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‘Survey: "3D- CRT Photon Planning Competency Evaluation” Reviewer: Cea nstrctcs (BMF, Reviewse: Students (onago, yar) Survey Petiod rerne02s Completed: arn202a vor s0 AM CT 1. Select the external beam photon planning competery fromthe dropdown menubslow Pais (GYM or other 2 tothe competency, plas specty te ypehere: Reinalaton {Plane sign och tak score of Sattactory or Unastiatactry. Uncattertory nny coset! task conathites competency faure ‘Tha student wllapest he competency a later date Discueees the plan preston wih te psi sutstactory Loads he patient imaging tudes int the placing computer. Sastactory Contre the sppoprine anatomy onthe mage data se Sutstactory ‘sosesstly places the socarteruingsmuleten data setstactony Generates plan wth approprate wlgting satisfactory Generates plan wih appropate eres, Satisfactory Accurately generater/ralunes plan DVM or composite DH ——_—Sateactry (lr coract ot ation. Comenunicatee effectively with physician for plnrevew and Satisfactory makes changes a requested Peramns aviation celeulaten for lan HU setngs NA Peto pretvestment teckseaeuations sutstactory Uns espiraory gating information to determine Fl NA Mean: 2.00 of 2 Points: 26 Score: 100.0% 4. over rating Mean: 2.00 of 2 Points:2 Score: 100.0% ‘otal points forall rating scale questions: 28, pt) leo) apts) eps) feet) feet) tape) fees) teprs) fas) fers) ep) eps) fept) Mean percentage score for allrating scale questions: 100.0% (och mai austin equa weighted)

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