2/21/23, 12:21 PM Typhon Group - EASI System

Survey: "Affective Clinical Evaluation Level I"

Reviewer: Clinical Instructors (BUMP, Ed)
Reviewee: Students (Monago, Ryan)
Survey Period: 2/20/2023
Completed: 2/20/2023 8:26:29 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]
Additional Comment:  Ryan has helped us with loading
simulated patient CTs into the Eclipse system. He has also
done a lot of contouring for our oncology residents who then
have provided him constructive feedback.

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 N/A
dosimetry note documentation.

Mean: 10.00 of 10  Points: 70  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. N/A

Mean: 10.00 of 10  Points: 10  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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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. Additional Comment:  Ryan is ahead-of-the-curve so far in
taking steps towards being able to plan 3D cases in Eclipse.

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]
Additional Comment:  Ryan has been importing CT scans into
Eclipse on a routine basis and has done well with these tasks.

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 N/A

basic treatment plan in accordance with prescription.

Mean: 10.00 of 10  Points: 40  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. Additional Comment:  Ryan has performed electron hand
calculations under supervision.

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

Additional Comment:  Ryan has had an excellent start to his dosimetry experience with our group!

10. Additional Comments:

Ryan has made excellent progress so far with a solid rotation through simulation, time at the machines, and starting to familiarize himself with our Eclipse
planning system. He has already been loading cases and contouring in addition to practicing 3D planning.

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Total points for all rating scale questions: 230

Mean percentage score for all rating scale questions: 100.0%
(Each main question equally weighted)
Responses as of 2/21/2023 12:19:54 PM CT

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