Survey: "3D- CRT Photon Planning Competency Evaluation"
Reviewer: Clinical Instructors (ZIMMERMAN, Camille)
Reviewee: Students (Wingold, Shelby)
Survey Period: 2/6/2024
Completed: 2/6/2024 10:30:28 AM CT
1. Select the external beam photon planning competency from the drop down menu below:
Pelvis (GYN or other)
2. If Other competency, please specify the type here:
NR
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]
elds.
Generates plan with appropriate weighting. Satisfactory [2 pts]
Generates plan with appropriate energies. Satisfactory [2 pts]
Accurately generates/evaluates plan DVH or composite DVH Satisfactory [2 pts]
(for correct # of fractions).
Communicates effectively with physician for plan review and N/A
makes changes as requested.
Exports/Prints appropriate plan data. N/A
Performs a veri cation calculation for plan MU settings. Satisfactory [2 pts]
Enters correct parameters for the patient chart. Satisfactory [2 pts]
Performs pretreatment checks/calculations. N/A
Utilizes respiratory gating information to determine eld N/A
parameters.
Observes patient treatment. N/A
Mean: 2.00 of 2 Points: 20 Score: 100.0%
4. Overall rating:
Pass [2 pts]
Mean: 2.00 of 2 Points: 2 Score: 100.0%
Total points for all rating scale questions: 22
Mean percentage score for all rating scale questions: 100.0%
(Each main question equally weighted)
Responses as of 5/6/2024 1:32:35 PM CT
Survey: "3D- CRT Photon Planning Competency Evaluation"
Reviewer: Clinical Instructors (ZIMMERMAN, Camille)
Reviewee: Students (Wingold, Shelby)
Survey Period: 2/13/2024
Completed: 2/13/2024 9:36:07 AM CT
1. Select the external beam photon planning competency from the drop down menu below:
Pelvis (GYN or other)
2. If Other competency, please specify the type here:
NR
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]
elds.
Generates plan with appropriate weighting. Satisfactory [2 pts]
Generates plan with appropriate energies. Satisfactory [2 pts]
Accurately generates/evaluates plan DVH or composite DVH Satisfactory [2 pts]
(for correct # of fractions).
Communicates effectively with physician for plan review and N/A
makes changes as requested.
Exports/Prints appropriate plan data. N/A
Performs a veri cation calculation for plan MU settings. N/A
Enters correct parameters for the patient chart. Satisfactory [2 pts]
Performs pretreatment checks/calculations. Satisfactory [2 pts]
Utilizes respiratory gating information to determine eld N/A
parameters.
Observes patient treatment. N/A
Mean: 2.00 of 2 Points: 20 Score: 100.0%
4. Overall rating:
Pass [2 pts]
Mean: 2.00 of 2 Points: 2 Score: 100.0%
Total points for all rating scale questions: 22
Mean percentage score for all rating scale questions: 100.0%
(Each main question equally weighted)
Responses as of 5/6/2024 1:32:35 PM CT
Survey: "3D- CRT Photon Planning Competency Evaluation"
Reviewer: Clinical Instructors (ZIMMERMAN, Camille)
Reviewee: Students (Wingold, Shelby)
Survey Period: 3/28/2024
Completed: 3/28/2024 12:45:24 PM CT
1. Select the external beam photon planning competency from the drop down menu below:
Intact Breast Tangents
2. If Other competency, please specify the type here:
NR
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]
elds.
Generates plan with appropriate weighting. Satisfactory [2 pts]
Generates plan with appropriate energies. Satisfactory [2 pts]
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 veri cation calculation for plan MU settings. N/A
Enters correct parameters for the patient chart. Satisfactory [2 pts]
Performs pretreatment checks/calculations. Satisfactory [2 pts]
Utilizes respiratory gating information to determine eld N/A
parameters.
Observes patient treatment. N/A
Mean: 2.00 of 2 Points: 24 Score: 100.0%
4. Overall rating:
Pass [2 pts]
Mean: 2.00 of 2 Points: 2 Score: 100.0%
Total points for all rating scale questions: 26
Mean percentage score for all rating scale questions: 100.0%
(Each main question equally weighted)
Responses as of 5/6/2024 1:32:35 PM CT
Survey: "3D- CRT Photon Planning Competency Evaluation"
Reviewer: Clinical Instructors (ZIMMERMAN, Camille)
Reviewee: Students (Wingold, Shelby)
Survey Period: 3/28/2024
Completed: 3/28/2024 12:47:36 PM CT
1. Select the external beam photon planning competency from the drop down menu below:
Intact Breast Tangents
2. If Other competency, please specify the type here:
NR
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]
elds.
Generates plan with appropriate weighting. Satisfactory [2 pts]
Generates plan with appropriate energies. Satisfactory [2 pts]
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 veri cation calculation for plan MU settings. N/A
Enters correct parameters for the patient chart. Satisfactory [2 pts]
Performs pretreatment checks/calculations. Satisfactory [2 pts]
Utilizes respiratory gating information to determine eld Satisfactory [2 pts]
parameters.
Observes patient treatment. N/A
Mean: 2.00 of 2 Points: 26 Score: 100.0%
4. Overall rating:
Pass [2 pts]
Mean: 2.00 of 2 Points: 2 Score: 100.0%
Total points for all rating scale questions: 28
Mean percentage score for all rating scale questions: 100.0%
(Each main question equally weighted)
Responses as of 5/6/2024 1:32:35 PM CT
Survey: "External Beam ELECTRON Planning Competency"
Reviewer: Clinical Instructors (ZIMMERMAN, Camille)
Reviewee: Students (Wingold, Shelby)
Survey Period: 5/6/2024
Completed: 5/6/2024 8:07:15 AM CT
1. 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
Loads the patient imaging studies into the planning computer. Satisfactory
Contours the appropriate anatomy on the image data set. Satisfactory
Successfully places eld/SSD using simulation data. Satisfactory
Correctly generates plan using appropriate cone/cutout size. Satisfactory
Generates plan with correct reference depth. Satisfactory
Generates plan with appropriate energy. Satisfactory
Correctly adds the appropriate thickness of bolus. Satisfactory
Generates bolus to adequately cover treatment eld borders. Satisfactory
Accurately calculates daily dose for treatment eld using prescription Satisfactory
% and weighting.
Accurately generates a single fraction DVH or composite DVH (for N/A
correct # of fractions). Additional Comment: n/a
Communicates effectively with physician for plan review and makes Satisfactory
changes as requested.
Exports/Prints appropriate plan data. Satisfactory
Performs hand veri cation calculations for plan MU settings using Satisfactory
data/calc books
Enters in correct parameters for patient chart. Satisfactory
Performs pretreatment checks/calculations. Satisfactory
Observes patient treatment. Satisfactory
2. Overall rating:
Pass
3. Additional Comments:
NR
Responses as of 5/6/2024 1:36:28 PM CT
