University of Wisconsineta Crosse Medical De etry Prograin Competency Check list stodent Name YENAN WANG Clinical site: Beaumont Heat Competency Date | _Typhon Performed | Evaluation Completed Palliative (Spine, Hip, Ribs, etc) 7a 42 FO. PES BE. Para-aortic or nodal irradiation (oneal 2 Lali ‘Limb Sarcoma ay ew. Pelvis - GYN erie Be gE ‘Lymphoma wil aUaite 16F Intact Breast Tangents n/2is | 2bne ee at Tangents (bolus: non-bolus weighting) with aris lenin 3 ReTreat avoiding or matching old port (any area) F118 rb | 93015 WF ‘Lung with Boost (conformal) 10/3 1h | 116/16 BF ‘Abdominal IMRT (e.g. Pancreas) alehe EE. Brain IMRT with MR fusion Tye Tig Ve | Prostate IMRT Lyla [at Is Bs (Prostate with nodes (IMRT) hilt My WER [H&NIMRT arvve [enw Thoracic IMRT (e.g. Esophagus or Lung) eaane aiale RE Electron Beam Plan ufrfig | iryiblb ‘Brachytherapy Intracavitary or Interstitial Implant Plan iniené |2isub B Other (Suggested): Plan a patient that is to be Simulated and Treated on the same day (to experience time constraints) (i thi liB (wre Beer) Please make sure you fill out the appropriate form when completing the competency.