2/24/23, 10:35 AM Typhon Group - EASI System

Survey: "Affective Clinical Evaluation Level I"

Reviewer: Clinical Instructors (ZOLLER, Wesley)
Reviewee: Students (Raver, Sydney)
Survey Period: 2/21/2023
Completed: 2/21/2023 7:30:20 AM CT

1. First semester Evaluation:

1st Evaluation

3. Communications

Explains medical dosimetry procedures to patient as Meets Expectations [10 pts]

appropriate to situation (e.g. when assisting with procedures in
treatment room or simulation).

Respects patient's rights to privacy and confidentiality. Meets Expectations [10 pts]

Acts and speaks in a respectful manner with staff members. Meets Expectations [10 pts]

Asks questions in an appropriate manner. Meets Expectations [10 pts]

Accepts correction and direction in a professional manner. Meets Expectations [10 pts]

Contributes as a member of the medical dosimetry team. Meets Expectations [10 pts]

Uses effective verbal communication skills with physician Meets Expectations [10 pts]
during plan consultation and review.

Uses effective written communication skills for chart, plan, and Meets Expectations [10 pts]
dosimetry note documentation.

Mean: 10.00 of 10  Points: 80  Score: 100.0%

4. Accuracy

Follows through instructions with attention to detail. Meets Expectations [10 pts]

Accurately enters information into chart or R & V system. Meets Expectations [10 pts]

Mean: 10.00 of 10  Points: 20  Score: 100.0%

5. Safety

Double checks all student work to include calculations and Meets Expectations [10 pts]
treatment plans with dosimetrist/physicist.

Mean: 10.00 of 10  Points: 10  Score: 100.0%

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2/24/23, 10:35 AM Typhon Group - EASI System
6. Dependability

Arrives promptly as scheduled. Meets Expectations [10 pts]

Schedules breaks, lunches, and other time needs with clinical Meets Expectations [10 pts]
instructors.

Adheres to attendance standards of the program. Meets Expectations [10 pts]

Uses clinical time wisely. Meets Expectations [10 pts]

Follows school and hospital policies and procedures. Meets Expectations [10 pts]

Takes initiative in observing and assisting in dosimetry Meets Expectations [10 pts]
activities.

Mean: 10.00 of 10  Points: 60  Score: 100.0%

7. Application of Knowledge

Demonstrates a basic understanding of physics concepts and Meets Expectations [10 pts]
principles.

Is able to retrieve imaging study (CT) and bring into patient file. Meets Expectations [10 pts]

Is able to identify anatomy and contour appropriate structures. Meets Expectations [10 pts]

Understands the use of the computer for treatment planning. Meets Expectations [10 pts]

Is able to enter information into the computer and design a Meets Expectations [10 pts]
basic treatment 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 databooks to perform hand Meets Expectations [10 pts]
calculations.

Is able to prioritize and organize duties to efficiently complete Meets Expectations [10 pts]
requirements.

Exhibits a basic knowledge of anatomy, tissue dose tolerance, Meets Expectations [10 pts]
definitive tumor dose, and typical field arrangement.

Mean: 10.00 of 10  Points: 40  Score: 100.0%

9. I have reviewed this evaluation with the student.

Yes

10. Additional Comments:

Sydney has done a good job picking things up in the first 5 weeks. She's currently able to do importing, contouring, as well as 2D and 3D across sites such as
pelvis, thorax, extremity, and bone. I think we're right where we should be as we continue with 3D planning. I have no worries about Sydney; we believe she is
natural with the concepts and performs well in her explanations during labs, showing he grasps the material.

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Total points for all rating scale questions: 260

Mean percentage score for all rating scale questions: 100.0%
(Each main question equally weighted)
Responses as of 2/24/2023 10:33:33 AM CT

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