Survey: 1st Semester Affective Clinical Evaluation

Reviewer: Clinical Instructors (TURNER, Judy)

Reviewee: Students (Wheatley, Michael (Sean))
Survey Period: 2/14/2020
Completed: 2/14/2020 8:51:08 AM CT

1. First semester Evaluation:

1st Evaluation

3. Communications

Explains medical dosimetry procedures to Meets Expectations [10

patient as appropriate to situation (e.g. pts]
when assisting with procedures in
treatment room or simulation).

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. pts]

Asks questions in an appropriate manner. Meets Expectations [10

pts]

Accepts correction and direction in a Meets Expectations [10

professional manner. Additional Comment: very professional and takes pts]
direction very,very well

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

Follows through instructions with attention Meets Expectations [10

to detail. Additional Comment: very detail oriented pts]

Accurately enters information into chart or Meets Expectations [10

R & V system. pts]

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

5. Safety

Double checks all student work to include Meets Expectations [10

calculations and treatment plans with Additional Comment: very good about rechecking pts]
dosimetrist/physicist. work performed

Mean: 10.00 of 10 Points: 10 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

Additional Comment: always finds thing to do pts]

Follows school and hospital policies and Meets Expectations [10

procedures. pts]

Takes initiative in observing and assisting Meets Expectations [10

in dosimetry activities. Additional Comment: Always takes the initiative to pts]
observe and assist in dosimetry acitivities

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

7. Application of Knowledge

Demonstrates a basic understanding of Meets Expectations [10

physics concepts and principles. pts]

Is able to retrieve imaging study (CT) and Meets Expectations [10

bring into patient file. pts]

Is able to identify anatomy and contour Meets Expectations [10

appropriate structures. pts]

Understands the use of the computer for Meets Expectations [10

treatment planning. Additional Comment: Has caught on to the pts]
treatment planning system very very well. Quite
impressed with how well he performs the
dosimetry procedures

Is able to enter information into the Meets Expectations [10

computer and design a basic treatment Additional Comment: Sean is able to enter pts]
plan in accordance with prescription. information in computer with precise accurate
parameters.

Mean: 10.00 of 10 Points: 50 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 prioritize and organize duties to Meets Expectations [10

efficiently complete requirements. pts]

Exhibits a basic knowledge of anatomy, Meets Expectations [10

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

Mean: 10.00 of 10 Points: 40 Score: 100.0%

9. I have reviewed this evaluation with the student.

Yes

Additional Comment: reviewed with sean on 2-14-20

 10. Additional Comments:

Sean has done extremely well in understanding the fundamentals of treatment planning. He is very
eager in pursuing as much knowledge as possible in medical dosimetry. We are very fortunate in
having him as a student

Total points for all rating scale questions: 260 (Each main question equally weighted)
Mean percentage score for all rating scale questions: 100.0% Response as of 2/14/2020 8:52:12 AM CT