Survey: 3D- CRT Photon Planning Competency Evaluation

Reviewer: Clinical Instructors (PARKS, Heather)

Reviewee: Students (Yiga, Tenzin)
Survey Period: 8/14/2020
Completed: 8/14/2020 5:37:53 PM CT

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

Emergent case: Sim and Treat same day

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

Sim and treat; Femur

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, N/A

wedges, segmented fields. Additional Comments: N/A open field

Generates plan with appropriate Satisfactory [2 pts]

weighting.

Generates plan with appropriate energies. Satisfactory [2 pts]

Accurately generates/evaluates plan DVH N/A

or composite DVH (for correct # of Additional Comments: Open fields, no OARs
fractions).

Communicates effectively with physician Satisfactory [2 pts]

for plan review and makes changes as
requested.

Exports/Prints appropriate plan data. N/A

Additional Comments: Had networks issues

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.

Utilizes respiratory gating information to N/A

determine field parameters.

Observes patient treatment. N/A

Mean: 2.00 of 2 Points: 20 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: 22 (Each main question equally weighted)
Mean percentage score for all rating scale questions: 100.0% Response as of 8/14/2020 6:14:46 PM CT