Survey: 1st Semester Affective Clinical Evaluation

Reviewer: Clinical Instructors (ZOLLER, Wesley)

Reviewee: Students (Liu, Michal)
Survey Period: 5/7/2020
Completed: 5/7/2020 1:22:21 PM CT

1. First semester Evaluation:

3rd 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. 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

Follows through instructions with attention Meets Expectations [10

to detail. 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 pts]
dosimetrist/physicist.

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

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

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. pts]

Is able to enter information into the Meets Expectations [10

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

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: Mark Addington and I reviewed this evaluation with Michael via Webex.
 10. Additional Comments:

Clinically, we have been forced to do most of our teaching/planning via tele-medicine, which includes
our dosimetry students. We check in regularly, as well as on labs, via screen share/conference call.
However, that always tends to make things a little more difficult. Michal has done a tremendous job
adapting to this, and we hope that as time passes, we'll be able to get physically back in the clinic. It's
a testament to Michal and our group that we have not fallen behind during these times. Right now,
Michal does a good deal of 3D and 2D planning comfortably, on both active clinical cases as well as
lab sessions. Just recently, we were able to do a breast introduction, which we will expand on after
break. Likewise, our goal is to start IMRT planning after our break--we wanted to make sure all 3D
concepts were present prior to this as these roots will help build all new forms of planning. Michal's
performed very well, and his biggest strength is adaptability and the ease at which dosimetric
concepts have come to him. He thinks critically while planning and has good answers when tested
during lab/mock reviews. As far as things to work on, it's more of a natural progression of getting
comfortable in the field--communication with our physicians and knowing to stay practical on
palliative cases versus starting very complex. Both of these items come with experience over time,
and we will continue to push you, Michal, in regard to paging/emailing/speaking with physicians when
questions arise during planning.

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 5/7/2020 2:04:59 PM CT