9/1/2021 Typhon Group - EASI System

Survey: "Brachytherapy Planning Competency"

Reviewer: Clinical Instructors (MICHEL, Ann)
Reviewee: Students (Cimmiyotti, Jenna)
Survey Period: 9/1/2021
Completed: 9/1/2021 10:39:02 AM CT

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

Intracavitary

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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. N/A [0 pts]
Additional Comment:  Physician provides contours for brachy
practice.

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

Successfully identifies source positions. Satisfactory [2 pts]

Identifies 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.

Exports/Prints appropriate plan data. N/A [0 pts]

Additional Comment:  Practice case

Performs hand verification calculations for dwell time. N/A [0 pts]

Additional Comment:  Hand calc replaced by second check
software in our practice.

Assembles necessary equipment for source loading. N/A [0 pts]

Additional Comment:  High dose rate afterloader.

Makes appropriate entries in source log and fills out necessary N/A [0 pts]
paperwork for appropriate room posting. Additional Comment:  High dose rate afterloader.

Prepares sources for transport and loading. N/A [0 pts]

Additional Comment:  High dose rate afterloader.

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: 1.33 of 2  Points: 24  Score: 66.7%

3. Overall rating:

Pass [2 pts]
If applicable, please specifiy reason for failure:  Jenna has completed two very good tandem and ovoid
plans

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

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4. Additional Comments:

NR

Total points for all rating scale questions: 26

Mean percentage score for all rating scale questions: 83.3%
(Each main question equally weighted)
Responses as of 9/1/2021 10:40:19 AM CT

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