10/28/21, 11:53 AM Typhon Group - EASI System

Survey: "3D- CRT Photon Planning Competency Evaluation"

Reviewer: Clinical Instructors (MICHEL, Ann)
Reviewee: Students (Momoh, Rashad)
Survey Period: 10/28/2021
Completed: 10/28/2021 11:52:58 AM CT

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

Chestwall Tangents (Bolus:Non-Bolus Weighting) with SClav and PAB

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

NR

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 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]

Successfully places the isocenter using simulation data. Satisfactory [2 pts]

Correctly generates plan using blocks, wedges, segmented Satisfactory [2 pts]

fields.

Generates plan with appropriate weighting. Satisfactory [2 pts]

Additional Comments:  Excellent coverage with limited 105%
hot spots

Generates plan with appropriate energies. Satisfactory [2 pts]

Accurately generates/evaluates plan DVH or composite DVH Satisfactory [2 pts]

(for correct # of fractions).

Communicates effectively with physician for plan review and Satisfactory [2 pts]
makes changes as requested.

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

Performs a verification calculation for plan MU settings. Satisfactory [2 pts]

Enters correct parameters for the patient chart. Satisfactory [2 pts]

Performs pretreatment checks/calculations. Satisfactory [2 pts]

Utilizes respiratory gating information to determine field Satisfactory [2 pts]

parameters.

Observes patient treatment. Satisfactory [2 pts]

Mean: 2.00 of 2  Points: 30  Score: 100.0%

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10/28/21, 11:53 AM Typhon Group - EASI System
4. Overall rating:

Pass [2 pts]
If applicable, please specify reason for failure:  Rashad has a great understanding of the technicalities
of the monoisocentric breast technique. He did an excellent job of balancing OAR coverage and
sparing normal tissues in the complex 3D technique. Great job Rashad!

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

Total points for all rating scale questions: 32

Mean percentage score for all rating scale questions: 100.0%
(Each main question equally weighted)
Responses as of 10/28/2021 11:53:08 AM CT

2/2