2/21/24, 4:56 PM Typhon Group - EASI System

Survey: "Affective Clinical Evaluation Level I"

Reviewer: Clinical Instructors (GEHR, Susan)
Reviewee: Students (Moe, Trevor)
Survey Period: 2/19/2024
Completed: 2/20/2024 2:02:47 PM CT

1. First semester Evaluation:

1st Evaluation

3. Communications

Explains medical dosimetry procedures to patient as Meets Expectations [10 pts]

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

Respects patient's rights to privacy and confidentiality. Meets Expectations [10 pts]

Acts and speaks in a respectful manner with staff members. Meets Expectations [10 pts]
Additional Comment: Trevor is extremely respectful to all staff.

Asks questions in an appropriate manner. Meets Expectations [10 pts]

Additional Comment: Trevor asks great questions.

Accepts correction and direction in a professional manner. Meets Expectations [10 pts]
Additional Comment: Trevor welcomes constructive criticism
and applies it to his planning.

Contributes as a member of the medical dosimetry team. Partially Meets Expectations [5 pts]
Additional Comment: Trevor is not yet at a point in his training
to contribute as a dosimetry team member but I am sure as his
planning evolves, he will absolutely do so.

Uses effective verbal communication skills with physician Meets Expectations [10 pts]
during plan consultation and review. Additional Comment: Trevor has shown his first plan and was
very adept at communicating with the physician during the
review.

Uses effective written communication skills for chart, plan, and Meets Expectations [10 pts]
dosimetry note documentation.

Mean: 9.38 of 10 Points: 75 Score: 93.8%

4. Accuracy

Follows through instructions with attention to detail. Meets Expectations [10 pts]
Additional Comment: Trevor is great at following instructions!

Accurately enters information into chart or R & V system. Meets Expectations [10 pts]
Additional Comment: We have just begun to show Trevor our
process for charting and he has grasped it with ease.

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

5. Safety

Double checks all student work to include calculations and Meets Expectations [10 pts]
treatment plans with dosimetrist/physicist.

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

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6. Dependability

Arrives promptly as scheduled. Meets Expectations [10 pts]

Additional Comment: Trevor is always prompt.

Schedules breaks, lunches, and other time needs with clinical Meets Expectations [10 pts]
instructors.

Adheres to attendance standards of the program. Meets Expectations [10 pts]

Uses clinical time wisely. Meets Expectations [10 pts]

Follows school and hospital policies and procedures. Meets Expectations [10 pts]

Takes initiative in observing and assisting in dosimetry Meets Expectations [10 pts]
activities. Additional Comment: Trevor has eagerly observed and
participated in many patient plans.

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

7. Application of Knowledge

Demonstrates a basic understanding of physics concepts and Meets Expectations [10 pts]
principles.

Is able to retrieve imaging study (CT) and bring into patient file. Meets Expectations [10 pts]

Is able to identify anatomy and contour appropriate structures. Meets Expectations [10 pts]

Understands the use of the computer for treatment planning. Meets Expectations [10 pts]

Is able to enter information into the computer and design a Meets Expectations [10 pts]
basic treatment plan in accordance with prescription.

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

8. General Dosimetry Skills

Performs calculations in a timely manner. Meets Expectations [10 pts]

Accurately uses dose calculation databooks to perform hand Meets Expectations [10 pts]
calculations.

Is able to prioritize and organize duties to efficiently complete Meets Expectations [10 pts]
requirements. Additional Comment: Trevor keeps notes on the patient plans
he works on and is very organized.

Exhibits a basic knowledge of anatomy, tissue dose tolerance, Meets Expectations [10 pts]
definitive tumor dose, and typical field arrangement.

Mean: 10.00 of 10 Points: 40 Score: 100.0%

9. I have reviewed this evaluation with the student.

Yes

10. Additional Comments:

Trevor is off to a great start! He has completed his first comp with flying colors and continues to improve with every practice plan we have given him. I have
no doubt he will be moving on to more difficult plans in the coming weeks. He is a pleasure to work with as he is always pleasant and respectful.

Total points for all rating scale questions: 255

Mean percentage score for all rating scale questions: 99.0%
(Each main question equally weighted)
Responses as of 2/21/2024 4:55:57 PM CT

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