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Survey: “Affective Clinical Evaluation Level I" ‘Survey Period Completed: 1. Fiat semester Evaato: ‘and Evaluation 2. Communications Eplans medical dosietry procedres to patent as soproprite to station (e9 when sssting with process treatment rar oF smut). Respects patients ght pracy ord confidently Acts nd peaksin a respect manner wih staff member. -Acaptecrracton and dct na prfeesionl mano, ontbues ae member ofthe mel dosimetry tam, Uses effective verbal communication kal with physician urn plan contain ane even. Uses efecove writen communication sil forchart plan and dosimetry note documentation ‘Student (an He) ayar2073 Meats Expectations Moats Expectations Meats Expectations Meets Expectations Mean: 10.00 of 10 Points: 80 Score: 100.0% 4. Accuracy -Acartaly tere formation nto cha or RV sytem, Meets Expectations ‘Adana Comer: He mae abe todo ths ary ery wll ws greatly for us. Mean; 10.00 of 10 Points: 20 Seore: 100.0% 5. Saety Double checks al student worktoreudeclelatons and Mean: 10.00 of 10 Points: 10 Score: 100.0% nop) opt hops) hope opt} nop) opt nop) hope nop Hop) 5 Dependabity Arve prompt a schedules Moet Expect rope Schedules beaks, lunches, end aterimeneeds wih clncel Meets Expectatons opt} Adhere to attendance standart ofthe program, Moet Expectations nope) Uses eal tine wily Meet Expectations opt Follons school ang hosptal plies ana procedures. Meets Expectations nop) Takes istatve in observing and assign dosimetry Moet Expectations hope Mean: 10.00 of 10 Points: 60 Score: 100.0% 1. hopistion of Koowdge Demonstates base understanding of physics concepts and Meets Expectatons| opt} rapes Ie able to retiveimapig study (CT) antbingint pant fle. Meets Expectations hops) ‘Adora Comment: His help inthis aspect has ben very Ie leo identy anatomy andcortour eppropiate stuctues, Meet Expectatons opt Understands the use ofthe computer for teaver planning. Meet Expectations nope) In able to enter nfomation inte the compute and esa Meat Expect hope Mean: 10.00 of 10 Points: 50 Score: 100.0% £8. General Dosimtry his Performs eaeatorsin atively manne Meets Expectations no pt Accurately ees dose clelatondtsbooks perform hand Meets Expectations Hop) leable to priortie and organize ces teint complete Meet Expectations hope requirements Eis 2 basic inode of anatomy issue dose elerance, Meet Expectations hops) eine tumor ose, and typical Feld arrangoment Mean; 10.00 of 10 Points: 40 Score: 100.0% ver leu has been an excellent student. He ha gone above and beyond to eam our system. Hehas taken all notes and pointers and applied them effectively to is wotk am very happy wih his progress, He has also been 2 grea help in cli with things auch as plan prepping, and aking tentative pick up patient to plan, Total points fo all rating scale questions: 260, ‘Mean percentage score for allrating scale questions: 100.0% (ach man gsson ual weighed)

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