12/14/23, 12:36 PM Typhon Group - EASI System

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

Reviewer: Clinical Instructors (KENDRA, Tom)
Reviewee: Students (Edwards, Ryann)
Survey Period: 12/14/2023
Completed: 12/14/2023 1:27:26 PM CT

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

Emergent case: Sim and Treat same day

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

Heterotopic Hip 800cGy x 1

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]

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

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

fields.

Generates plan with appropriate weighting. Satisfactory [2 pts]

Additional Comments: AP/PA Equal Weighting

Generates plan with appropriate energies. Satisfactory [2 pts]

Additional Comments: 18MV Photons

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]

Additional Comments: Verified prescription / dose / and energy
and performed a second calculation which corresponded with
TPS

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

Additional Comments: Flawless

Performs pretreatment checks/calculations. Satisfactory [2 pts]

Utilizes respiratory gating information to determine field N/A

parameters.

Observes patient treatment. Satisfactory [2 pts]

Additional Comments: Observed and Verified ISO Setup and
light field on Patient.

Mean: 2.00 of 2 Points: 28 Score: 100.0%

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12/14/23, 12:36 PM Typhon Group - EASI System
4. Overall rating:

Pass [2 pts]

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

Total points for all rating scale questions: 30

Mean percentage score for all rating scale questions: 100.0%
(Each main question equally weighted)
Responses as of 12/14/2023 12:36:18 PM CT

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