.0%
OVERALL COUNTS/MEANS: 0 75 0 2.00 150 100.0%
Total Respondents: 5
Skipped this question: 0

Overall rating:
(Rating Scale - One Answer Horizontal) 1 2 If applicable, please specify Mean Total Percentage
Statistical Mode in BOLD Fail Pass reason for failure [1-2] Points Score
0.0% (0) 100.0% (5) 2.00 10 100.0%
Total Respondents: 5
Skipped this question: 0

Total points for all rating scale questions: 160

Mean percentage score for all rating scale questions: 100.0%
(Each main question equally weighted)

Responses as of 5/5/2017 3:04:57 PM CT

https://www.typhongroup.net/eval/analyze/studentsummary.asp?survey=38357&facility=9094&msgtext= 3/3