8/16/23, 8:43 AM Typhon Group - EASI System

Survey: "Affective Clinical Evaluation Level II"

Reviewer: Clinical Instructors (SUSEN, Matthew)
Reviewee: Students (Spencer, Joseph)
Survey Period: 8/14/2023
Completed: 8/14/2023 7:05:59 PM CT

1. Evaluation:

3rd of 3 - Summer Semester

3. Communications

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

appropriate to situation (e.g. when participating in procedures in
the 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]

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

Accepts correction and direction in a professional manner. Meets Expectations [10 pts]

Contributes as a member of the medical dosimetry team. Meets Expectations [10 pts]

Uses effective verbal communication skills with physician Meets Expectations [10 pts]
during plan consultation and review.

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

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

4. Accuracy

Performs dose calculations accurately. Meets Expectations [10 pts]

Reads radiation measurement devices accurately and carefully. Meets Expectations [10 pts]
(eg, TLD, Diodes, Film, Ion Chamber)

Accurately designs plans by computer or manual computation Meets Expectations [10 pts]
in accordance with prescription.

Accurately enters information into chart or R & V system. Meets Expectations [10 pts]

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

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5. Safety

Takes appropriate precautions in Radiation Safety. Meets Expectations [10 pts]

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

Performs Quality Assurance per recommended guidelines and Meets Expectations [10 pts]
reviews with dosimetrist/physicist.

Uses time, distance, shielding practices & principles. Meets Expectations [10 pts]

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

6. Dependability

Arrives promptly as scheduled. Meets Expectations [10 pts]

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.

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

7. Application of Knowledge

Understands the technique and use of special calculation Meets Expectations [10 pts]
methods.

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

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

Utilizes critical thinking/problem solving skills in approaching Meets Expectations [10 pts]
treatment planning.

Understands how clinical oncology information is used in Meets Expectations [10 pts]
treatment planning (e.g. type, grade, stage of cancer).

Utilizes critical thinking skills when evaluating dose volume Meets Expectations [10 pts]
histograms.

Uses problem solving skills when comparing various treatment Meets Expectations [10 pts]
plans for a specific treatment case.

Is able to design optimal treatment plans based on calculations, Meets Expectations [10 pts]
dose volume histograms, prescription, and treatment
implementation.

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

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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 dose out (complete) chart per prescription and plan. Meets Expectations [10 pts]

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

Is able to independently produce treatment plans as required by Meets Expectations [10 pts]
competency list for the semester.

Is able to prioritize and organize duties to efficiently complete Meets Expectations [10 pts]
requirements.

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

9. I have reviewed this evaluation with the student.

Yes

10. Please provide a comment to let the student know of any weakness they can work on, and/or any strength to commend:

Joseph picks things up quickly and takes his work seriously. He is dedicated to understanding treatment planning and building his skills to be an independent
planner. He is always professional and is open to feedback and we are happy to have him working his clinical internship with us.

Total points for all rating scale questions: 360

Mean percentage score for all rating scale questions: 100.0%
(Each main question equally weighted)
Responses as of 8/16/2023 8:43:23 AM CT

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