Survey: Brachytherapy Planning Competency

Reviewer: Clinical Instructors (BELARDO, Jacob)

Reviewee: Students (Ilic, Milica)
Survey Period: 10/5/2023
Completed: 10/5/2023 7:38:40 AM CT

1. Select the brachytherapy planning competency from the drop down menu below:

Intracavitary
2. 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.

Contours the appropriate anatomy on the Satisfactory [2 pts]

image data set.

Identifies appropriate dose points on the Satisfactory [2 pts]

image data set.

Successfully identifies source positions. Satisfactory [2 pts]

Identifies available isotope and activity for Satisfactory [2 pts]

date and time of treatment.

Correctly generates plan using Satisfactory [2 pts]

appropriate isotope and activity to achieve
treatment objective.

Accurately generates DVH/Dose point Satisfactory [2 pts]

summary for implant.

Communicates effectively with physician Satisfactory [2 pts]

for plan review and makes changes as
requested.

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

Performs hand verification calculations for Satisfactory [2 pts]

dwell time.

Assembles necessary equipment for Satisfactory [2 pts]

source loading.

Makes appropriate entries in source log Satisfactory [2 pts]

and fills out necessary paperwork for
appropriate room posting.

Prepares sources for transport and N/A [0 pts]

loading. Additional Comment: No source exchange this
month. Discussion only

Observes source insertion. Satisfactory [2 pts]

Performs appropriate patient room Satisfactory [2 pts]

surveys.
 Uses appropriate radiation measuring Satisfactory [2 pts]
devices for brachytherapy procedures and
source inventory.

Uses time, distance and shielding Satisfactory [2 pts]

principles during brachytherapy
procedures.

Mean: 1.89 of 2 Points: 34 Score: 94.4%

3. Overall rating:

Pass [2 pts]

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

4. Additional Comments:

Milica was always professional in the clinic and pleasant to work with. She asked insightful questions
and showed careful attention to the patient and planning process. Thanks!

Total points for all rating scale questions: 36 (Each main question equally weighted)
Mean percentage score for all rating scale questions: 97.2% Response as of 10/30/2023 8:00:11 PM CT