Survey: IMRT Planning Competency Evaluation

Reviewer: Clinical Instructors (KENDRA, Tom)

Reviewee: Students (Edwards, Ryann)
Survey Period: 4/18/2023
Completed: 4/18/2023 3:05:24 PM CT

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

Other

2. If Other competency, specify the type here:

Whole Breast and SCLAV

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 Satisfactory [2 pts]

physician.

Loads the patient imaging studies into the Satisfactory [2 pts]

planning computer.

Accurately fuses image data sets Satisfactory [2 pts]

together. Additional Comment: N/A

Contours the appropriate anatomy on the Satisfactory [2 pts]

image data set. Additional Comment: Contoured to RTOG 1005 Arm
1

Successfully places the isocenter using Satisfactory [2 pts]

simulation data. Additional Comment: Placement was great, the
insight to place the ISO center in the middle of
the sup and Inf direction and a little medial allows
for a more consistent 3 point set-up.

Correctly generates optimal beam angles Satisfactory [2 pts]

for specific anatomical area.
Additional Comment: Start and Stop angles for the
VMAT plan allowed adequate treatment of target
while avoiding going through normal tissue
structures. i.e. Contralateral breast and
Contralateral lung.

Generates plan with appropriate energies. Satisfactory [2 pts]

Additional Comment: VMAT plans in our clinic are
done only using 6MV. because of Neutron
contamination.

Able to manipulate ROI/PTV constraints Satisfactory [2 pts]

in the optimizer to obtain an optimal plan. Additional Comment: You worked and adjusted the
normal tissue objectives to get the best possible
plan following RTOG 1005 Arm 1

Accurately optimizes and generates a Satisfactory [2 pts]

concomitant boost plan. Additional Comment: This particular patient did not
require a boost.

Accurately generates an individual DVH Satisfactory [2 pts]

or composite DVH (for correct # of
fractions).

Understands the concept of prescribing to Satisfactory [2 pts]

a point vs. prescribing to a volume and is
able to adjust the plan % normalization as
needed.
Additional Comment: Department protocol is pretty
specific to 95% coverage of PTV to 100% of dose
but is aware that protocol 1005 Arm 1 allows as
little as 90% dose to 90%PTV. Ryann is aware of
the difference between prescribing to a point vs.
prescribing to a volume.
 Communicates effectively with physician Satisfactory [2 pts]
for plan review and makes changes as
requested.

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

Accurately generates the QA for the plan. Satisfactory [2 pts]

Enters in correct parameters for patient Satisfactory [2 pts]

chart.

Performs pretreatment Satisfactory [2 pts]

checks/calculations.

Observes IMRT QA and analysis of QA. Satisfactory [2 pts]

Additional Comment: Feedback from physics was
well received.

Observes patient treatment. Satisfactory [2 pts]

Mean: 2.00 of 2 Points: 36 Score: 100.0%

4. Overall rating:

Pass [2 pts]

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

Total points for all rating scale questions: 38 (Each main question equally weighted)
Mean percentage score for all rating scale questions: 100.0% Response as of 5/9/2023 7:34:54 AM CT