UW-La Crosse Medical Dosimetry Program Master Competency Checklist Student: an Site: The Sarees Caner Hapae\ Primary Brain (Conformal, IMRT/VMAT) Primary H & N (IMRT/VMAq) i: Lung (Conformal, IMRT/VMAT) Biig/2o. Esophagus (Conformal, IMRT/VMAT) iofis [20 Intact Breast Tangentials Chest Wall Tangentials (bolus:non-bolus) w/Supraciav & Axilla Pancreas or GE Junction (Conformal, IMRT/VMAT) Wislto Para-aortic or nodal irradiation (Conformal, IMRT/VMAI 2/20, a 3 fid Pelvis with Wedges altelto__|t/w/eo 4 fid Pelvis afi Fto 2 Prostate with Nodes SIB Technique (IMRT/VMAT) Wo; a Zo ‘Anus or Vulva Conventional 3D Technique* Interstitial Intracavitary HOR Craniospinal irradiation® Palliat AT (4/20 reer (Mantie)* salle 3 wh 30 Electron Beam Plan li2/9/20 te[3 zo Fusion (MR, PET, ete.) 3fi(20 Re-Irradiation a 43 1 20 [Blse/z0 Stereotactic Body Radiation Therapy (SBRT)* Wis) 40 dig. 3/1, Sim & Start Tx Same Day Plan 23/20 |e Proton Treatment Planning REQUIRED. ACHIEVED ‘SPRING SEMESTER 5 (Mantle Lab included) ‘SUMMER SEMESTER 7 (Vulva Lab included) FALL SEMESTER. 11 (CSI & SBRT labs included) | ‘* These competencies will be performed in a lab assignment. Students are encouraged to perform them in the clinical setting on actual patients ifthe opportunity arises. 1 One Brachytherapy competency must be performed in the clinic.