Survey: "3D- CRT Photon Planning Competency Evaluation"

Reviewer: Clinical Instructors (MULLINS, Carolyn)

Reviewee: Students (Ilic, Milica)
Survey Period: 3/27/2023
Completed: 3/27/2023 10:03:52 AM CT

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

Palliative (Spine, Hip, Ribs, etc)

2. If Other competency, please specify the type here:

Palliative Pelvis+PA LNS

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 physician. Satisfactory [2 pts]

Loads the patient imaging studies into the planning computer. Satisfactory [2 pts]

Contours the appropriate anatomy on the image data set. Satisfactory [2 pts]
Additional Comments: Milica was aware of the needed
structures that needed to be contoured for this treatment site.

Successfully places the isocenter using simulation data. Satisfactory [2 pts]

Correctly generates plan using blocks, wedges, segmented Satisfactory [2 pts]

fields. Additional Comments: Milica created blocks based on the PTV
coverage needed.

Generates plan with appropriate weighting. Satisfactory [2 pts]

Additional Comments: Milica did a great job of weighting this
case as to spare ant critical structures and placed the hotspot
in the PTV,

Generates plan with appropriate energies. Satisfactory [2 pts]

Additional Comments: Milica understood the energy that
needed to be used.

Accurately generates/evaluates plan DVH or composite DVH Satisfactory [2 pts]

(for correct # of fractions).

Communicates effectively with physician for plan review and Satisfactory [2 pts]
makes changes as requested.

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

Performs a verification calculation for plan MU settings. Satisfactory [2 pts]

Enters correct parameters for the patient chart. Satisfactory [2 pts]

Performs pretreatment checks/calculations. Satisfactory [2 pts]

Additional Comments: Milica understands what needs to be
checked with the plan & calculations.

Utilizes respiratory gating information to determine field N/A

parameters. Additional Comments: not used for this treatment

Observes patient treatment. N/A

Mean: 2.00 of 2 Points: 26 Score: 100.0%

4. Overall rating:

Pass [2 pts]
If applicable, please specify reason for failure: Milica did a great job with case.

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

Total points for all rating scale questions: 28

Mean percentage score for all rating scale questions: 100.0%
(Each main question equally weighted)
Responses as of 5/12/2023 4:51:59 PM CT