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Typhon Group: EASI - Evaluation & Survey Instrument Page 1 of 2 Responses About You - Details - "3D CRT Photon Planning Competency Evaluation’ aoa ee Evaluation by: Clinical Instructors (ALKHAFAJI, Mazin) Evaluation: Students (Burrier, Teri) Evaluation Period: 3/26/2018 ‘Survey Completed: 3/26/2018 9:54:45 AM CT ‘Add your comments Select the external beam photon planning competency from the drop down menu below: + Intact Breast Tangents If Other competency, please specify the type here: + No response Please assign each task a score of Satisfactory or Unsatisfactory. Unsatisfactory in any essential task constitutes competency failure. The student wil repeat the competency ata later date Discusses the plan prescription with the physician. - Satisfactory [2 pis] Loads the patient imaging studies into the planning computer. - Satisfactory (2 pts] Contours the appropriate anatomy on the image data set. - Satisfactory [2 pts} Successfully piaces the isocenter using simulation data. - Satisfactory. {2 pts) Correctly generates plan using blocks, wedges, segmented fields. - Satisfactory (2 pts} Generates plan with appropriate weighting. - Satisfactory [2 pts] Generates plan with appropriate energies. - Satisfactory. [2 pts] Accurately calculates dally isocenter dose for each treatment field using prescription % and weighting. - Satisfactory [2 pts} + Accurately generates a single fraction DVH or composite DVH (for correct # of fractions). - Satisfactory [2 pts} + Communicates effectively with physician for plan review and makes changes as requested. - Satisfactory [2 pts] + Exports/Prints appropriate plan data.- Satisfactory [2 pts) Performs a verification calculation for plan MU settings. - Satisfactory [2 pts] Enters correct parameters for the patient chart Satisfactory [2 pts} + Performs pretreatment checks/celculations. -Satisfactory [2 ts] + Observes patient treatment, - Satisfactory [2 pts] MEAN: 2.00 (out of possible 2), POINTS: 30, % SCORE: 100.0% 4/2/2018 & facility=9094&survey= htips://www.typhongroup.neVeval/analyze/studentdetails.asp’ ‘Typhon Group: EASI - Evaluation & Survey Instrument Page 2 of 2 Overall rating + Pass [2 pts} MEAN: 2.00 (out of possible 2}, POINTS: 2, % SCORE: 100.0% Total points for al rating scale questions: 32 Mean percentage score forall rating scale questions: 100.0% (Each main question equally weighted) Responses as of 4/2/2018 3:10:40 PM OT hutps:/www.typhongroup.net/eval/analyze/studentdetails.asp?-=O& facility=9094&surves . 4/2/2018

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