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‘Typhon Group: EASI - Evaluation & Survey Instrument Page 1 of 2 Responses About You - Dete Bain -"3D CRT Photon Planning Competency Evaluation” EB 2084 . Clinical Instructors (ALKHAFAJI, Mazin) Evaluation ‘Students (Burrier, Teri) Evaluation Period: 2/26/2018 ‘Survey Completed: 3/26/2018 9:55:46 AM CT. ‘Add yout comments Select the external beam photon planning competency from the drop down menu below: + Palliative (Spine, Hip, Ribs, etc) 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 will repeat the competency at a later date. + Discusses the plan prescription with the physician. - Satisfactory [2 pts} + Loads the patiant imaging studies into the planning computer. - Satisfactory [2pts] Contours the appropriate anatomy on the image data set, - Satisfactory [2 pts) ‘Successfully places 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 pis] Generates plan with appropriate energies. - Satisfactory {2 pts) + Accurately calculates daily 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 ts) + Exporis/Prints appropriate plan data, - Satisfactory [2 pis] + Performs a verification calculation for plan MU settings. - Satisfactory. [2 pts + Enters correct parameters for the patient chart. Satisfactory [2 pts} + Performs pretreatment checks/calculations. - Satisfactory [2 pts} + Observes patient treatment. - Satisfactory [2 pts) MEAN: 2.00 (out of possible 2), POINTS: 30, % SCORE: 100.0% hups://www.typhongroup.neVeval/analyze/studentdetails.asp facility=9094&survey=38357... 4/2/2018 Typhon Group: EAST - Evaluation & Survey Instrument Page 2 of 2 vera ating + Pass [pts] MEAN: 2.00 (out of possible 2), POINTS: 2, % SCORE: 100.0% Total points for all rating scale questions: 32 ‘Mean percentage score for all rating scale questions: 100.0% (Gach main question equally weighted) Responses as of 4/2/2078 3:11:47 PM CT hitps://www.typhongroup.net/eval/analyze/studentdetails.asp?facilit 1094&survey=38357.., 4/2/2018

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