QA checkdist
Please review the table below. For the QA that your clinic performs, you need to at least observe
the procedure, If you are able to assist or perform any of the following procedures, that’s even
better! At the completion of the Fall QA course, submit the table below leaving an “x” in the
boxes that apply to the procedures that you have observed or participated in and have your
preceptor sign the form, Submit this table to the dropbox by the last day of the course in Fall
‘Semester. Make sure you mention this assignment fo your preceptor or physicist prior to the
beginning of the QA course, so they are able to help get you involved in as much QA as possible.
‘Type of QA_ _[_ Observed Assisted
Daily Warm-up QA for Linac
Daily Warm-up QA for CT Simulator
Monthly Linae
Monthly CY Simulator
IMRT K
SRS
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Brachytherapy x
Respiratory Gating*
IGRT system Xx
Preceptof signature Date
“If Respiratory gating is not performed in your clinic, research this topic and provide a short
summary of the QA to be performed atong with the current tolerances.