Responses About You - Details - "External Beam ELECTRON Planning Competency"

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Clinical Instructors (FRANCIS, Louise)

Students (Coffey, Ashley)
10/21/2016
11/16/2016 9:31:00 AM CT

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 Reld/SSD using simulation data. - Satisfactory [2 pts]
Correctly generates plan using appropriate cone/cutout size. - Satisfactory [2 pts]
Generates plan with correct reference depth. - Satisfactory [2 pts]
Generates plan with appropriate energy. - Satisfactory [2 pts]
Correctly adds the appropriate thickness of bolus. - N/A (Additional Comment: Bolus not

used) [0 pts]

Generates bolus to adequately cover treatment Reld borders. - N/A (Additional Comment: Bolus

not used) [0 pts]

Accurately calculates daily dose for treatment Reld 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 hand veriRcation calculations for plan MU settings using data/calc books - Satisfactory [2

pts]

Enters in correct parameters for patient chart. - Satisfactory [2 pts]

Performs pretreatment checks/calculations. - Satisfactory [2 pts]
Observes patient treatment. - N/A (Additional Comment: Not needed.) [0 pts]

MEAN: 1.65 (out of possible 2), POINTS: 28, % SCORE: 82.4%

Overall rating:
Pass [2 pts]

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

Additional Comments:
Electron Rib done with Tayisiya Polischuk on 10/21/2017.

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%

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 12/15/2016 7:50:53 PM CT

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

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Clinical Instructors (FRANCIS, Louise)

Students (Coffey, Ashley)
10/19/2016
10/19/2016 10:29:02 AM CT
Add your comments

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

If Other competency, specify the type here:

Competency done with Taisa Polischuk 10/6/2016

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. - N/A
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 [2 pts]
Successfully places the isocenter using simulation data. - Satisfactory [2 pts]
Correctly generates optimal beam angles for speciUc 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

Total points for all rating scale questions: 30

Mean percentage score for all rating scale questions: 91.2%

(Each main question equally weighted)

Responses as of 12/15/2016 7:50:19 PM CT

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

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Clinical Instructors (FRANCIS, Louise)

Students (Coffey, Ashley)
10/19/2016
10/19/2016 10:31:23 AM CT
Add your comments

Select the external beam IMRT planning competency from the drop down menu below:
Brain IMRT with Fusion

If Other competency, specify the type here:

Competency done with Keith Neiderer 10/10/2016

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 [2 pts]
Successfully places the isocenter using simulation data. - Satisfactory [2 pts]
Correctly generates optimal beam angles for speciXc 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. 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. - Satisfactory [2 pts]
Observes patient treatment. - Satisfactory [2 pts]

MEAN: 2.00 (out of possible 2), POINTS: 34, % 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: 36
Mean percentage score for all rating scale questions: 100.0%

(Each main question equally weighted)

Responses as of 12/15/2016 7:51:07 PM CT

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

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Clinical Instructors (FRANCIS, Louise)

Students (Coffey, Ashley)
12/7/2016
12/7/2016 10:01:38 AM CT
Add your comments

Select the external beam IMRT planning competency from the drop down menu below:
Abdominal IMRT

If Other competency, specify the type here:

Competency reviewed and completed with Louise Francis, CMD. (ECF)

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 [2 pts]
Successfully places the isocenter using simulation data. - Satisfactory [2 pts]
Correctly generates optimal beam angles for speciXc 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: 32, % 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: 34
Mean percentage score for all rating scale questions: 100.0%

(Each main question equally weighted)

Responses as of 12/15/2016 7:51:17 PM CT

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

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Clinical Instructors (FRANCIS, Louise)

Students (Coffey, Ashley)
10/8/2016
10/8/2016 3:59:23 PM CT
Add your comments

Select the external beam photon planning competency from the drop down menu below:
Conformal Lung with Boost

If Other competency, please specify the type here:

Louise Francis, CMD (Dr. Weiss approved 10/5/2016)

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 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. - Satisfactory [2 pts]

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%

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 12/15/2016 7:51:53 PM CT

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

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Clinical Instructors (FRANCIS, Louise)

Students (Coffey, Ashley)
12/7/2016
12/7/2016 9:57:30 AM CT
Add your comments

Select the external beam photon planning competency from the drop down menu below:
Para-aortic or Nodal Irradiation

If Other competency, please specify the type here:

Competency reviewed by Louise Francis, CMD

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 Yelds. - 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 Yeld 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 veriYcation calculation for plan MU settings. - N/A
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: 26, % 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: 28
Mean percentage score for all rating scale questions: 100.0%

(Each main question equally weighted)

Responses as of 12/15/2016 7:52:06 PM CT

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

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Clinical Instructors (FRANCIS, Louise)

Students (Coffey, Ashley)
12/12/2016
12/12/2016 1:03:12 PM CT
Add your comments

Select the external beam photon planning competency from the drop down menu below:
Chestwall Tangents (Bolus:Non-Bolus Weighting) with SClav and PAB

If Other competency, please specify the type here:

Competency dome with Taisa Polischuk on 11/18/2016

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. - N/A
Loads the patient imaging studies into the planning computer. - 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 plan using blocks, wedges, segmented Xelds. - 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 Xeld 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. - N/A
Performs a veriXcation calculation for plan MU settings. - N/A
Enters correct parameters for the patient chart. - N/A
Performs pretreatment checks/calculations. - N/A
Observes patient treatment. - N/A

MEAN: 2.00 (out of possible 2), POINTS: 16, % SCORE: 100.0%

10

Overall rating:
Pass [2 pts]

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

Total points for all rating scale questions: 18
Mean percentage score for all rating scale questions: 100.0%

(Each main question equally weighted)

Responses as of 12/15/2016 7:52:29 PM CT

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

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9 of 10
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Survey Completed:

Clinical Instructors (FRANCIS, Louise)

Students (Coffey, Ashley)
12/12/2016
12/12/2016 12:56:12 PM CT
Add your comments

Select the external beam photon planning competency from the drop down menu below:
Lymphoma

If Other competency, please specify the type here:

Competency done with Taisa Polischuck on 11/15/2016

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. - N/A
Loads the patient imaging studies into the planning computer. - 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 plan using blocks, wedges, segmented Uelds. - 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 Ueld 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. - N/A
Performs a veriUcation calculation for plan MU settings. - N/A
Enters correct parameters for the patient chart. - N/A
Performs pretreatment checks/calculations. - N/A
Observes patient treatment. - N/A

MEAN: 2.00 (out of possible 2), POINTS: 16, % 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: 18
Mean percentage score for all rating scale questions: 100.0%

(Each main question equally weighted)

Responses as of 12/15/2016 7:52:15 PM CT