Survey: 2nd & 3rd Semester Affective Clinical Evaluation

Reviewer: Clinical Instructors (RAMIREZ, Zeke)

Reviewee: Students (Long, Sara)
Survey Period: 8/14/2019
Completed: 8/14/2019 11:39:55 AM CT

1. Evaluation:

3rd of 3 - Summer Semester

3. Communications

Explains medical dosimetry procedures to Meets Expectations [10

patient as appropriate to situation (e.g. Additional Comment: Sara has excellent pts]
when participating in procedures in the communication skills and i am so happy to have
treatment room or simulation). her in our department. She is wonderful!

Respects patient's rights to privacy and Meets Expectations [10

confidentiality. pts]

Acts and speaks in a respectful manner Meets Expectations [10

with staff members. Additional Comment: She has been extremely pts]
helpful to everyone in our department. She
doesnt hesitate so step in and help when she can.
She is great!

Asks questions in an appropriate manner. Meets Expectations [10

pts]

Accepts correction and direction in a Meets Expectations [10

professional manner. pts]

Contributes as a member of the medical Meets Expectations [10

dosimetry team. pts]

Uses effective verbal communication skills Meets Expectations [10

with physician during plan consultation pts]
and review.

Uses effective written communication Meets Expectations [10

skills for chart, plan, and dosimetry note pts]
documentation.

Mean: 10.00 of 10 Points: 80 Score: 100.0%

4. Accuracy

Performs dose calculations accurately. Meets Expectations [10

pts]

Reads radiation measurement devices N/A

accurately and carefully. (eg, TLD,
Diodes, Film, Ion Chamber)

Accurately designs plans by computer or Meets Expectations [10

manual computation in accordance with pts]
prescription.

Accurately enters information into chart or Meets Expectations [10

R & V system. pts]

Mean: 10.00 of 10 Points: 30 Score: 100.0%

5. Safety

Takes appropriate precautions in Meets Expectations [10

Radiation Safety. pts]

Double checks all calculations and Meets Expectations [10

treatment plans with dosimetrist/physicist. pts]

Performs Quality Assurance per N/A

recommended guidelines and reviews
with dosimetrist/physicist.

Uses time, distance, shielding practices & N/A

principles.

Mean: 10.00 of 10 Points: 20 Score: 100.0%

6. Dependability

Arrives promptly as scheduled. Meets Expectations [10

pts]

Schedules breaks, lunches, and other Meets Expectations [10

time needs with clinical instructors. pts]

Adheres to attendance standards of the Meets Expectations [10

program. pts]

Uses clinical time wisely. Meets Expectations [10

pts]

Follows school and hospital policies and Meets Expectations [10

procedures. pts]

Takes initiative in observing and assisting Meets Expectations [10

in dosimetry activities. pts]

Mean: 10.00 of 10 Points: 60 Score: 100.0%

7. Application of Knowledge

Understands the technique and use of Meets Expectations [10

special calculation methods. pts]

Is able to enter information into the Meets Expectations [10

computer and design treatment plan in pts]
accordance with prescription.

Is able to identify anatomy and contour Meets Expectations [10

appropriate structures. pts]

Utilizes critical thinking/problem solving Meets Expectations [10

skills in approaching treatment planning. pts]

Understands how clinical oncology Meets Expectations [10

information is used in treatment planning pts]
(e.g. type, grade, stage of cancer).

Utilizes critical thinking skills when Meets Expectations [10

evaluating dose volume histograms. pts]

Uses problem solving skills when Meets Expectations [10

comparing various treatment plans for a pts]
specific treatment case.

Is able to design optimal treatment plans Meets Expectations [10

based on calculations, dose volume pts]
histograms, prescription, and treatment
implementation.

Mean: 10.00 of 10 Points: 80 Score: 100.0%

 8. General Dosimetry Skills

Performs calculations in a timely manner. Meets Expectations [10

pts]

Accurately uses dose calculation Meets Expectations [10

databooks to perform hand calculations. pts]

Is able to dose out (complete) chart per Meets Expectations [10

prescription and plan. pts]

Exhibits knowledge of anatomy, tissue Meets Expectations [10

dose tolerance, definitive tumor dose, and pts]
typical field arrangement.

Is able to independently produce Meets Expectations [10

treatment plans as required by pts]
competency list for the semester.

Is able to prioritize and organize duties to Meets Expectations [10

efficiently complete requirements. pts]

Mean: 10.00 of 10 Points: 60 Score: 100.0%

9. I have reviewed this evaluation with the student.

No

10. Please provide a comment to let the student know of any weakness they can work on, and/or any strength to
commend:

Sara has picked up dosimetry very fast. As she gets more exposure, she will no doubt be an
exceptional dosimetrist. I enjoy working with her very much.

Total points for all rating scale questions: 330 (Each main question equally weighted)
Mean percentage score for all rating scale questions: 100.0% Response as of 8/14/2019 2:45:53 PM CT