Survey: 1st Semester Affective Clinical Evaluation

Reviewer: Clinical Instructors (MENZIES, Tony)

Reviewee: Students (Russell, Ciara)
Survey Period: 3/29/2021
Completed: 3/29/2021 11:42:45 AM CT

1. First semester Evaluation:

1st Evaluation

3. Communications

Explains medical dosimetry procedures to N/A

patient as appropriate to situation (e.g. Additional Comment: I personally have not done
when assisting with procedures in procedures in treatment room or simulation with
treatment room or simulation). Ciara

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. Additional Comment: Ciara is extremely polite and pts]
respectful with staff.

Asks questions in an appropriate manner. Meets Expectations [10

Additional Comment: Ciara is great with asking pts]
questions. She seems comfortable doing so.

Accepts correction and direction in a Meets Expectations [10

professional manner. Additional Comment: She is very professional, and pts]
accepts all direction without hesitation.

Contributes as a member of the medical Meets Expectations [10

dosimetry team. Additional Comment: She has excellent work ethic, pts]
is always ready to work and willing to put in the
time needed, and has taken the initiative to take
on new tasks. Very impressive

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: 70 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

Additional Comment: Always on time, and displays pts]
willingness to stay after to finish tasks.

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 working, very pts]
impressive work ethic

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. Additional Comment: She follows instruction very pts]
well, and seems to understand concepts well.

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

bring into patient file. Additional Comment: very proficient at this 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 N/A

databooks to perform hand calculations. Additional Comment: Have not personally done this
with her.

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: 30 Score: 100.0%

9. I have reviewed this evaluation with the student.

Yes

10. Additional Comments:

Again, I am very pleased with Ciara's work ethic. It is a pleasure to work with and teach her. She is
progressing well in every category at this point.

Total points for all rating scale questions: 240 (Each main question equally weighted)
Mean percentage score for all rating scale questions: 100.0% Response as of 3/29/2021 7:16:35 PM CT