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‘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% nop} hope) nope) tno) nope) Hop) nop) hope nop) trop) nope) 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% nop) trop) hope) trop) hope) nop) hope nope) nop) nope trop) nope) trop) hope) nop) hope) hops) 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 nope) trop) hope) nop) hope) nop} Total points forall rating scale questions: 360, ‘Mean percentage score for all rating scale questions: 100.0% (act ai aston eu eid)

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