Service Learning Journal-Employer
Service Learning Journal-Employer
Kelli Braith
University of Wisconsin- La Crosse
Clinical Internship II DOS 772
August 7, 2024
During my clinical internship here at the Mayo Clinic Rochester, I was involved in a
volunteer opportunity to better the radiation oncology department. While learning treatment
planning, the clinic provided the students with a large amount of practice patients to perform
treatment planning on. The practice patients greatly assisted with getting more comfortable with
treatment planning. The employer service project that I helped with was to enter the practice
patients planning objectives and constraints into RadRx. RadRx is a plan evaluation software that
is used at my clinical site.
The practice plans were actual patient plans that would be beneficial to practice treatment
planning on. Before having the ability to send values from ARIA to RadRx, we needed to
evaluate the DVH to obtain the values and evaluate how well the plan looked comparing to what
the physician was asking for. It is important to understand how to read the DVH in the external
beam workspace but can be difficult when there are many values that need to be evaluated. Some
of the treatment sites were not in need of a RadRx compared to others. Treatment sites that did
not have many organs at risk (OAR), using the dose volume histogram (DVH) in external beam
was sufficient. Some of the disease sites have a lot more OAR, using RadRx is more efficient
than having to look up all the metrics on the DVH.
The task that we were to complete this year to improve the workflow of the radiation
oncology department was to enter the metrics from the real patient prescription into the practice
patient RadRx. This was done by looking up the real patient in RadRx or ARIA and obtaining the
metrics that the physician wanted met. We then needed to create a new RadRx prescription in the
practice patients file in RadRx with the exact values reflecting the physicians actual prescription.
The RadRx application is extremely helpful as it is a check as to how the plan is going while
planning. The dosimetrist can plan the patient and then send the values to RadRx and the
application will inform them as to what is being met and what needs to be worked on per the
physicians instructions. We were able to send our practice patient plan values to RadRx after we
had created the patient and the plan objectives and determine if we were on the right path and
what we needed to achieve better. Having RadRx prescriptions in the software will help future
students as they will use the same practice patients as we did this year. The future students will
be able to send their values from ARIA to RadRx and determine if they are sufficiently meeting
the objectives.
Table 1 reflects what RadRx looks like. This was the practice patient that I was assigned
to create the objective set for. The course name is the type of practice plan it is and the
prescription name reflects that the patient is a practice patient. This also assisted me a bit in
understanding the metrics that the physicians were asking for when treating disease sites. I was
able to in some of the plans determine a trend as to what the physicians were prescribing.