Survey: Affective Clinical Evaluation Level I

Reviewer: Clinical Instructors (ZEILER, Sabrina)

Reviewee: Students (Bernhard, Carly)
Survey Period: 2/19/2024
Completed: 2/23/2024 10:17:27 AM CT

1. First semester Evaluation:

1st Evaluation

3. Communications

Explains medical dosimetry procedures to Meets Expectations [10

patient as appropriate to situation (e.g. pts]
when assisting with procedures in
treatment room or simulation).

Respects patient's rights to privacy and Meets Expectations [10

confidentiality. pts]

Acts and speaks in a respectful manner Meets Expectations [10

with staff members. pts]

Asks questions in an appropriate manner. Meets Expectations [10

Additional Comment: Carly has continuously asked pts]
good questions and has a genuine curiosity and
desire to learn.

Accepts correction and direction in a Meets Expectations [10

professional manner. Additional Comment: Carly takes excellent notes pts]
and takes feedback and applies it to future cases.
She continues to gain independence.

Contributes as a member of the medical Meets Expectations [10

dosimetry team. Additional Comment: Carly is always eager to help pts]
with tasks even if it is with simple "less fun"
dosimetry tasks like an import or contouring.

Uses effective verbal communication skills Meets Expectations [10

with physician during plan consultation Additional Comment: Carly loves interacting with pts]
and review. the team and getting feedback to improve her
skills and understanding.

Uses effective written communication Meets Expectations [10

skills for chart, plan, and dosimetry note pts]
documentation.

Mean: 10.00 of 10 Points: 80 Score: 100.0%

4. Accuracy

Follows through instructions with attention Meets Expectations [10

to detail. Additional Comment: Carly continues to improve in pts]
this manner and is aware that attention to detail is
a critical part of dosimetry.

Accurately enters information into chart or Meets Expectations [10

R & V system. pts]

Mean: 10.00 of 10 Points: 20 Score: 100.0%

5. Safety

Double checks all student work to include Meets Expectations [10

calculations and treatment plans with Additional Comment: Carly always checks in with pts]
dosimetrist/physicist. the dosimetrist on a case to make sure her work
is checked and treatment will be safely
administered.

Mean: 10.00 of 10 Points: 10 Score: 100.0%

6. Dependability

Arrives promptly as scheduled. Meets Expectations [10

Additional Comment: Carly is always early! pts]

Schedules breaks, lunches, and other Meets Expectations [10

time needs with clinical instructors. pts]

Adheres to attendance standards of the Meets Expectations [10

program. pts]

Uses clinical time wisely. Meets Expectations [10

Additional Comment: Any down time is used for pts]
school work or practice cases. This is not a
criticism, but now that she can more
independently plan, I would love for Carly to
continue to use any downtime for clinical
practicum projects, but also by finding previous
patients on the machine schedule to attempt her
own plans and continue polishing her 3D
planning skills.

Follows school and hospital policies and Meets Expectations [10

procedures. Additional Comment: Carly always displays her pts]
badge

Takes initiative in observing and assisting Meets Expectations [10

in dosimetry activities.
Additional Comment: Now that Carly is able to pts]
independently import and plan most simple 3D
cases she can start to look ahead at the sim
schedule and request cases rather than have us
assign them. This will also allow her to work with
other dosimetrists and gain more knowledge
outside of what she has learned from her primary
preceptors.

Mean: 10.00 of 10 Points: 60 Score: 100.0%

7. Application of Knowledge

Demonstrates a basic understanding of Meets Expectations [10

physics concepts and principles. pts]

Is able to retrieve imaging study (CT) and Meets Expectations [10

bring into patient file. Additional Comment: Carly is doing great with pts]
importing!

Is able to identify anatomy and contour Meets Expectations [10

appropriate structures. Additional Comment: Carly's contouring skills pts]
improved very quickly and she will continue to
practice throughout the program.

Understands the use of the computer for Meets Expectations [10

treatment planning. pts]

Is able to enter information into the Meets Expectations [10

computer and design a basic treatment
plan in accordance with prescription.
Additional Comment: 3D planning is going very pts]
well and Carly has planned a variety of education
cases. She is now taking real cases start to finish
and is applying what she has learned with those
cases.

Mean: 10.00 of 10 Points: 50 Score: 100.0%

8. General Dosimetry Skills

Performs calculations in a timely manner. Meets Expectations [10

Additional Comment: Carly is very efficient! pts]

Accurately uses dose calculation N/A

databooks to perform hand calculations. Additional Comment: We primarily only use
databooks and hand calcs for electron planning
and we will continue to work on this.

Is able to prioritize and organize duties to Meets Expectations [10

efficiently complete requirements. Additional Comment: As she starts taking real pts]
cases, she will continue to learn how to prioritize
cases/duties as a dosimetrist does.

Exhibits a basic knowledge of anatomy, Meets Expectations [10

tissue dose tolerance, definitive tumor
dose, and typical field arrangement.
Additional Comment: We have introduced these pts]
topics and how/why we use various constraints
for different cases/fractionation schemes. She
continues to apply this to her cases and will
continue to learn these and be more comfortable
with choosing what constraints to use for each
specific case.

Mean: 10.00 of 10 Points: 30 Score: 100.0%

 9. I have reviewed this evaluation with the student.

No

Additional Comment: Carly is ahead of schedule and doing extremely well. She takes feedback well and
quickly applies it to future cases.

10. Additional Comments:

We are extremely busy and a fast-paced environment. Carly is efficient and handles this environment
very well. Keep up the great work and you will be successful!

Total points for all rating scale questions: 250 (Each main question equally weighted)
Mean percentage score for all rating scale questions: 100.0% Response as of 4/25/2024 12:53:49 PM CT