11/23/2020 Typhon Group - EASI System

Survey: "Brachytherapy Planning Competency"

Reviewer: Clinical Instructors (CARTER, Robin)
Reviewee: Students (Wheatley, Michael (Sean))
Survey Period: 11/23/2020
Completed: 11/23/2020 8:45:43 AM CT

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

Intracavitary

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 physician. Satisfactory [2 pts]

Loads the patient imaging studies into the planning computer. Satisfactory [2 pts]

Contours the appropriate anatomy on the image data set. Satisfactory [2 pts]

Identi es appropriate dose points on the image data set. Satisfactory [2 pts]

Successfully identi es source positions. Satisfactory [2 pts]

Additional Comment:  Discussed in depth with physicist.

Identi es available isotope and activity for date and time of Satisfactory [2 pts]
treatment.

Correctly generates plan using appropriate isotope and activity Satisfactory [2 pts]
to achieve treatment objective.

Accurately generates DVH/Dose point summary for implant. Satisfactory [2 pts]

Communicates effectively with physician for plan review and Satisfactory [2 pts]
makes changes as requested. Additional Comment:  Discussed plan details with physician.

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

Performs hand veri cation calculations for dwell time. Satisfactory [2 pts]

Assembles necessary equipment for source loading. Satisfactory [2 pts]

Makes appropriate entries in source log and lls out necessary Satisfactory [2 pts]
paperwork for appropriate room posting.

Prepares sources for transport and loading. Satisfactory [2 pts]

Observes source insertion. Satisfactory [2 pts]

Performs appropriate patient room surveys. Satisfactory [2 pts]

Uses appropriate radiation measuring devices for brachytherapy Satisfactory [2 pts]

procedures and source inventory.

Uses time, distance and shielding principles during Satisfactory [2 pts]

brachytherapy procedures.

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

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11/23/2020 Typhon Group - EASI System
3. Overall rating:

Pass [2 pts]

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

4. Additional Comments:

Sean worked closely with physicist and physician. Great job!

Total points for all rating scale questions: 38

Mean percentage score for all rating scale questions: 100.0%
(Each main question equally weighted)
Responses as of 11/23/2020 9:59:42 AM CT

2/2