Survey: Brachytherapy Planning Competency

Reviewer: Clinical Instructors (BUNDALEVSKI, Igor)

Reviewee: Students (Nguyen, Helen)
Survey Period: 12/12/2019
Completed: 12/13/2019 11:28:02 AM CT

1. Select the brachytherapy planning competency from the drop down menu below:

Interstitial
2. 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 Satisfactory [2 pts]

physician.

Loads the patient imaging studies into the Satisfactory [2 pts]

planning computer.

Contours the appropriate anatomy on the Satisfactory [2 pts]

image data set.

Identifies appropriate dose points on the Satisfactory [2 pts]

image data set.

Successfully identifies source positions. Satisfactory [2 pts]

Identifies available isotope and activity for Satisfactory [2 pts]

date and time of treatment.

Correctly generates plan using Satisfactory [2 pts]

appropriate isotope and activity to achieve
treatment objective.

Accurately generates DVH/Dose point Satisfactory [2 pts]

summary for implant.

Communicates effectively with physician Satisfactory [2 pts]

for plan review and makes changes as
requested.

Exports/Prints appropriate plan data. Satisfactory [2 pts]

Performs hand verification calculations for Satisfactory [2 pts]

dwell time.

Assembles necessary equipment for Satisfactory [2 pts]

source loading.

Makes appropriate entries in source log Satisfactory [2 pts]

and fills out necessary paperwork for
appropriate room posting.

Prepares sources for transport and Satisfactory [2 pts]

loading.

Observes source insertion. Satisfactory [2 pts]

Performs appropriate patient room Satisfactory [2 pts]

surveys.
 Uses appropriate radiation measuring Satisfactory [2 pts]
devices for brachytherapy procedures and
source inventory.

Uses time, distance and shielding Satisfactory [2 pts]

principles during brachytherapy
procedures.

Mean: 2.00 of 2 Points: 36 Score: 100.0%

3. Overall rating:

Pass [2 pts]

Mean: 2.00 of 2 Points: 2 Score: 100.0%

4. Additional Comments:

NR

Total points for all rating scale questions: 38 (Each main question equally weighted)
Mean percentage score for all rating scale questions: 100.0% Response as of 12/13/2019 11:29:51 AM CT
 Survey: IMRT Planning Competency Evaluation
Reviewer: Clinical Instructors (FARINA, Larry)
Reviewee: Students (Nguyen, Helen)
Survey Period: 10/3/2019
Completed: 10/3/2019 8:15:17 AM CT

1. Select the external beam IMRT planning competency from the drop down menu below:

Brain IMRT with Fusion

2. If Other competency, specify the type here:

NR
3. 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 Satisfactory [2 pts]

physician.

Loads the patient imaging studies into the Satisfactory [2 pts]

planning computer.

Accurately fuses image data sets Satisfactory [2 pts]

together.

Contours the appropriate anatomy on the Satisfactory [2 pts]

image data set.

Successfully places the isocenter using Satisfactory [2 pts]

simulation data.

Correctly generates optimal beam angles Satisfactory [2 pts]

for specific anatomical area.

Generates plan with appropriate energies. Satisfactory [2 pts]

Able to manipulate ROI/PTV constraints Satisfactory [2 pts]

in the optimizer to obtain an optimal plan.

Accurately optimizes and generates a Satisfactory [2 pts]

concomitant boost plan.

Accurately generates an individual DVH Satisfactory [2 pts]

or composite DVH (for correct # of
fractions).

Understands the concept of prescribing to Satisfactory [2 pts]

a point vs. prescribing to a volume and is
able to adjust the plan % normalization as
needed.

Communicates effectively with physician Satisfactory [2 pts]

for plan review and makes changes as
requested.

Exports/Prints appropriate plan data. Satisfactory [2 pts]

Accurately generates the QA for the plan. Satisfactory [2 pts]

Enters in correct parameters for patient Satisfactory [2 pts]

chart.

Performs pretreatment Satisfactory [2 pts]

checks/calculations.
 Observes IMRT QA and analysis of QA. Satisfactory [2 pts]

Observes patient treatment. Satisfactory [2 pts]

Mean: 2.00 of 2 Points: 36 Score: 100.0%

4. Overall rating:

Pass [2 pts]

Mean: 2.00 of 2 Points: 2 Score: 100.0%

Total points for all rating scale questions: 38 (Each main question equally weighted)
Mean percentage score for all rating scale questions: 100.0% Response as of 12/12/2019 9:46:48 AM CT
 Survey: 3D CRT Photon Planning Competency Evaluation
Reviewer: Clinical Instructors (FARINA, Larry)
Reviewee: Students (Nguyen, Helen)
Survey Period: 10/3/2019
Completed: 10/3/2019 8:19:31 AM CT

1. Select the external beam photon planning competency from the drop down menu below:

ReTreat avoiding or matching old port (any area)

2. If Other competency, please specify the type here:

NR
3. 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 Satisfactory [2 pts]

physician.

Loads the patient imaging studies into the Satisfactory [2 pts]

planning computer.

Contours the appropriate anatomy on the Satisfactory [2 pts]

image data set.

Successfully places the isocenter using Satisfactory [2 pts]

simulation data.

Correctly generates plan using blocks, Satisfactory [2 pts]

wedges, segmented fields.

Generates plan with appropriate Satisfactory [2 pts]

weighting.

Generates plan with appropriate energies. Satisfactory [2 pts]

Accurately calculates daily isocenter dose Satisfactory [2 pts]

for each treatment field using prescription
% and weighting.

Accurately generates a single fraction Satisfactory [2 pts]

DVH or composite DVH (for correct # of
fractions).

Communicates effectively with physician Satisfactory [2 pts]

for plan review and makes changes as
requested.

Exports/Prints appropriate plan data. Satisfactory [2 pts]

Performs a verification calculation for plan Satisfactory [2 pts]

MU settings.

Enters correct parameters for the patient Satisfactory [2 pts]

chart.

Performs pretreatment Satisfactory [2 pts]

checks/calculations.

Observes patient treatment. Satisfactory [2 pts]

Mean: 2.00 of 2 Points: 30 Score: 100.0%

 4. Overall rating:

Pass [2 pts]

Mean: 2.00 of 2 Points: 2 Score: 100.0%

Total points for all rating scale questions: 32 (Each main question equally weighted)
Mean percentage score for all rating scale questions: 100.0% Response as of 12/12/2019 9:46:04 AM CT
 Survey: 3D CRT Photon Planning Competency Evaluation
Reviewer: Clinical Instructors (BUNDALEVSKI, Igor)
Reviewee: Students (Nguyen, Helen)
Survey Period: 10/28/2019
Completed: 10/28/2019 12:45:51 PM CT

1. Select the external beam photon planning competency from the drop down menu below:

Conformal Lung with Boost

2. If Other competency, please specify the type here:

NR
3. 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 N/A

physician.

Loads the patient imaging studies into the Satisfactory [2 pts]

planning computer.

Contours the appropriate anatomy on the Satisfactory [2 pts]

image data set.

Successfully places the isocenter using Satisfactory [2 pts]

simulation data.

Correctly generates plan using blocks, Satisfactory [2 pts]

wedges, segmented fields.

Generates plan with appropriate Satisfactory [2 pts]

weighting.

Generates plan with appropriate energies. Satisfactory [2 pts]

Accurately calculates daily isocenter dose Satisfactory [2 pts]

for each treatment field using prescription
% and weighting.

Accurately generates a single fraction Satisfactory [2 pts]

DVH or composite DVH (for correct # of
fractions).

Communicates effectively with physician Satisfactory [2 pts]

for plan review and makes changes as
requested.

Exports/Prints appropriate plan data. Satisfactory [2 pts]

Performs a verification calculation for plan Satisfactory [2 pts]

MU settings.

Enters correct parameters for the patient Satisfactory [2 pts]

chart.

Performs pretreatment Satisfactory [2 pts]

checks/calculations.

Observes patient treatment. Satisfactory [2 pts]

Mean: 2.00 of 2 Points: 28 Score: 100.0%

 4. Overall rating:

Pass [2 pts]

Mean: 2.00 of 2 Points: 2 Score: 100.0%

Total points for all rating scale questions: 30 (Each main question equally weighted)
Mean percentage score for all rating scale questions: 100.0% Response as of 12/12/2019 9:45:34 AM CT
 Survey: 3D CRT Photon Planning Competency Evaluation
Reviewer: Clinical Instructors (BUNDALEVSKI, Igor)
Reviewee: Students (Nguyen, Helen)
Survey Period: 10/28/2019
Completed: 10/28/2019 12:47:43 PM CT

1. Select the external beam photon planning competency from the drop down menu below:

Limb Sarcoma

2. If Other competency, please specify the type here:

NR
3. 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 N/A

physician.

Loads the patient imaging studies into the Satisfactory [2 pts]

planning computer.

Contours the appropriate anatomy on the Satisfactory [2 pts]

image data set.

Successfully places the isocenter using Satisfactory [2 pts]

simulation data.

Correctly generates plan using blocks, Satisfactory [2 pts]

wedges, segmented fields.

Generates plan with appropriate Satisfactory [2 pts]

weighting.

Generates plan with appropriate energies. Satisfactory [2 pts]

Accurately calculates daily isocenter dose Satisfactory [2 pts]

for each treatment field using prescription
% and weighting.

Accurately generates a single fraction Satisfactory [2 pts]

DVH or composite DVH (for correct # of
fractions).

Communicates effectively with physician Satisfactory [2 pts]

for plan review and makes changes as
requested.

Exports/Prints appropriate plan data. Satisfactory [2 pts]

Performs a verification calculation for plan Satisfactory [2 pts]

MU settings.

Enters correct parameters for the patient Satisfactory [2 pts]

chart.

Performs pretreatment Satisfactory [2 pts]

checks/calculations.

Observes patient treatment. Satisfactory [2 pts]

Mean: 2.00 of 2 Points: 28 Score: 100.0%

 4. Overall rating:

Pass [2 pts]

Mean: 2.00 of 2 Points: 2 Score: 100.0%

Total points for all rating scale questions: 30 (Each main question equally weighted)
Mean percentage score for all rating scale questions: 100.0% Response as of 12/12/2019 9:45:05 AM CT
 Survey: 3D CRT Photon Planning Competency Evaluation
Reviewer: Clinical Instructors (BUNDALEVSKI, Igor)
Reviewee: Students (Nguyen, Helen)
Survey Period: 11/8/2019
Completed: 11/8/2019 2:21:58 PM CT

1. Select the external beam photon planning competency from the drop down menu below:

Para-aortic or Nodal Irradiation

2. If Other competency, please specify the type here:

NR
3. 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 Satisfactory [2 pts]

physician.

Loads the patient imaging studies into the Satisfactory [2 pts]

planning computer.

Contours the appropriate anatomy on the Satisfactory [2 pts]

image data set.

Successfully places the isocenter using Satisfactory [2 pts]

simulation data.

Correctly generates plan using blocks, Satisfactory [2 pts]

wedges, segmented fields.

Generates plan with appropriate Satisfactory [2 pts]

weighting.

Generates plan with appropriate energies. Satisfactory [2 pts]

Accurately calculates daily isocenter dose Satisfactory [2 pts]

for each treatment field using prescription
% and weighting.

Accurately generates a single fraction Satisfactory [2 pts]

DVH or composite DVH (for correct # of
fractions).

Communicates effectively with physician Satisfactory [2 pts]

for plan review and makes changes as
requested.

Exports/Prints appropriate plan data. Satisfactory [2 pts]

Performs a verification calculation for plan Satisfactory [2 pts]

MU settings.

Enters correct parameters for the patient Satisfactory [2 pts]

chart.

Performs pretreatment Satisfactory [2 pts]

checks/calculations.

Observes patient treatment. Satisfactory [2 pts]

Mean: 2.00 of 2 Points: 30 Score: 100.0%

 4. Overall rating:

Pass [2 pts]

Mean: 2.00 of 2 Points: 2 Score: 100.0%

Total points for all rating scale questions: 32 (Each main question equally weighted)
Mean percentage score for all rating scale questions: 100.0% Response as of 12/12/2019 9:44:17 AM CT
 Survey: 3D CRT Photon Planning Competency Evaluation
Reviewer: Clinical Instructors (BUNDALEVSKI, Igor)
Reviewee: Students (Nguyen, Helen)
Survey Period: 11/8/2019
Completed: 11/8/2019 2:22:53 PM CT

1. Select the external beam photon planning competency from the drop down menu below:

Chestwall Tangents (Bolus:Non-Bolus Weighting) with SClav and PAB

2. If Other competency, please specify the type here:

NR
3. 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 Satisfactory [2 pts]

physician.

Loads the patient imaging studies into the Satisfactory [2 pts]

planning computer.

Contours the appropriate anatomy on the Satisfactory [2 pts]

image data set.

Successfully places the isocenter using Satisfactory [2 pts]

simulation data.

Correctly generates plan using blocks, Satisfactory [2 pts]

wedges, segmented fields.

Generates plan with appropriate Satisfactory [2 pts]

weighting.

Generates plan with appropriate energies. Satisfactory [2 pts]

Accurately calculates daily isocenter dose Satisfactory [2 pts]

for each treatment field using prescription
% and weighting.

Accurately generates a single fraction Satisfactory [2 pts]

DVH or composite DVH (for correct # of
fractions).

Communicates effectively with physician Satisfactory [2 pts]

for plan review and makes changes as
requested.

Exports/Prints appropriate plan data. Satisfactory [2 pts]

Performs a verification calculation for plan Satisfactory [2 pts]

MU settings.

Enters correct parameters for the patient Satisfactory [2 pts]

chart.

Performs pretreatment Satisfactory [2 pts]

checks/calculations.

Observes patient treatment. Satisfactory [2 pts]

Mean: 2.00 of 2 Points: 30 Score: 100.0%

 4. Overall rating:

Pass [2 pts]

Mean: 2.00 of 2 Points: 2 Score: 100.0%

Total points for all rating scale questions: 32 (Each main question equally weighted)
Mean percentage score for all rating scale questions: 100.0% Response as of 12/12/2019 9:43:06 AM CT