University

of Wisconsin-La Crosse

Medical Dosimetry Program

Competency Check list

Competencies CANNOT be performed on datasets

they must be performed on real patients

Aubrie Rice
Student Name:_______________________________________________________

The James Cancer Hospital

Clinical Site:_________________________________________________________

Competency Date Typhon

Performed Evaluation
Completed

Palliative (Spine, Hip, Ribs, etc) 3/9/17 3/9/17 WZ

Para-aortic or nodal irradiation 7/12/17 7/12/17 WZ
Limb Sarcoma 9/5-11/17 9/12/17 WZ
Pelvis - GYN 3/30/17 3/30/17 WZ
Lymphoma 7/31/17 8/1/17 WZ
Intact Breast Tangents 6/29/17 6/30/17 LC
Chest Wall Tangents (bolus: non-bolus weighting) with 11/15/17 11/28/17 MA
SClav and PAB
ReTreat avoiding or matching old port (any area) 3/31/17 3/31/17 WZ
Lung with Boost (conformal) 4/13/17 4/13/17 WZ
Abdominal IMRT (e.g. Pancreas) 9/7-19/17 9/20/17 MM
Brain IMRT with MR fusion 9/11-20/17 9/20/17 WZ
Prostate IMRT 7/18/17 7/18/17 WZ
Prostate with nodes (IMRT) 7/31/17 7/31/17 KR
H & N IMRT 11/2/17 11/2/17 WZ
Thoracic IMRT (e.g. Esophagus or Lung) 9/22-26/17 9/26/17 WZ
Electron Beam Plan 6/29/17 6/29/17 LC
Brachytherapy Intracavitary or Interstitial Implant Plan 10/13/17 11/6/17 JW

Other (suggested): Plan a patient that is to be Simulated and 7/13/17 7/13/17 WZ

Treated on the same day (to experience time constraints)

Please make sure you fill out the appropriate form when completing the competency.