Survey: 3D CRT Photon Planning Competency Evaluation

Reviewer: Clinical Instructors (WEIS, Mark)

Reviewee: Students (Kilmer, Travis)
Survey Period: 7/15/2019
Completed: 7/15/2019 9:18:16 AM 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 Satisfactory [2 pts]

physician.

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 Satisfactory [2 pts]

weighting.

Generates plan with appropriate energies. Satisfactory [2 pts]

Accurately calculates daily isocenter dose Satisfactory [2 pts]

for each treatment field using prescription
% and weighting.

Accurately generates a single fraction Satisfactory [2 pts]

DVH or composite DVH (for correct # of
fractions).

Communicates effectively with physician Satisfactory [2 pts]

for 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 Satisfactory [2 pts]

checks/calculations.

Observes patient treatment. Satisfactory [2 pts]

Mean: 2.00 of 2 Points: 30 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: 32 (Each main question equally weighted)
Mean percentage score for all rating scale questions: 100.0% Response as of 8/13/2019 8:54:13 PM CT