‘Survey: ‘Affective Clinical Evaluation Level I"
Reviewer:
Reviewee:
‘Survey Period:
Completed:
1. Evan:
2nd of 3- Fall Semestr
plans medical dosimetry procedures to patent as
ppropsate to sustion (eg when parsing nro
‘he vestmertroom er mit,
‘Acts end speaks na espectful memes wth staff members.
Contes ata member ofthe mesial dosimetry eam
Uses effective verbal communication sie wth pysiin
ung ple consutaten and ete
Cea nstrctcs (BUMP, a)
Students (Monago, yar)
syus2008
usr 779 AM CT
Meat Expectations
Meet Expectations
Adéona Comment. Ryans highly respect when speaking
‘stat members.
Aaiiona Cammeat Ryan te always open constuctive
‘lam and makes an effort to fellow op wit improvements
‘research ra change n planing aperoech
‘Assiona Comment: yan wil tart woking wit uz fl ine
ster he graduates andi beady helping us wth our workload
under sppropite supervision.
Mest Expectations
Mean: 10.00 of 10 Points: 80 Score: 100.0%
A pecseacy
Peron dove celeuletoneaceratey,
Beas radatin measurement devices accurately an cael
(65,TLO Diodes Fin on Chamber
Accurately desig pln by computer manu coneutaton
in accordance with pescpton
‘Accurately enters information ito chart or RLV sytem,
Meets Expectations
Moots Expectations
Meet Expectations
Most Expectations
Mean: 10.00 of 10 Points: 40 Score: 100.0%
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trop)S.satey,
Takes aporonriateprecautons in Ration Safey,
Double checks al caleations and westment plans wth
osimetisuphyscist,
Peto Quality Resurance pr econmended guidelines and
cevews with osetia pic,
Uses time distance, sheliing practices & principles.
Meet Expectations
Meets Expectations
Mean: 10.00 of 10 Points: 40 Score: 100.0%
Dependabitty
‘Schedules breaks, lurches, and oertine needs wth nial
Uses lal me wily.
Fallows school nd hospital polis and procedros
0g an assctng dosimetry
Meets Expectations
Meets Expectations
‘Adacnal Comment Ryan's highly productive and effete.
Meet Expectations
Mean: 10.00 of 10 Points: 0 Score: 100.0%
-Aoplcation of Knowledge
Understand the eehique ae use of special aout
rrethods
ln ale to enterinfrmation nt the compte and detign
‘wean plan accordance with prescription.
Is ableto identity anatomy and contour appreprate sutures.
Understands how lnc oncology informations used in
‘wees planning (9. pe grade st29@of ance)
Uses problem singel hen comparing various teste
plans or aspect eatmas
le able to design otal restment plan based on ceuiions,
ose vole histograms, prescription, and eatment
Moet Expectations
Mest Expectations
Meets Expectations
Meet Expectations
Mean: 10.00 of 10 Points: €0 Score: 100.0%
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tno)8. General Dosimaty Sls
Peta eseuatonsin ately anes
‘Accurately uses dose caeulation databooks to perform hand
cakalatons
le able to dose out (complete) char pe resrpton ar atn
Exits knowledge of anatomy, sue dose tolerance dete
‘umer dose ane yield aengemer
le able indepondoty produce restment plans a requced by
Ie ableto ponte and organize duties to ect compete
requirements
Moan: 10.00 of 10 Points: 60 Score: 100.0%
10. Please provide a commen: tole the stent know fay weakness they can workon, andor any strenght commend!
Meet Expectations
Moet Expectations
Meets Expectations
Meets Expectations
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Total points forall rating scale questions: 360,
‘Mean percentage score for all rating scale questions: 100.0%
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