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5/3/2018 Typhon Group: EASI - Evaluation & Survey Instrument

Responses About You - Details - "3D CRT Photon Planning Competency Evaluation"
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Evaluation by:   Clinical Instructors (KOLLER, Dana)


Evaluation of:   Students (Schwartz, Adam)
Evaluation Period:   4/16/2018
Survey Completed:   4/16/2018 10:15:04 AM CT
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Select the external beam photon planning competency from the drop down menu below:

Pelvis (GYN or other)

If Other competency, please specify the type here:

prone rectal ca

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 veri cation 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  (Additional Comment: has not started treatment yet)

MEAN: 2.00 (out of possible 2), POINTS: 28, % SCORE: 100.0%

Overall rating:

https://www.typhongroup.net/eval/analyze/studentdetails.asp?r=0&facility=9094&survey=38357 1/2
5/3/2018 Typhon Group: EASI - Evaluation & Survey Instrument

Pass   [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)

Responses as of 5/3/2018 9:17:37 PM CT

https://www.typhongroup.net/eval/analyze/studentdetails.asp?r=0&facility=9094&survey=38357 2/2

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