Survey: 3D CRT Photon Planning Competency Evaluation

Reviewer: Clinical Instructors (CREBO, Donald)

Reviewee: Students (Garafolo, Kyle)
Survey Period: 8/5/2019
Completed: 8/5/2019 9:25:49 AM CT

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

ReTreat avoiding or matching old port (any area)

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. Additional Comments: Good to talk with MD about
prior treatment. Always do this so everyone is on
the same page. Planning goes so much smoother
when done. Nice job!

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 Additional Comments: Showing prior treated area
requested. and current area. Nice job!

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 8/16/2019 3:24:04 PM CT