2/12/2018 Typhon Group: EASI - Evaluation & Survey Instrument

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

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Evaluation by:   Clinical Instructors

Evaluation of:   Students
Evaluation Period:   2/12/2018
Survey Completed:   2/12/2018 6:49:20 AM 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  (Additional Comment: This has not come up so far.)
Respects patient's rights to privacy and con dentiality. - 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. - Meets
Expectations   [10 pts]
Uses effective written communication skills for chart, plan, and dosimetry note documentation. - Meets
Expectations   [10 pts]

MEAN: 10.00 (out of possible 10), POINTS: 70, % SCORE: 100.0%

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

MEAN: 10.00 (out of possible 10), POINTS: 20, % SCORE: 100.0%

Safety
Double checks all student work to include calculations and treatment plans with dosimetrist/
physicist. -Meets Expectations  (Additional Comment: All of XXXX's work is second checked and reviewed
by dosimetry and physics. )   [10 pts]

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

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2/12/2018 Typhon Group: EASI - Evaluation & Survey Instrument

Dependability
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  (Additional Comment: XXXX is always using his time in
clinic to learn as much as he can. XXXX asks excellent question and is always willing to help out in any way he
can.)   [10 pts]
Follows school and hospital policies and procedures. - Meets Expectations   [10 pts]
Takes initiative in observing and assisting in dosimetry activities. - Meets Expectations  (Additional
Comment: ALWAYS!!!)   [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  (Additional Comment:
XXXX has been doing this along with with fusing multiple data sets for the doctors so they can contour.)   [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  (Additional Comment: Yes has done many plans along side of dosimetrist.
Nick has done a few palliative plans on his own as well.)   [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. - Meets
Expectations  (Additional Comment: For electron plans.)   [10 pts]
Is able to prioritize and organize duties to e ciently complete requirements. - Meets Expectations   [10 pts]
Exhibits a basic knowledge of anatomy, tissue dose tolerance, de nitive tumor dose, and typical eld
arrangement. - Meets Expectations   [10 pts]

MEAN: 10.00 (out of possible 10), POINTS: 40, % SCORE: 100.0%

 I have reviewed this evaluation with the student.

Yes

Additional Comments:

XXXX has performed well above my expectations for the rst eval. XXXX is very quick to learn concepts.

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2/12/2018 Typhon Group: EASI - Evaluation & Survey Instrument
Total points for all rating scale questions: 250
Mean percentage score for all rating scale questions: 100.0%
(Each main question equally weighted)

Responses as of 2/12/2018 8:43:53 AM CT

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