5/5/2017 TyphonGroup:EASIEvaluation&SurveyInstrument

Responses About You - Details - "1st Semester Affective Clinical Evaluation"

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Evaluation by: Clinical Instructors (BROGAN-RAASCH, Colleen)

Evaluation of: Students (Pohl, Ryan)
Evaluation Period: 2/17/2017
Survey Completed: 2/21/2017 1:17:43 PM CT

First semester Evaluation:

1st Evaluation

Communications

Explains medical dosimetry procedures to patient as appropriate to situation (e.g. when assisting with
procedures in treatment room or simulation). - N/A
Respects patient's rights to privacy and condentiality. - Meets Expectations[10 pts]
Acts and speaks in a respectful manner with staff members. - Meets Expectations[10 pts]
Asks questions in an appropriate manner. - Meets Expectations[10 pts]
Accepts correction and direction in a professional manner. - Meets Expectations[10 pts]
Contributes as a member of the medical dosimetry team. - Meets Expectations[10 pts]
Uses effective verbal communication skills with physician during plan consultation and review. - N/A
Uses effective written communication skills for chart, plan, and dosimetry note documentation. - N/A

MEAN: 10.00 (out of possible 10), POINTS: 50, % SCORE: 100.0%

Accuracy
Follows through instructions with attention to detail. - Meets Expectations[10 pts]
Accurately enters information into chart or R & V system. - N/A

MEAN: 10.00 (out of possible 10), POINTS: 10, % SCORE: 100.0%

Safety

Double checks all student work to include calculations and treatment plans with dosimetrist/physicist. -
Meets Expectations[10 pts]

MEAN: 10.00 (out of possible 10), POINTS: 10, % SCORE: 100.0%

Dependability
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5/5/2017 TyphonGroup:EASIEvaluation&SurveyInstrument

Arrives promptly as scheduled. - Meets Expectations[10 pts]

Schedules breaks, lunches, and other time needs with clinical instructors. - Meets Expectations[10 pts]
Adheres to attendance standards of the program. - Meets Expectations[10 pts]
Uses clinical time wisely. - Meets Expectations[10 pts]
Follows school and hospital policies and procedures. - Meets Expectations[10 pts]
Takes initiative in observing and assisting in dosimetry activities. - Meets Expectations[10 pts]

MEAN: 10.00 (out of possible 10), POINTS: 60, % SCORE: 100.0%

Application of Knowledge
Demonstrates a basic understanding of physics concepts and principles. - Meets Expectations[10 pts]
Is able to retrieve imaging study (CT) and bring into patient le. - Meets Expectations[10 pts]
Is able to identify anatomy and contour appropriate structures. - Meets Expectations[10 pts]
Understands the use of the computer for treatment planning. - Meets Expectations[10 pts]
Is able to enter information into the computer and design a basic treatment plan in accordance with
prescription. - Meets Expectations[10 pts]

MEAN: 10.00 (out of possible 10), POINTS: 50, % SCORE: 100.0%

General Dosimetry Skills

Performs calculations in a timely manner. - Meets Expectations[10 pts]

Accurately uses dose calculation databooks to perform hand calculations. - N/A
Is able to prioritize and organize duties to eciently complete requirements. - Meets Expectations[10
pts]
Exhibits a basic knowledge of anatomy, tissue dose tolerance, denitive tumor dose, and typical eld
arrangement. - Meets Expectations[10 pts]

MEAN: 10.00 (out of possible 10), POINTS: 30, % SCORE: 100.0%

I have reviewed this evaluation with the student.

Yes

Additional Comments:

Since this is the rst semester, there are some things in dosimetry we have not addressed yet. Ryan
started his clinical rotation when we had a major computer crash in the organization and he was very
understanding and patient throughout this process. We had to replan some things, and the clinlical staff
was not as available as should be for a new student. But Ryan picked things up quickly and was able to
work independently when needed.

Total points for all rating scale questions: 210

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

Responses as of 5/5/2017 9:16:41 PM CT

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