Survey: IMRT Planning Competency Evaluation

Reviewer: Clinical Instructors(POLISHCHUK, Tayisiya) Reviewee: Students (Murdoch, Erin)

Survey Period: 6/21/2019 Completed: 6/21/2019 2:43:23 PM CT

1. Select the external beam IMRT planning competency from the drop down menu below:

Brain IMRT with Fusion

2. If Other competency, 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. N/A

Loads the patient imaging studies into the

Satisfactory [2 pts]
planning computer.

Accurately fuses image data sets together. Satisfactory [2 pts]

Contours the appropriate anatomy on the

Satisfactory [2 pts]
image data set.

Successfully places the isocenter using

Satisfactory [2 pts]
simulation data.

Correctly generates optimal beam angles for

Satisfactory [2 pts]
specific anatomical area.

Generates plan with appropriate energies. Satisfactory [2 pts]

Able to manipulate ROI/PTV constraints in the

Satisfactory [2 pts]
optimizer to obtain an optimal plan.

Accurately optimizes and generates a Satisfactory [2 pts]

 concomitant boost plan.

Accurately generates an individual DVH or

Satisfactory [2 pts]
composite DVH (for correct # of fractions).

Understands the concept of prescribing to a

point vs. prescribing to a volume and is able Satisfactory [2 pts]
to adjust the plan % normalization as needed.

Communicates effectively with physician for

Satisfactory [2 pts]
plan review and makes changes as requested.

Exports/Prints appropriate plan data. Satisfactory [2 pts]

Accurately generates the QA for the plan. Satisfactory [2 pts]

Enters in correct parameters for patient chart. Satisfactory [2 pts]

Performs pretreatment checks/calculations. Satisfactory [2 pts]

Observes IMRT QA and analysis of QA. N/A

Observes patient treatment. N/A

Mean: 2.00 of 2 Points: 30 Score: 100.00%

4. Overall rating:

Pass [2 pts]

Mean: 2.00 of 2 Points: 2 Score: 100.00%

Total points: 32 (Each main question equally weighted)

Mean percentage score: 100.0% Responses as of 8/7/2019 12:57:48 PM CT

Survey: 3D CRT Photon Planning Competency Evaluation

Reviewer: Clinical Instructors(POLISHCHUK, Tayisiya) Reviewee: Students (Murdoch, Erin)

Survey Period: 6/21/2019 Completed: 6/21/2019 2:40:28 PM CT

1. Select the external beam photon planning competency from the drop down menu below:

Chestwall Tangents (Bolus:Non-Bolus Weighting) with SClav and PAB

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. N/A

Loads the patient imaging studies into the

Satisfactory [2 pts]
planning computer.

Contours the appropriate anatomy on the

Satisfactory [2 pts]
image data set.

Successfully places the isocenter using

Satisfactory [2 pts]
simulation data.

Correctly generates plan using blocks,

Satisfactory [2 pts]
wedges, segmented fields.

Generates plan with appropriate weighting. Satisfactory [2 pts]

Generates plan with appropriate energies. Satisfactory [2 pts]

Accurately calculates daily isocenter dose for

each treatment field using prescription % and Satisfactory [2 pts]
weighting.
 Accurately generates a single fraction DVH or
Satisfactory [2 pts]
composite DVH (for correct # of fractions).

Communicates effectively with physician for

Satisfactory [2 pts]
plan review and makes changes as requested.

Exports/Prints appropriate plan data. Satisfactory [2 pts]

Performs a verification calculation for plan

Satisfactory [2 pts]
MU settings.

Enters correct parameters for the patient

Satisfactory [2 pts]
chart.

Performs pretreatment checks/calculations. Satisfactory [2 pts]

Observes patient treatment. N/A

Mean: 2.00 of 2 Points: 26 Score: 100.00%

4. Overall rating:

Pass [2 pts]

Mean: 2.00 of 2 Points: 2 Score: 100.00%

Total points: 28 (Each main question equally weighted)

Mean percentage score: 100.0% Responses as of 8/7/2019 12:55:49 PM CT

Survey: External Beam ELECTRON Planning Competency

Reviewer: Clinical Instructors(POLISHCHUK, Tayisiya) Reviewee: Students (Murdoch, Erin)

Survey Period: 6/21/2019 Completed: 6/21/2019 2:46:50 PM 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 field/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 field

borders. Satisfactory

Accurately calculates daily dose for treatment field

using prescription % and weighting. Satisfactory

Accurately generates a single fraction DVH or

composite DVH (for correct # of fractions). Satisfactory

Communicates effectively with physician for plan

review and makes changes as requested. Satisfactory

Exports/Prints appropriate plan data. Satisfactory

 Performs hand verification calculations for plan MU
settings using data/calc books Satisfactory

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 8/7/2019 12:57:12 PM CT

Survey: IMRT Planning Competency Evaluation

Reviewer: Clinical Instructors(POLISHCHUK, Tayisiya) Reviewee: Students (Murdoch, Erin)

Survey Period: 8/2/2019 Completed: 8/2/2019 1:29:55 PM CT

1. Select the external beam IMRT planning competency from the drop down menu below:

H & N IMRT

2. If Other competency, 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

Satisfactory [2 pts]
physician.

Loads the patient imaging studies into the

Satisfactory [2 pts]
planning computer.

Accurately fuses image data sets together. Satisfactory [2 pts]

Contours the appropriate anatomy on the

Satisfactory [2 pts]
image data set.

Successfully places the isocenter using

Satisfactory [2 pts]
simulation data.

Correctly generates optimal beam angles for

Satisfactory [2 pts]
specific anatomical area.

Generates plan with appropriate energies. Satisfactory [2 pts]

Able to manipulate ROI/PTV constraints in the

Satisfactory [2 pts]
optimizer to obtain an optimal plan.

Accurately optimizes and generates a Satisfactory [2 pts]

 concomitant boost plan.

Accurately generates an individual DVH or

Satisfactory [2 pts]
composite DVH (for correct # of fractions).

Understands the concept of prescribing to a

point vs. prescribing to a volume and is able Satisfactory [2 pts]
to adjust the plan % normalization as needed.

Communicates effectively with physician for

Satisfactory [2 pts]
plan review and makes changes as requested.

Exports/Prints appropriate plan data. Satisfactory [2 pts]

Accurately generates the QA for the plan. Satisfactory [2 pts]

Enters in correct parameters for patient chart. Satisfactory [2 pts]

Performs pretreatment checks/calculations. Satisfactory [2 pts]

Observes IMRT QA and analysis of QA. N/A

Observes patient treatment. N/A

Mean: 2.00 of 2 Points: 32 Score: 100.00%

4. Overall rating:

Pass [2 pts]

Mean: 2.00 of 2 Points: 2 Score: 100.00%

Total points: 34 (Each main question equally weighted)

Mean percentage score: 100.0% Responses as of 8/7/2019 12:58:19 PM CT

Survey: 3D CRT Photon Planning Competency Evaluation

Reviewer: Clinical Instructors(POLISHCHUK, Tayisiya) Reviewee: Students (Murdoch, Erin)

Survey Period: 6/21/2019 Completed: 6/21/2019 2:38:04 PM 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. N/A

Loads the patient imaging studies into the

Satisfactory [2 pts]
planning computer.

Contours the appropriate anatomy on the

Satisfactory [2 pts]
image data set.

Successfully places the isocenter using

Satisfactory [2 pts]
simulation data.

Correctly generates plan using blocks,

Satisfactory [2 pts]
wedges, segmented fields.

Generates plan with appropriate weighting. Satisfactory [2 pts]

Generates plan with appropriate energies. Satisfactory [2 pts]

Accurately calculates daily isocenter dose for

each treatment field using prescription % and Satisfactory [2 pts]
weighting.
 Accurately generates a single fraction DVH or
Satisfactory [2 pts]
composite DVH (for correct # of fractions).

Communicates effectively with physician for

Satisfactory [2 pts]
plan review and makes changes as requested.

Exports/Prints appropriate plan data. Satisfactory [2 pts]

Performs a verification calculation for plan

Satisfactory [2 pts]
MU settings.

Enters correct parameters for the patient

Satisfactory [2 pts]
chart.

Performs pretreatment checks/calculations. Satisfactory [2 pts]

Observes patient treatment. N/A

Mean: 2.00 of 2 Points: 26 Score: 100.00%

4. Overall rating:

Pass [2 pts]

Mean: 2.00 of 2 Points: 2 Score: 100.00%

Total points: 28 (Each main question equally weighted)

Mean percentage score: 100.0% Responses as of 8/7/2019 12:47:41 PM CT

Survey: IMRT Planning Competency Evaluation

Reviewer: Clinical Instructors(POLISHCHUK, Tayisiya) Reviewee: Students (Murdoch, Erin)

Survey Period: 8/2/2019 Completed: 8/2/2019 1:37:16 PM CT

1. Select the external beam IMRT planning competency from the drop down menu below:

Prostate IMRT

2. If Other competency, 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

Satisfactory [2 pts]
physician.

Loads the patient imaging studies into the

Satisfactory [2 pts]
planning computer.

Accurately fuses image data sets together. Satisfactory [2 pts]

Contours the appropriate anatomy on the

Satisfactory [2 pts]
image data set.

Successfully places the isocenter using

Satisfactory [2 pts]
simulation data.

Correctly generates optimal beam angles for

Satisfactory [2 pts]
specific anatomical area.

Generates plan with appropriate energies. Satisfactory [2 pts]

Able to manipulate ROI/PTV constraints in the

Satisfactory [2 pts]
optimizer to obtain an optimal plan.

Accurately optimizes and generates a Satisfactory [2 pts]

 concomitant boost plan.

Accurately generates an individual DVH or

Satisfactory [2 pts]
composite DVH (for correct # of fractions).

Understands the concept of prescribing to a

point vs. prescribing to a volume and is able Satisfactory [2 pts]
to adjust the plan % normalization as needed.

Communicates effectively with physician for

Satisfactory [2 pts]
plan review and makes changes as requested.

Exports/Prints appropriate plan data. Satisfactory [2 pts]

Accurately generates the QA for the plan. Satisfactory [2 pts]

Enters in correct parameters for patient chart. Satisfactory [2 pts]

Performs pretreatment checks/calculations. Satisfactory [2 pts]

Observes IMRT QA and analysis of QA. N/A

Observes patient treatment. N/A

Mean: 2.00 of 2 Points: 32 Score: 100.00%

4. Overall rating:

Pass [2 pts]

Mean: 2.00 of 2 Points: 2 Score: 100.00%

Total points: 34 (Each main question equally weighted)

Mean percentage score: 100.0% Responses as of 8/7/2019 12:58:52 PM CT