Responses About You - Summary - "3D CRT Photon Planning Competency Evaluatior Sem c= ‘TOTAL RESPONSES: 4 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, ete) 75-0% ' Para-aortic or Nodal Irradiation 0.0% ° Limb Sarcoma 00% 0 conformal Ling with Boost 25.0% 1 rete vg o Patan (Sore Peis (@YWor aeoy 4 (25.0%) (250%) other) Tangent Chestwall angers Peivis (GYN or other Conformal Lung with (Bolus:Non-Bolus (25.0%) (25.0%) Weighting) with 0.0% ° ‘SClav and PAB \ymohoma 00% ReTreat avoiding or matching old port 25.0% = 1 (any area) Emergent case: Sim andTreat same day °° =O Other: 0.0% 0 Total Responden 4 Skipped this question: 0 If Other competency, please specify the type here: (Open Ended - Comments Box) Total Respondents: 4 ‘Skipped this question: 0 Please assign each task a score of Satisfactory or Unsatisfactory. Unsatisfacto any essential task constitutes competency failure. The student will repeat the competency at a later date, (Rating Scale Matrix) 1 2 NA ‘Additional Mean Total Percentage Statistical Mode in BOLD Unsatisfactory Satisfactory Comment [1-2] Points ScoreDiscusses the plan prescription with the 0.0% (0) 100.0% (4) 0.0% (0) 200 8 100.0% physician, Loads the patient imaging studies into the planning 0.0% (0) 100.0% (4) 0.0% (0) 2.00 8 100.0% computer. Contours the appropriate anatomy onthe image 0.0% (0) 100.0% (4) 0.0% (0) 2.00 8 100.0% data set Successfully places the isocenterusing simulation 0.0% (0) 100.0%(4) 0.0% (0) 2.00 8 — 100.0% data, Correctly generates plan using blocks, wedges, 0.0% (0) 100.0%(4) 0.0% (0) 200 8 — 100.0% segmented fields Generates plan with 9.9% (a) 100.0% (4) 0.0% (0) 2.00 8 100.0% appropriate weighting, Generates plan with 9.9%, (0) 100.0% (4) 0.0% (0) 2.00 8 — 100.0% appropriate energies. Accurately calculates dally isocenter dose for each treatment feld.using 0.0% (0) 100.0%(4) 0.0%(0) 200 8 — 100.0% prescription % and weighting. Accurately generates a single fraction DVH org 9g (a) 100.0% (4) 0.0% (0) 200 8 — 100.0% composite DVH (for correct # of fractions). Communicates effectively with physician for plang a9, (9) 100.0% (4) 0.0% (0) 200 8 100.0% review and makes changes as requested, Exports/Prints appropriate plan data, 0%) 100.0% (4) 0.0% (0) 2.00 8 — 100.0% Performs a verification calculation for planMU 0.0% (0) 100.0% (4) 0.0% (0) 200 8 100.0% settings. Enters correct parameters " forthe patient chart, 0%) 100.0% (4) 0.0% (0) 200 8 — 100.0% Performs pretreatment “Thecks ealeciations 0.0% (0) 100.0% (4) 0.0% (0) 200 8 100.0% Observes patient 0.0% (0) 100.0% (4) 0.0% (0) 2.00 8 100.0% OVERALL counts Mera 0 60 o 200 120 100.0% Total Respondents: ‘Skipped this question: Overall rating: ating Scale - One Answer 1 2 If applicable, please Mean Total Percentage rizontal) Fail Pass specify reason for [1-2] Points ScoreStatistical Mode in BOLD failure 0.0% (0) 100.0% (4) 200 8 100.0% Total Respondents: ‘Skipped this question: ‘Total points forall rating scale questions: 128 Mean percentage score forall rating scale questions: 100.0% (Each main question equally weighted) Responses as of 5/4/2017 9:00:50 AM CT