University of Wisconsin La Crosse - Med Dosimetry (Acct #9094)

Case ID #: 1204-20160108-001
Date of Service: 1/8/2016
Student Information - Clark, Ryan
Semester: Spring
Course: DOS 771 Clinical Practicum I
Clinical Instructor: PARKS, Heather
Clinical Site: Northwestern Medicine Cancer Center Delnor
Patient Demographics
Age: 52 years
Gender: Female
Race: White, Non Hispanic
Clinical Information
Time with Patient: 30 minutes
Consult with Clinical Instructor:
ICD-10 Diagnosis Codes
#1 - c50.511 - MALIG NEOPLM OF LOWER-OUTER QUADRANT OF RIGHT FEMALE BREAST
Procedures/Skills (Observed/Assisted/Performed) (Critical in Bold)
Contouring - Breast (Asst)
Simulation/CT - Breast (Asst)
Other Questions About This Case
Mock Procedure:
Required Competency:
Protocol Patient:
Patient presented at conference:
Clinical Notes

University of Wisconsin La Crosse - Med Dosimetry (Acct #9094)

Case ID #: 1204-20160111-001
Date of Service: 1/11/2016
Student Information - Clark, Ryan
Semester: Spring
Course: DOS 771 Clinical Practicum I
Clinical Instructor: PARKS, Heather
Clinical Site: Northwestern Medicine Cancer Center Delnor
Patient Demographics
Age: 65 years
Gender: Female
Race: White, Non Hispanic
Clinical Information
Time with Patient: 30 minutes
Consult with Clinical Instructor:
ICD-10 Diagnosis Codes
#1 - c50.411 - MALIG NEOPLM OF UPPER-OUTER QUADRANT OF RIGHT FEMALE BREAST
Procedures/Skills (Observed/Assisted/Performed) (Critical in Bold)
Contouring - Breast (Asst)
Simulation/CT - Breast (Asst)
Other Questions About This Case
Mock Procedure:
Required Competency:
Protocol Patient:
Patient presented at conference:
Clinical Notes

University of Wisconsin La Crosse - Med Dosimetry (Acct #9094)

Case ID #: 1204-20160114-001
Date of Service: 1/14/2016
Student Information - Clark, Ryan
Semester: Spring
Course: DOS 771 Clinical Practicum I
Clinical Instructor: PARKS, Heather
Clinical Site: Northwestern Medicine Cancer Center Delnor
Patient Demographics
Age: 67 years
Gender: Male
Race: White, Non Hispanic
Clinical Information
Time with Patient: 30 minutes
Consult with Clinical Instructor:
ICD-10 Diagnosis Codes
#1 - c34.90 - MALIGNANT NEOPLASM OF UNSP PART OF UNSP BRONCHUS OR LUNG
Procedures/Skills (Observed/Assisted/Performed) (Critical in Bold)
Simulation/CT - Thorax (Asst)
Other Questions About This Case
Mock Procedure:
Required Competency:
Protocol Patient:
Patient presented at conference:
Clinical Notes

University of Wisconsin La Crosse - Med Dosimetry (Acct #9094)

Case ID #: 1204-20160120-001
Date of Service: 1/20/2016
Student Information - Clark, Ryan
Semester: Spring
Course: DOS 771 Clinical Practicum I
Clinical Instructor: PARKS, Heather
Clinical Site: Northwestern Medicine Cancer Center Delnor
Patient Demographics
Age: 82 years
Gender: Male
Race: White, Non Hispanic
Clinical Information
Time with Patient: 20 minutes
Consult with Clinical Instructor:
ICD-10 Diagnosis Codes
#1 - 198.5 is not a valid ICD code.
Procedures/Skills (Observed/Assisted/Performed) (Critical in Bold)
Charting - Patient Setup & Machine Parameter Documentation (Asst)
Simulation/CT - Spine (Asst)
Other Questions About This Case
Mock Procedure:
Required Competency:
Protocol Patient:
Patient presented at conference:
Clinical Notes

University of Wisconsin La Crosse - Med Dosimetry (Acct #9094)

Case ID #: 1204-20160121-001
Date of Service: 1/21/2016
Student Information - Clark, Ryan
Semester: Spring
Course: DOS 771 Clinical Practicum I
Clinical Instructor: PARKS, Heather
Clinical Site: Northwestern Medicine Cancer Center Delnor
Patient Demographics
Age: 53 years
Gender: Female
Race: White, Non Hispanic
Clinical Information
Time with Patient: 120 minutes
Consult with Clinical Instructor:
ICD-10 Diagnosis Codes
#1 - C88.4 - EXTRNOD MRGNL ZN B-CELL LYMPH OF MUCOSA-ASSOC LYMPHOID TISS
Procedures/Skills (Observed/Assisted/Performed) (Critical in Bold)
Other Questions About This Case
Mock Procedure:
Required Competency:
Protocol Patient:
Patient presented at conference:
Clinical Notes

University of Wisconsin La Crosse - Med Dosimetry (Acct #9094)

Case ID #: 1204-20160121-002
Date of Service: 1/21/2016
Student Information - Clark, Ryan
Semester: Spring
Course: DOS 771 Clinical Practicum I
Clinical Instructor: PARKS, Heather
Clinical Site: Northwestern Medicine Cancer Center Delnor
Patient Demographics
Age: 32 years
Gender: Male
Race: White, Non Hispanic
Clinical Information
Time with Patient: 60 minutes
Consult with Clinical Instructor:
ICD-10 Diagnosis Codes
#1 - c79.31 - SECONDARY MALIGNANT NEOPLASM OF BRAIN
Procedures/Skills (Observed/Assisted/Performed) (Critical in Bold)
Contouring - Brain (Asst)
Simulation/CT - Brain (Asst)
Other Questions About This Case
Mock Procedure:
Required Competency:
Protocol Patient:
Patient presented at conference:
Clinical Notes

University of Wisconsin La Crosse - Med Dosimetry (Acct #9094)

Case ID #: 1204-20160121-003
Date of Service: 1/21/2016
Student Information - Clark, Ryan
Semester: Spring
Course: DOS 771 Clinical Practicum I
Clinical Instructor: PARKS, Heather
Clinical Site: Northwestern Medicine Cancer Center Delnor
Patient Demographics
Age: 69 years
Gender: Male
Race: White, Non Hispanic
Clinical Information
Time with Patient: 90 minutes
Consult with Clinical Instructor:
ICD-10 Diagnosis Codes
#1 - c32 - MALIGNANT NEOPLASM OF LARYNX
Procedures/Skills (Observed/Assisted/Performed) (Critical in Bold)
Contouring - Head & Neck (Asst)
Simulation/CT - Head & Neck (Asst)
Other Questions About This Case
Mock Procedure:
Required Competency:
Protocol Patient:
Patient presented at conference:
Clinical Notes

University of Wisconsin La Crosse - Med Dosimetry (Acct #9094)

Case ID #: 1204-20160121-004
Date of Service: 1/21/2016
Student Information - Clark, Ryan
Semester: Spring
Course: DOS 771 Clinical Practicum I
Clinical Instructor: PARKS, Heather
Clinical Site: Northwestern Medicine Cancer Center Delnor
Patient Demographics
Age: 70 years
Gender: Female
Race: White, Non Hispanic
Clinical Information
Time with Patient: 45 minutes
Consult with Clinical Instructor:
ICD-10 Diagnosis Codes
#1 - c50.412 - MALIG NEOPLASM OF UPPER-OUTER QUADRANT OF LEFT FEMALE BREAST
Procedures/Skills (Observed/Assisted/Performed) (Critical in Bold)
Contouring - Breast (Asst)
Simulation/CT - Breast (Asst)
Other Questions About This Case
Mock Procedure:
Required Competency:
Protocol Patient:
Patient presented at conference:
Clinical Notes

University of Wisconsin La Crosse - Med Dosimetry (Acct #9094)

Case ID #: 1204-20160125-001
Date of Service: 1/25/2016
Student Information - Clark, Ryan
Semester: Spring
Course: DOS 771 Clinical Practicum I
Clinical Instructor: PARKS, Heather
Clinical Site: Northwestern Medicine Cancer Center Delnor
Patient Demographics
Age: 47 years
Gender: Female
Race: White, Non Hispanic
Clinical Information
Time with Patient: 220 minutes
Consult with Clinical Instructor:
ICD-10 Diagnosis Codes
#1 - c50.312 - MALIG NEOPLASM OF LOWER-INNER QUADRANT OF LEFT FEMALE BREAST
Procedures/Skills (Observed/Assisted/Performed) (Critical in Bold)
Contouring - Breast (Asst)
Charting - Billing/Coding Documentation (Asst)
Charting - Configuration of Portal Images (Asst)
Charting - Patient Setup & Machine Parameter Documentation (Asst)
Charting - Radiation Dose Programming (Asst)
Charting - Treatment Plan Import/Export to Chart (Asst)
Simulation/CT - Breast (Asst)
Other Questions About This Case
Mock Procedure:
Required Competency:
Protocol Patient:
Patient presented at conference:
Clinical Notes

University of Wisconsin La Crosse - Med Dosimetry (Acct #9094)

Case ID #: 1204-20160127-001
Date of Service: 1/27/2016
Student Information - Clark, Ryan
Semester: Spring
Course: DOS 771 Clinical Practicum I
Clinical Instructor: PARKS, Heather
Clinical Site: Northwestern Medicine Cancer Center Delnor
Patient Demographics
Age: 58 years
Gender: Female
Race: White, Non Hispanic
Clinical Information
Time with Patient: 160 minutes
Consult with Clinical Instructor:
ICD-10 Diagnosis Codes
#1 - c69.61 - MALIGNANT NEOPLASM OF RIGHT ORBIT
Procedures/Skills (Observed/Assisted/Performed) (Critical in Bold)
Contouring - Head (Asst)
Charting - Billing/Coding Documentation (Asst)
Charting - Configuration of Portal Images (Asst)
Charting - Radiation Dose Programming (Asst)
Charting - Treatment Plan Import/Export to Chart (Asst)
Other Questions About This Case
Mock Procedure:
Required Competency:
Protocol Patient:
Patient presented at conference:
Clinical Notes

University of Wisconsin La Crosse - Med Dosimetry (Acct #9094)

Case ID #: 1204-20160203-001
Date of Service: 2/3/2016
Student Information - Clark, Ryan
Semester: Spring
Course: DOS 771 Clinical Practicum I
Clinical Instructor: PARKS, Heather
Clinical Site: Northwestern Medicine Cancer Center Delnor
Patient Demographics
Age: 50 years
Gender: Male
Race: White, Non Hispanic
Clinical Information
Time with Patient: 240 minutes
Consult with Clinical Instructor:
ICD-10 Diagnosis Codes
#1 - c82.90 - FOLLICULAR LYMPHOMA, UNSPECIFIED, UNSPECIFIED SITE
Procedures/Skills (Observed/Assisted/Performed) (Critical in Bold)
Beam Modification Devices - Wedge (Asst)
External Beam Treatment Planning - Pelvis - Basic (Asst)
Contouring - Pelvis (Asst)
Charting - Billing/Coding Documentation (Asst)
Charting - Configuration of Portal Images (Asst)
Charting - Patient Setup & Machine Parameter Documentation (Asst)
Charting - Treatment Plan Import/Export to Chart (Asst)
Image Fusion - TPCT - PET/CT (Asst)
Other Questions About This Case
Mock Procedure:
Required Competency:
Protocol Patient:
Patient presented at conference:
Clinical Notes

University of Wisconsin La Crosse - Med Dosimetry (Acct #9094)

Case ID #: 1204-20160205-001
Date of Service: 2/5/2016
Student Information - Clark, Ryan
Semester: Spring
Course: DOS 771 Clinical Practicum I
Clinical Instructor: PARKS, Heather
Clinical Site: Northwestern Medicine Cancer Center Delnor
Patient Demographics
Age: 55 years
Gender: Female
Race: White, Non Hispanic
Clinical Information
Time with Patient: 240 minutes
Consult with Clinical Instructor:
ICD-10 Diagnosis Codes
#1 - c50.811 - MALIGNANT NEOPLASM OF OVRLP SITES OF RIGHT FEMALE BREAST
Procedures/Skills (Observed/Assisted/Performed) (Critical in Bold)
Beam Modification Devices - Custom Block (electron) (Asst)
Contouring - Breast (Asst)
Other Questions About This Case
Mock Procedure:
Required Competency:
Protocol Patient:
Patient presented at conference:
Clinical Notes

University of Wisconsin La Crosse - Med Dosimetry (Acct #9094)

Case ID #: 1204-20160205-002
Date of Service: 2/5/2016
Student Information - Clark, Ryan
Semester: Spring
Course: DOS 771 Clinical Practicum I
Clinical Instructor: PARKS, Heather
Clinical Site: Northwestern Medicine Cancer Center Delnor
Patient Demographics
Age: 47 years
Gender: Female
Race: White, Non Hispanic
Clinical Information
Time with Patient: 90 minutes
Consult with Clinical Instructor:
ICD-10 Diagnosis Codes
#1 - c50.411 - MALIG NEOPLM OF UPPER-OUTER QUADRANT OF RIGHT FEMALE BREAST
Procedures/Skills (Observed/Assisted/Performed) (Critical in Bold)
Beam Modification Devices - Custom Block (electron) (Asst)
External Beam Treatment Planning - Breast - Forward Planning (Asst)
Other Questions About This Case
Mock Procedure:
Required Competency:
Protocol Patient:
Patient presented at conference:
Clinical Notes

University of Wisconsin La Crosse - Med Dosimetry (Acct #9094)

Case ID #: 1204-20160212-001
Date of Service: 2/12/2016
Student Information - Clark, Ryan
Semester: Spring
Course: DOS 771 Clinical Practicum I
Clinical Instructor: PARKS, Heather
Clinical Site: Northwestern Medicine Cancer Center Delnor
Patient Demographics
Age: 77 years
Gender: Male
Race: White, Non Hispanic
Clinical Information
Time with Patient: 330 minutes
Consult with Clinical Instructor:
ICD-10 Diagnosis Codes
#1 - c20 - MALIGNANT NEOPLASM OF RECTUM
Procedures/Skills (Observed/Assisted/Performed) (Critical in Bold)
Beam Modification Devices - Custom Block (photon) (Asst)
Beam Modification Devices - MLC Digitization (Asst)
Beam Modification Devices - Wedge (Perf)
External Beam Treatment Planning - Pelvis - Conformal (Perf)
Contouring - Pelvis (Perf)
Image Fusion - TPCT - PET (Asst)
Other Questions About This Case
Mock Procedure:
Required Competency:
Protocol Patient:
Patient presented at conference:
Clinical Notes

University of Wisconsin La Crosse - Med Dosimetry (Acct #9094)

Case ID #: 1204-20160216-001
Date of Service: 2/16/2016
Student Information - Clark, Ryan
Semester: Spring
Course: DOS 771 Clinical Practicum I
Clinical Instructor: PARKS, Heather
Clinical Site: Northwestern Medicine Cancer Center Delnor
Patient Demographics
Age: 77 years
Gender: Male
Race: White, Non Hispanic
Clinical Information
Time with Patient: 270 minutes
Consult with Clinical Instructor:
ICD-10 Diagnosis Codes
#1 - c34.32 - MALIGNANT NEOPLASM OF LOWER LOBE, LEFT BRONCHUS OR LUNG
Procedures/Skills (Observed/Assisted/Performed) (Critical in Bold)
Beam Modification Devices - Custom Block (photon) (Perf)
Beam Modification Devices - MLC Digitization (Perf)
External Beam Treatment Planning - Pelvis - Conformal (Perf)
Contouring - Pelvis (Perf)
Dose Calculations - MU Calculation (Computer) (Perf)
Charting - Billing/Coding Documentation (Perf)
Charting - Configuration of Portal Images (Perf)
Charting - Patient Setup & Machine Parameter Documentation (Perf)
Charting - Radiation Dose Programming (Perf)
Charting - Treatment Plan Import/Export to Chart (Perf)
Image Fusion - TPCT - PET/CT (Perf)
Other Questions About This Case
Mock Procedure:
Required Competency: Yes
Protocol Patient:
Patient presented at conference:
Clinical Notes

University of Wisconsin La Crosse - Med Dosimetry (Acct #9094)

Case ID #: 1204-20160216-002
Date of Service: 2/16/2016
Student Information - Clark, Ryan
Semester: Spring
Course: DOS 771 Clinical Practicum I
Clinical Instructor: PARKS, Heather
Clinical Site: Northwestern Medicine Cancer Center Delnor
Patient Demographics
Age: 47 years
Gender: Female
Race: White, Non Hispanic
Clinical Information
Time with Patient: 320 minutes
Consult with Clinical Instructor:
ICD-10 Diagnosis Codes
#1 - c50.312 - MALIG NEOPLASM OF LOWER-INNER QUADRANT OF LEFT FEMALE BREAST
Procedures/Skills (Observed/Assisted/Performed) (Critical in Bold)
Beam Modification Devices - Custom Block (electron) (Perf)
External Beam Treatment Planning - Breast - Forward Planning (Perf)
Contouring - Breast (Perf)
Dose Calculations - Electron Calculation (Computer) (Perf)
Other Questions About This Case
Mock Procedure:
Required Competency:
Protocol Patient:
Patient presented at conference:
Clinical Notes

University of Wisconsin La Crosse - Med Dosimetry (Acct #9094)

Case ID #: 1204-20160218-001
Date of Service: 2/18/2016
Student Information - Clark, Ryan
Semester: Spring
Course: DOS 771 Clinical Practicum I
Clinical Instructor: PARKS, Heather
Clinical Site: Northwestern Medicine Cancer Center Delnor
Patient Demographics
Age: 79 years
Gender: Female
Race: White, Non Hispanic
Clinical Information
Time with Patient: 250 minutes
Consult with Clinical Instructor:
ICD-10 Diagnosis Codes
#1 - c20 - MALIGNANT NEOPLASM OF RECTUM
Procedures/Skills (Observed/Assisted/Performed) (Critical in Bold)
Beam Modification Devices - Custom Block (photon) (Asst)
Beam Modification Devices - Wedge (Perf)
External Beam Treatment Planning - Pelvis - Prone (Perf)
Contouring - Pelvis (Perf)
Dose Calculations - MU Calculation (Computer) (Perf)
Charting - Billing/Coding Documentation (Perf)
Charting - Configuration of Portal Images (Perf)
Charting - Patient Setup & Machine Parameter Documentation (Perf)
Charting - Radiation Dose Programming (Perf)
Charting - Treatment Plan Import/Export to Chart (Perf)
Other Questions About This Case
Mock Procedure:
Required Competency:
Protocol Patient:
Patient presented at conference:
Clinical Notes

University of Wisconsin La Crosse - Med Dosimetry (Acct #9094)

Case ID #: 1204-20160222-001
Date of Service: 2/22/2016
Student Information - Clark, Ryan
Semester: Spring
Course: DOS 771 Clinical Practicum I
Clinical Instructor: PARKS, Heather
Clinical Site: Northwestern Medicine Cancer Center Delnor
Patient Demographics
Age: 58 years
Gender: Male
Race: White, Non Hispanic
Clinical Information
Time with Patient: 300 minutes
Consult with Clinical Instructor:
ICD-10 Diagnosis Codes
#1 - c79.51 - SECONDARY MALIGNANT NEOPLASM OF BONE
Procedures/Skills (Observed/Assisted/Performed) (Critical in Bold)
Beam Modification Devices - Custom Block (photon) (Asst)
Beam Modification Devices - Wedge (Perf)
External Beam Treatment Planning - Pelvis - Basic (Perf)
Contouring - Pelvis (Perf)
Dose Calculations - MU Calculation - 2nd Check (Computer) (Perf)
Dose Calculations - MU Calculation (Computer) (Perf)
Charting - Billing/Coding Documentation (Perf)
Charting - Configuration of Portal Images (Perf)
Charting - Patient Setup & Machine Parameter Documentation (Perf)
Charting - Radiation Dose Programming (Perf)
Charting - Treatment Plan Import/Export to Chart (Perf)
Other Questions About This Case
Mock Procedure:
Required Competency: Yes
Protocol Patient:
Patient presented at conference:
Clinical Notes

University of Wisconsin La Crosse - Med Dosimetry (Acct #9094)

Case ID #: 1204-20160223-001
Date of Service: 2/23/2016
Student Information - Clark, Ryan
Semester: Spring
Course: DOS 771 Clinical Practicum I
Clinical Instructor: PARKS, Heather
Clinical Site: Northwestern Medicine Cancer Center Delnor
Patient Demographics
Age: 58 years
Gender: Male
Race: White, Non Hispanic
Clinical Information
Time with Patient: 320 minutes
Consult with Clinical Instructor:
ICD-10 Diagnosis Codes
#1 - C79.51 - SECONDARY MALIGNANT NEOPLASM OF BONE
Procedures/Skills (Observed/Assisted/Performed) (Critical in Bold)
Beam Modification Devices - Custom Block (photon) (Asst)
Beam Modification Devices - Wedge (Perf)
External Beam Treatment Planning - Extremity - non-skin (Perf)
Contouring - Extremity (Perf)
Dose Calculations - MU Calculation - 2nd Check (Computer) (Perf)
Dose Calculations - MU Calculation (Computer) (Perf)
Charting - Billing/Coding Documentation (Asst)
Charting - Configuration of Portal Images (Perf)
Charting - Patient Setup & Machine Parameter Documentation (Perf)
Charting - Radiation Dose Programming (Asst)
Charting - Treatment Plan Import/Export to Chart (Asst)
Other Questions About This Case
Mock Procedure:
Required Competency:
Protocol Patient:
Patient presented at conference:
Clinical Notes

University of Wisconsin La Crosse - Med Dosimetry (Acct #9094)

Case ID #: 1204-20160226-001
Date of Service: 2/26/2016
Student Information - Clark, Ryan
Semester: Spring
Course: DOS 771 Clinical Practicum I
Clinical Instructor: PARKS, Heather
Clinical Site: Northwestern Medicine Cancer Center Delnor
Patient Demographics
Age: 90+ years
Gender: Female
Race: White, Non Hispanic
Clinical Information
Time with Patient: 360 minutes
Consult with Clinical Instructor:
ICD-10 Diagnosis Codes
#1 - c67.3 - MALIGNANT NEOPLASM OF ANTERIOR WALL OF BLADDER
Procedures/Skills (Observed/Assisted/Performed) (Critical in Bold)
Beam Modification Devices - MLC Digitization (Perf)
Beam Modification Devices - Wedge (Perf)
External Beam Treatment Planning - Pelvis - Conformal (Perf)
Contouring - Pelvis (Perf)
Dose Calculations - MU Calculation - 2nd Check (Computer) (Perf)
Dose Calculations - MU Calculation (Computer) (Perf)
Charting - Billing/Coding Documentation (Perf)
Charting - Configuration of Portal Images (Perf)
Charting - Patient Setup & Machine Parameter Documentation (Perf)
Charting - Radiation Dose Programming (Perf)
Charting - Treatment Plan Import/Export to Chart (Perf)
Other Questions About This Case
Mock Procedure:
Required Competency:
Protocol Patient:
Patient presented at conference:
Clinical Notes

University of Wisconsin La Crosse - Med Dosimetry (Acct #9094)

Case ID #: 1204-20160229-001
Date of Service: 2/29/2016
Student Information - Clark, Ryan
Semester: Spring
Course: DOS 771 Clinical Practicum I
Clinical Instructor: PARKS, Heather
Clinical Site: Northwestern Medicine Cancer Center Delnor
Patient Demographics
Age: 48 years
Gender: Female
Race: White, Non Hispanic
Clinical Information
Time with Patient: 250 minutes
Consult with Clinical Instructor:
ICD-10 Diagnosis Codes
#1 - c50.112 - MALIGNANT NEOPLASM OF CENTRAL PORTION OF LEFT FEMALE BREAST
Procedures/Skills (Observed/Assisted/Performed) (Critical in Bold)
Beam Modification Devices - Custom Block (photon) (Perf)
Beam Modification Devices - Wedge (Perf)
External Beam Treatment Planning - Breast - Forward Planning (Perf)
Contouring - Breast (Perf)
Dose Calculations - MU Calculation - 2nd Check (Computer) (Perf)
Dose Calculations - MU Calculation (Computer) (Perf)
Charting - Billing/Coding Documentation (Asst)
Charting - Configuration of Portal Images (Perf)
Charting - Patient Setup & Machine Parameter Documentation (Perf)
Charting - Radiation Dose Programming (Perf)
Charting - Treatment Plan Import/Export to Chart (Perf)
Other Questions About This Case
Mock Procedure:
Required Competency:
Protocol Patient:
Patient presented at conference:
Clinical Notes

University of Wisconsin La Crosse - Med Dosimetry (Acct #9094)

Case ID #: 1204-20160302-001
Date of Service: 3/2/2016
Student Information - Clark, Ryan
Semester: Spring
Course: DOS 771 Clinical Practicum I
Clinical Instructor: PARKS, Heather
Clinical Site: Northwestern Medicine Cancer Center Delnor
Patient Demographics
Age: 57 years
Gender: Male
Race: White, Non Hispanic
Clinical Information
Time with Patient: 180 minutes
Consult with Clinical Instructor:
ICD-10 Diagnosis Codes
#1 - c82.13 - FOLLICULAR LYMPHOMA GRADE II, INTRA-ABDOMINAL LYMPH NODES
Procedures/Skills (Observed/Assisted/Performed) (Critical in Bold)
Beam Modification Devices - Custom Block (photon) (Asst)
External Beam Treatment Planning - Abdomen - Basic (Asst)
Contouring - Abdomen (Perf)
Contouring - Spine (Perf)
Dose Calculations - MU Calculation - 2nd Check (Computer) (Perf)
Dose Calculations - MU Calculation (Computer) (Perf)
Charting - Billing/Coding Documentation (Asst)
Charting - Configuration of Portal Images (Asst)
Charting - Radiation Dose Programming (Perf)
Charting - Treatment Plan Import/Export to Chart (Perf)
Other Questions About This Case
Mock Procedure:
Required Competency:
Protocol Patient:
Patient presented at conference:
Clinical Notes

University of Wisconsin La Crosse - Med Dosimetry (Acct #9094)

Case ID #: 1204-20160302-002
Date of Service: 3/2/2016
Student Information - Clark, Ryan
Semester: Spring
Course: DOS 771 Clinical Practicum I
Clinical Instructor: PARKS, Heather
Clinical Site: Northwestern Medicine Cancer Center Delnor
Patient Demographics
Age: 51 years
Gender: Female
Race: White, Non Hispanic
Clinical Information
Time with Patient: 320 minutes
Consult with Clinical Instructor:
ICD-10 Diagnosis Codes
#1 - c50.412 - MALIG NEOPLASM OF UPPER-OUTER QUADRANT OF LEFT FEMALE BREAST
Procedures/Skills (Observed/Assisted/Performed) (Critical in Bold)
Beam Modification Devices - Custom Block (electron) (Asst)
External Beam Treatment Planning - Breast - Forward Planning (Asst)
Contouring - Breast (Perf)
Dose Calculations - MU Calculation - 2nd Check (Computer) (Perf)
Dose Calculations - MU Calculation (Computer) (Perf)
Charting - Billing/Coding Documentation (Perf)
Charting - Configuration of Portal Images (Perf)
Charting - Patient Setup & Machine Parameter Documentation (Perf)
Charting - Radiation Dose Programming (Perf)
Charting - Treatment Plan Import/Export to Chart (Perf)
Other Questions About This Case
Mock Procedure:
Required Competency:
Protocol Patient:
Patient presented at conference:
Clinical Notes

University of Wisconsin La Crosse - Med Dosimetry (Acct #9094)

Case ID #: 1204-20160304-001
Date of Service: 3/4/2016
Student Information - Clark, Ryan
Semester: Spring
Course: DOS 771 Clinical Practicum I
Clinical Instructor: PARKS, Heather
Clinical Site: Northwestern Medicine Cancer Center Delnor
Patient Demographics
Age: 76 years
Gender: Female
Race: White, Non Hispanic
Clinical Information
Time with Patient: 180 minutes
Consult with Clinical Instructor:
ICD-10 Diagnosis Codes
#1 - c50.312 - MALIG NEOPLASM OF LOWER-INNER QUADRANT OF LEFT FEMALE BREAST
Procedures/Skills (Observed/Assisted/Performed) (Critical in Bold)
Beam Modification Devices - Custom Block (electron) (Perf)
External Beam Treatment Planning - Breast - Forward Planning (Perf)
Contouring - Breast (Asst)
Dose Calculations - Electron Calculation (Computer) (Perf)
Dose Calculations - MU Calculation - 2nd Check (Computer) (Perf)
Dose Calculations - MU Calculation (Computer) (Perf)
Charting - Billing/Coding Documentation (Asst)
Charting - Configuration of Portal Images (Perf)
Charting - Patient Setup & Machine Parameter Documentation (Perf)
Charting - Radiation Dose Programming (Perf)
Charting - Treatment Plan Import/Export to Chart (Perf)
Other Questions About This Case
Mock Procedure:
Required Competency:
Protocol Patient:
Patient presented at conference:
Clinical Notes

University of Wisconsin La Crosse - Med Dosimetry (Acct #9094)

Case ID #: 1204-20160309-001
Date of Service: 3/9/2016
Student Information - Clark, Ryan
Semester: Spring
Course: DOS 771 Clinical Practicum I
Clinical Instructor: PARKS, Heather
Clinical Site: Northwestern Medicine Cancer Center Delnor
Patient Demographics
Age: 59 years
Gender: Female
Race: White, Non Hispanic
Clinical Information
Time with Patient: 360 minutes
Consult with Clinical Instructor:
ICD-10 Diagnosis Codes
#1 - c50.211 - MALIG NEOPLM OF UPPER-INNER QUADRANT OF RIGHT FEMALE BREAST
Procedures/Skills (Observed/Assisted/Performed) (Critical in Bold)
Beam Modification Devices - Custom Block (electron) (Perf)
External Beam Treatment Planning - Breast - Forward Planning (Perf)
Contouring - Breast (Perf)
Dose Calculations - Electron Calculation (Computer) (Perf)
Dose Calculations - MU Calculation - 2nd Check (Computer) (Perf)
Dose Calculations - MU Calculation (Computer) (Perf)
Dosimetry Measurements & Devices - Electron Cutout Measurement (Perf)
Charting - Billing/Coding Documentation (Perf)
Charting - Patient Setup & Machine Parameter Documentation (Perf)
Charting - Radiation Dose Programming (Perf)
Charting - Treatment Plan Import/Export to Chart (Perf)
Other Questions About This Case
Mock Procedure:
Required Competency: Yes
Protocol Patient:
Patient presented at conference:
Clinical Notes

University of Wisconsin La Crosse - Med Dosimetry (Acct #9094)

Case ID #: 1204-20160310-001
Date of Service: 3/10/2016
Student Information - Clark, Ryan
Semester: Spring
Course: DOS 771 Clinical Practicum I
Clinical Instructor: PARKS, Heather
Clinical Site: Northwestern Medicine Cancer Center Delnor
Patient Demographics
Age: 47 years
Gender: Female
Race: White, Non Hispanic
Clinical Information
Time with Patient: 300 minutes
Consult with Clinical Instructor:
ICD-10 Diagnosis Codes
#1 - c20 - MALIGNANT NEOPLASM OF RECTUM
Procedures/Skills (Observed/Assisted/Performed) (Critical in Bold)
Beam Modification Devices - Custom Block (photon) (Asst)
Beam Modification Devices - Wedge (Perf)
External Beam Treatment Planning - Pelvis - Basic (Perf)
Contouring - Pelvis (Perf)
Dose Calculations - MU Calculation - 2nd Check (Computer) (Perf)
Dose Calculations - MU Calculation (Computer) (Perf)
Charting - Billing/Coding Documentation (Perf)
Charting - Configuration of Portal Images (Perf)
Charting - Patient Setup & Machine Parameter Documentation (Perf)
Charting - Radiation Dose Programming (Perf)
Charting - Treatment Plan Import/Export to Chart (Perf)
Other Questions About This Case
Mock Procedure:
Required Competency: Yes
Protocol Patient:
Patient presented at conference:
Clinical Notes

University of Wisconsin La Crosse - Med Dosimetry (Acct #9094)

Case ID #: 1204-20160328-001
Date of Service: 3/28/2016
Student Information - Clark, Ryan
Semester: Spring
Course: DOS 771 Clinical Practicum I
Clinical Instructor: CREBO, Donald
Clinical Site: Northwestern Medicine Cancer Center Warrenville
Patient Demographics
Age: 58 years
Gender: Female
Race: White, Non Hispanic
Clinical Information
Time with Patient: 240 minutes
Consult with Clinical Instructor:
ICD-10 Diagnosis Codes
#1 - c79.51 - SECONDARY MALIGNANT NEOPLASM OF BONE
Procedures/Skills (Observed/Assisted/Performed) (Critical in Bold)
Beam Modification Devices - Custom Block (photon) (Perf)
External Beam Treatment Planning - Pelvis - Basic (Perf)
External Beam Treatment Planning - Thorax - Basic (Perf)
Contouring - Pelvis (Perf)
Contouring - Spine (Perf)
Dose Calculations - MU Calculation - 2nd Check (Computer) (Perf)
Dose Calculations - MU Calculation (Computer) (Perf)
Charting - Billing/Coding Documentation (Perf)
Charting - Configuration of Portal Images (Perf)
Charting - Patient Setup & Machine Parameter Documentation (Perf)
Charting - Radiation Dose Programming (Perf)
Charting - Treatment Plan Import/Export to Chart (Perf)
Other Questions About This Case
Mock Procedure:
Required Competency:
Protocol Patient:
Patient presented at conference:
Clinical Notes

University of Wisconsin La Crosse - Med Dosimetry (Acct #9094)

Case ID #: 1204-20160401-001
Date of Service: 4/1/2016
Student Information - Clark, Ryan
Semester: Spring
Course: DOS 771 Clinical Practicum I
Clinical Instructor: CREBO, Donald
Clinical Site: Northwestern Medicine Cancer Center Warrenville
Patient Demographics
Age: 76 years
Gender: Female
Race: White, Non Hispanic
Clinical Information
Time with Patient: 360 minutes
Consult with Clinical Instructor:
ICD-10 Diagnosis Codes
#1 - c79.51 - SECONDARY MALIGNANT NEOPLASM OF BONE
Procedures/Skills (Observed/Assisted/Performed) (Critical in Bold)
Beam Modification Devices - Custom Block (photon) (Perf)
External Beam Treatment Planning - Pelvis - Basic (Perf)
Contouring - Pelvis (Perf)
Dose Calculations - MU Calculation - 2nd Check (Computer) (Perf)
Dose Calculations - MU Calculation (Computer) (Perf)
Charting - Billing/Coding Documentation (Asst)
Charting - Configuration of Portal Images (Perf)
Charting - Patient Setup & Machine Parameter Documentation (Perf)
Charting - Radiation Dose Programming (Perf)
Charting - Treatment Plan Import/Export to Chart (Perf)
Other Questions About This Case
Mock Procedure:
Required Competency:
Protocol Patient:
Patient presented at conference:
Clinical Notes

University of Wisconsin La Crosse - Med Dosimetry (Acct #9094)

Case ID #: 1204-20160405-001
Date of Service: 4/5/2016
Student Information - Clark, Ryan
Semester: Spring
Course: DOS 771 Clinical Practicum I
Clinical Instructor: CREBO, Donald
Clinical Site: Northwestern Medicine Cancer Center Warrenville
Patient Demographics
Age: 54 years
Gender: Female
Race: White, Non Hispanic
Clinical Information
Time with Patient: 480 minutes
Consult with Clinical Instructor:
ICD-10 Diagnosis Codes
#1 - D05.11 - INTRADUCTAL CARCINOMA IN SITU OF RIGHT BREAST
Procedures/Skills (Observed/Assisted/Performed) (Critical in Bold)
Beam Modification Devices - MLC Digitization (Perf)
External Beam Treatment Planning - Breast - Forward Planning (Perf)
External Beam Treatment Planning - Breast - Tangential (Perf)
Contouring - Breast (Perf)
Dose Calculations - MU Calculation - 2nd Check (Computer) (Perf)
Dose Calculations - MU Calculation (Computer) (Perf)
Charting - Billing/Coding Documentation (Perf)
Charting - Configuration of Portal Images (Perf)
Charting - Patient Setup & Machine Parameter Documentation (Perf)
Charting - Radiation Dose Programming (Perf)
Charting - Treatment Plan Import/Export to Chart (Perf)
Other Questions About This Case
Mock Procedure:
Required Competency:
Protocol Patient:
Patient presented at conference:
Clinical Notes

University of Wisconsin La Crosse - Med Dosimetry (Acct #9094)

Case ID #: 1204-20160418-001
Date of Service: 4/18/2016
Student Information - Clark, Ryan
Semester: Spring
Course: DOS 771 Clinical Practicum I
Clinical Instructor: CREBO, Donald
Clinical Site: Northwestern Medicine Cancer Center Warrenville
Patient Demographics
Age: 51 years
Gender: Female
Race: Black or African American
Clinical Information
Time with Patient: 450 minutes
Consult with Clinical Instructor:
ICD-10 Diagnosis Codes
#1 - C50.512 - MALIG NEOPLASM OF LOWER-OUTER QUADRANT OF LEFT FEMALE BREAST
Procedures/Skills (Observed/Assisted/Performed) (Critical in Bold)
Beam Modification Devices - Custom Block (photon) (Asst)
Beam Modification Devices - MLC Digitization (Perf)
External Beam Treatment Planning - Breast - Tangential (Perf)
Contouring - Breast (Asst)
Dose Calculations - MU Calculation - 2nd Check (Computer) (Perf)
Dose Calculations - MU Calculation (Computer) (Perf)
Charting - Billing/Coding Documentation (Perf)
Charting - Configuration of Portal Images (Perf)
Charting - Patient Setup & Machine Parameter Documentation (Perf)
Charting - Radiation Dose Programming (Perf)
Charting - Treatment Plan Import/Export to Chart (Perf)
Other Questions About This Case
Mock Procedure:
Required Competency: Yes
Protocol Patient:
Patient presented at conference:
Clinical Notes

University of Wisconsin La Crosse - Med Dosimetry (Acct #9094)

Case ID #: 1204-20160422-001
Date of Service: 4/22/2016
Student Information - Clark, Ryan
Semester: Spring
Course: DOS 771 Clinical Practicum I
Clinical Instructor: CREBO, Donald
Clinical Site: Northwestern Medicine Cancer Center Warrenville
Patient Demographics
Age: 42 years
Gender: Female
Race: Native Hawaiian or Other Pacific Islander
Clinical Information
Time with Patient: 250 minutes
Consult with Clinical Instructor:
ICD-10 Diagnosis Codes
#1 - C50.112 - MALIGNANT NEOPLASM OF CENTRAL PORTION OF LEFT FEMALE BREAST
Procedures/Skills (Observed/Assisted/Performed) (Critical in Bold)
Beam Modification Devices - Custom Block (photon) (Asst)
Beam Modification Devices - MLC Digitization (Perf)
External Beam Treatment Planning - Breast - Forward Planning (Perf)
External Beam Treatment Planning - Breast - Tangential (Perf)
Contouring - Breast (Perf)
Dose Calculations - MU Calculation (Computer) (Perf)
Charting - Billing/Coding Documentation (Perf)
Charting - Configuration of Portal Images (Perf)
Charting - Patient Setup & Machine Parameter Documentation (Perf)
Charting - Radiation Dose Programming (Perf)
Charting - Treatment Plan Import/Export to Chart (Perf)
Other Questions About This Case
Mock Procedure:
Required Competency:
Protocol Patient:
Patient presented at conference:
Clinical Notes

University of Wisconsin La Crosse - Med Dosimetry (Acct #9094)

Case ID #: 1204-20160422-002
Date of Service: 4/22/2016
Student Information - Clark, Ryan
Semester: Spring
Course: DOS 771 Clinical Practicum I
Clinical Instructor: CREBO, Donald
Clinical Site: Northwestern Medicine Cancer Center Warrenville
Patient Demographics
Age: 68 years
Gender: Female
Race: White, Non Hispanic
Clinical Information
Time with Patient: 450 minutes
Consult with Clinical Instructor:
ICD-10 Diagnosis Codes
#1 - C50.311 - MALIG NEOPLM OF LOWER-INNER QUADRANT OF RIGHT FEMALE BREAST
Procedures/Skills (Observed/Assisted/Performed) (Critical in Bold)
Beam Modification Devices - Custom Block (photon) (Perf)
External Beam Treatment Planning - Breast - Forward Planning (Perf)
External Beam Treatment Planning - Breast - Tangential (Perf)
Contouring - Breast (Perf)
Dose Calculations - MU Calculation (Computer) (Perf)
Other Questions About This Case
Mock Procedure:
Required Competency:
Protocol Patient:
Patient presented at conference:
Clinical Notes

University of Wisconsin La Crosse - Med Dosimetry (Acct #9094)

Case ID #: 1204-20160422-003
Date of Service: 4/22/2016
Student Information - Clark, Ryan
Semester: Spring
Course: DOS 771 Clinical Practicum I
Clinical Instructor: CREBO, Donald
Clinical Site: Northwestern Medicine Cancer Center Warrenville
Patient Demographics
Age: 58 years
Gender: Female
Race: White, Non Hispanic
Clinical Information
Time with Patient: 230 minutes
Consult with Clinical Instructor:
ICD-10 Diagnosis Codes
#1 - c79.51 - SECONDARY MALIGNANT NEOPLASM OF BONE
Procedures/Skills (Observed/Assisted/Performed) (Critical in Bold)
Beam Modification Devices - Custom Block (photon) (Asst)
External Beam Treatment Planning - Pelvis - Basic (Perf)
Contouring - Pelvis (Perf)
Dose Calculations - MU Calculation - 2nd Check (Computer) (Perf)
Dose Calculations - MU Calculation (Computer) (Perf)
Charting - Billing/Coding Documentation (Perf)
Charting - Configuration of Portal Images (Perf)
Charting - Patient Setup & Machine Parameter Documentation (Perf)
Charting - Radiation Dose Programming (Perf)
Charting - Treatment Plan Import/Export to Chart (Perf)
Image Fusion - PET scan (Asst)
Image Fusion - TPCT - PET/CT (Asst)
Other Questions About This Case
Mock Procedure:
Required Competency:
Protocol Patient:
Patient presented at conference:
Clinical Notes

University of Wisconsin La Crosse - Med Dosimetry (Acct #9094)

Case ID #: 1204-20160526-001
Date of Service: 5/26/2016
Student Information - Clark, Ryan
Semester: Spring
Course: DOS 772 Clinical Practicum II
Clinical Instructor: PARKS, Heather
Clinical Site: Northwestern Medicine Cancer Center Delnor
Patient Demographics
Age: 66 years
Gender: Female
Race: Native Hawaiian or Other Pacific Islander
Clinical Information
Time with Patient: 820 minutes
Consult with Clinical Instructor:
ICD-10 Diagnosis Codes
#1 - c50.112 - MALIGNANT NEOPLASM OF CENTRAL PORTION OF LEFT FEMALE BREAST
Procedures/Skills (Observed/Assisted/Performed) (Critical in Bold)
Beam Modification Devices - Custom Block (electron) (Perf)
Beam Modification Devices - Custom Block (photon) (Perf)
Beam Modification Devices - MLC Digitization (Perf)
Beam Modification Devices - Wedge (Perf)
External Beam Treatment Planning - Breast - Forward Planning (Perf)
External Beam Treatment Planning - Breast - with s'clav (Perf)
Contouring - Breast (Perf)
Dose Calculations - Electron Calculation (Computer) (Perf)
Dose Calculations - MU Calculation - 2nd Check (Computer) (Perf)
Dose Calculations - MU Calculation (Computer) (Perf)
Charting - Billing/Coding Documentation (Perf)
Charting - Configuration of Portal Images (Perf)
Charting - Patient Setup & Machine Parameter Documentation (Perf)
Charting - Treatment Plan Import/Export to Chart (Perf)
Other Questions About This Case
Mock Procedure:
Required Competency:
Protocol Patient:
Patient presented at conference:
Clinical Notes

University of Wisconsin La Crosse - Med Dosimetry (Acct #9094)

Case ID #: 1204-20160526-002
Date of Service: 5/26/2016
Student Information - Clark, Ryan
Semester: Spring
Course: DOS 771 Clinical Practicum I
Clinical Instructor: PARKS, Heather
Clinical Site: Northwestern Medicine Cancer Center Delnor
Patient Demographics
Age: 43 years
Gender: Male
Race: White, Non Hispanic
Clinical Information
Time with Patient: 120 minutes
Consult with Clinical Instructor:
ICD-10 Diagnosis Codes
#1 - c09.02 is not a valid ICD code.
Procedures/Skills (Observed/Assisted/Performed) (Critical in Bold)
Contouring - Head & Neck (Perf)
Image Fusion - PET scan (Perf)
Image Fusion - TPCT - CT (Perf)
Other Questions About This Case
Mock Procedure:
Required Competency:
Protocol Patient:
Patient presented at conference:
Clinical Notes

University of Wisconsin La Crosse - Med Dosimetry (Acct #9094)

Case ID #: 1204-20160606-001
Date of Service: 6/6/2016
Student Information - Clark, Ryan
Semester: Spring
Course: DOS 772 Clinical Practicum II
Clinical Instructor: PARKS, Heather
Clinical Site: Northwestern Medicine Cancer Center Delnor
Patient Demographics
Age: 60 years
Gender: Female
Race: White, Non Hispanic
Clinical Information
Time with Patient: 450 minutes
Consult with Clinical Instructor:
ICD-10 Diagnosis Codes
#1 - c50.411 - MALIG NEOPLM OF UPPER-OUTER QUADRANT OF RIGHT FEMALE BREAST
Procedures/Skills (Observed/Assisted/Performed) (Critical in Bold)
Beam Modification Devices - MLC Digitization (Perf)
External Beam Treatment Planning - Breast - Forward Planning (Perf)
External Beam Treatment Planning - Breast - Tangential (Perf)
Contouring - Breast (Perf)
Dose Calculations - MU Calculation - 2nd Check (Computer) (Perf)
Dose Calculations - MU Calculation (Computer) (Perf)
Charting - Billing/Coding Documentation (Perf)
Charting - Configuration of Portal Images (Perf)
Charting - Patient Setup & Machine Parameter Documentation (Perf)
Charting - Radiation Dose Programming (Perf)
Charting - Treatment Plan Import/Export to Chart (Perf)
Other Questions About This Case
Mock Procedure:
Required Competency:
Protocol Patient:
Patient presented at conference:
Clinical Notes

University of Wisconsin La Crosse - Med Dosimetry (Acct #9094)

Case ID #: 1204-20160609-001
Date of Service: 6/9/2016
Student Information - Clark, Ryan
Semester: Spring
Course: DOS 771 Clinical Practicum I
Clinical Instructor: PARKS, Heather
Clinical Site: Northwestern Medicine Cancer Center Delnor
Patient Demographics
Age: 53 years
Gender: Male
Race: White, Non Hispanic
Clinical Information
Time with Patient: 180 minutes
Consult with Clinical Instructor:
ICD-10 Diagnosis Codes
#1 - c20 - MALIGNANT NEOPLASM OF RECTUM
Procedures/Skills (Observed/Assisted/Performed) (Critical in Bold)
Beam Modification Devices - Custom Block (photon) (Asst)
Beam Modification Devices - Wedge (Perf)
External Beam Treatment Planning - Pelvis - Prone (Perf)
Contouring - Pelvis (Perf)
Dose Calculations - MU Calculation - 2nd Check (Computer) (Perf)
Dose Calculations - MU Calculation (Computer) (Perf)
Charting - Billing/Coding Documentation (Perf)
Charting - Configuration of Portal Images (Perf)
Charting - Patient Setup & Machine Parameter Documentation (Perf)
Charting - Radiation Dose Programming (Perf)
Charting - Treatment Plan Import/Export to Chart (Perf)
Image Fusion - TPCT - CT (Perf)
Other Questions About This Case
Mock Procedure:
Required Competency:
Protocol Patient:
Patient presented at conference:
Clinical Notes

University of Wisconsin La Crosse - Med Dosimetry (Acct #9094)

Case ID #: 1204-20160614-001
Date of Service: 6/14/2016
Student Information - Clark, Ryan
Semester: Spring
Course: DOS 772 Clinical Practicum II
Clinical Instructor: PARKS, Heather
Clinical Site: Northwestern Medicine Cancer Center Delnor
Patient Demographics
Age: 64 years
Gender: Male
Race: White, Non Hispanic
Clinical Information
Time with Patient: 260 minutes
Consult with Clinical Instructor:
ICD-10 Diagnosis Codes
#1 - C79.51 - SECONDARY MALIGNANT NEOPLASM OF BONE
Procedures/Skills (Observed/Assisted/Performed) (Critical in Bold)
Beam Modification Devices - Custom Block (photon) (Asst)
Beam Modification Devices - Wedge (Perf)
External Beam Treatment Planning - Pelvis - Basic (Perf)
Contouring - Pelvis (Perf)
Dose Calculations - MU Calculation (Computer) (Perf)
Other Questions About This Case
Mock Procedure:
Required Competency:
Protocol Patient:
Patient presented at conference:
Clinical Notes

University of Wisconsin La Crosse - Med Dosimetry (Acct #9094)

Case ID #: 1204-20160615-001
Date of Service: 6/15/2016
Student Information - Clark, Ryan
Semester: Spring
Course: DOS 772 Clinical Practicum II
Clinical Instructor: PARKS, Heather
Clinical Site: Northwestern Medicine Cancer Center Delnor
Patient Demographics
Age: 44 years
Gender: Female
Race: White, Non Hispanic
Clinical Information
Time with Patient: 340 minutes
Consult with Clinical Instructor:
ICD-10 Diagnosis Codes
#1 - c50.112 - MALIGNANT NEOPLASM OF CENTRAL PORTION OF LEFT FEMALE BREAST
Procedures/Skills (Observed/Assisted/Performed) (Critical in Bold)
Beam Modification Devices - MLC Digitization (Perf)
External Beam Treatment Planning - Breast - Forward Planning (Perf)
External Beam Treatment Planning - Breast - Gating (Perf)
External Beam Treatment Planning - Breast - Tangential (Perf)
Contouring - Breast (Perf)
Dose Calculations - Mayneord F Calculation (Computer) (Perf)
Dose Calculations - MU Calculation - 2nd Check (Computer) (Perf)
Charting - Billing/Coding Documentation (Perf)
Charting - Configuration of Portal Images (Perf)
Charting - Patient Setup & Machine Parameter Documentation (Perf)
Charting - Radiation Dose Programming (Perf)
Charting - Treatment Plan Import/Export to Chart (Perf)
Other Questions About This Case
Mock Procedure:
Required Competency:
Protocol Patient:
Patient presented at conference:
Clinical Notes

University of Wisconsin La Crosse - Med Dosimetry (Acct #9094)

Case ID #: 1204-20160616-001
Date of Service: 6/16/2016
Student Information - Clark, Ryan
Semester: Spring
Course: DOS 772 Clinical Practicum II
Clinical Instructor: PARKS, Heather
Clinical Site: Northwestern Medicine Cancer Center Delnor
Patient Demographics
Age: 71 years
Gender: Male
Race: White, Non Hispanic
Clinical Information
Time with Patient: 120 minutes
Consult with Clinical Instructor:
ICD-10 Diagnosis Codes
#1 - c79.31 - SECONDARY MALIGNANT NEOPLASM OF BRAIN
Procedures/Skills (Observed/Assisted/Performed) (Critical in Bold)
Beam Modification Devices - Custom Block (photon) (Perf)
External Beam Treatment Planning - Brain - Basic (Perf)
Contouring - Brain (Perf)
Dose Calculations - MU Calculation - 2nd Check (Computer) (Perf)
Dose Calculations - MU Calculation (Computer) (Perf)
Charting - Billing/Coding Documentation (Perf)
Charting - Configuration of Portal Images (Perf)
Charting - Patient Setup & Machine Parameter Documentation (Perf)
Charting - Radiation Dose Programming (Perf)
Charting - Treatment Plan Import/Export to Chart (Perf)
Other Questions About This Case
Mock Procedure:
Required Competency:
Protocol Patient:
Patient presented at conference:
Clinical Notes

University of Wisconsin La Crosse - Med Dosimetry (Acct #9094)

Case ID #: 1204-20160620-001
Date of Service: 6/20/2016
Student Information - Clark, Ryan
Semester: Spring
Course: DOS 772 Clinical Practicum II
Clinical Instructor: PARKS, Heather
Clinical Site: Northwestern Medicine Cancer Center Delnor
Patient Demographics
Age: 61 years
Gender: Female
Race: White, Non Hispanic
Clinical Information
Time with Patient: 220 minutes
Consult with Clinical Instructor:
ICD-10 Diagnosis Codes
#1 - c32.01 is not a valid ICD code.
Procedures/Skills (Observed/Assisted/Performed) (Critical in Bold)
Beam Modification Devices - Wedge (Perf)
External Beam Treatment Planning - H & N - Basic (Perf)
Contouring - Head & Neck (Perf)
Dose Calculations - MU Calculation - 2nd Check (Computer) (Perf)
Dose Calculations - MU Calculation (Computer) (Perf)
Charting - Billing/Coding Documentation (Perf)
Charting - Configuration of Portal Images (Perf)
Charting - Patient Setup & Machine Parameter Documentation (Perf)
Charting - Radiation Dose Programming (Perf)
Charting - Treatment Plan Import/Export to Chart (Perf)
Other Questions About This Case
Mock Procedure:
Required Competency:
Protocol Patient:
Patient presented at conference:
Clinical Notes

University of Wisconsin La Crosse - Med Dosimetry (Acct #9094)

Case ID #: 1204-20160622-001
Date of Service: 6/22/2016
Student Information - Clark, Ryan
Semester: Spring
Course: DOS 771 Clinical Practicum I
Clinical Instructor: PARKS, Heather
Clinical Site: Northwestern Medicine Cancer Center Delnor
Patient Demographics
Age: 57 years
Gender: Male
Race: Other
Clinical Information
Time with Patient: 210 minutes
Consult with Clinical Instructor:
ICD-10 Diagnosis Codes
#1 - C81.20 - MIXED CELLULARITY HODGKIN LYMPHOMA, UNSP SITE
Procedures/Skills (Observed/Assisted/Performed) (Critical in Bold)
Beam Modification Devices - Custom Block (photon) (Perf)
Beam Modification Devices - Wedge (Perf)
External Beam Treatment Planning - Thorax - Conformal (Perf)
Contouring - Thorax (Perf)
Dose Calculations - MU Calculation - 2nd Check (Hand) (Perf)
Dose Calculations - MU Calculation (Computer) (Perf)
Charting - Billing/Coding Documentation (Perf)
Charting - Configuration of Portal Images (Perf)
Charting - Patient Setup & Machine Parameter Documentation (Perf)
Charting - Radiation Dose Programming (Perf)
Charting - Treatment Plan Import/Export to Chart (Perf)
Image Fusion - TPCT - PET/CT (Perf)
Other Questions About This Case
Mock Procedure:
Required Competency: Yes
Protocol Patient:
Patient presented at conference:
Clinical Notes

University of Wisconsin La Crosse - Med Dosimetry (Acct #9094)

Case ID #: 1204-20160705-001
Date of Service: 7/5/2016
Student Information - Clark, Ryan
Semester: Spring
Course: DOS 772 Clinical Practicum II
Clinical Instructor: PARKS, Heather
Clinical Site: Northwestern Medicine Cancer Center Delnor
Patient Demographics
Age: 73 years
Gender: Male
Race: White, Non Hispanic
Clinical Information
Time with Patient: 350 minutes
Consult with Clinical Instructor:
ICD-10 Diagnosis Codes
#1 - c20 - MALIGNANT NEOPLASM OF RECTUM
Procedures/Skills (Observed/Assisted/Performed) (Critical in Bold)
Beam Modification Devices - Custom Block (photon) (Asst)
Beam Modification Devices - Wedge (Perf)
External Beam Treatment Planning - Pelvis - Basic (Perf)
External Beam Treatment Planning - Pelvis - Prone (Perf)
Contouring - Pelvis (Perf)
Dose Calculations - MU Calculation - 2nd Check (Computer) (Perf)
Dose Calculations - MU Calculation (Computer) (Perf)
Charting - Billing/Coding Documentation (Perf)
Charting - Configuration of Portal Images (Perf)
Charting - Patient Setup & Machine Parameter Documentation (Perf)
Charting - Radiation Dose Programming (Perf)
Charting - Treatment Plan Import/Export to Chart (Perf)
Image Fusion - TPCT - PET/CT (Perf)
Other Questions About This Case
Mock Procedure:
Required Competency:
Protocol Patient:
Patient presented at conference:
Clinical Notes

University of Wisconsin La Crosse - Med Dosimetry (Acct #9094)

Case ID #: 1204-20160711-001
Date of Service: 7/11/2016
Student Information - Clark, Ryan
Semester: Spring
Course: DOS 771 Clinical Practicum I
Clinical Instructor: PARKS, Heather
Clinical Site: Northwestern Medicine Cancer Center Delnor
Patient Demographics
Age: 57 years
Gender: Female
Race: White, Non Hispanic
Clinical Information
Time with Patient: 230 minutes
Consult with Clinical Instructor:
ICD-10 Diagnosis Codes
#1 - c50.212 - MALIG NEOPLASM OF UPPER-INNER QUADRANT OF LEFT FEMALE BREAST
Procedures/Skills (Observed/Assisted/Performed) (Critical in Bold)
Beam Modification Devices - MLC Digitization (Perf)
External Beam Treatment Planning - Breast - Tangential (Perf)
Contouring - Breast (Perf)
Other Questions About This Case
Mock Procedure:
Required Competency:
Protocol Patient:
Patient presented at conference:
Clinical Notes

University of Wisconsin La Crosse - Med Dosimetry (Acct #9094)

Case ID #: 1204-20160712-001
Date of Service: 7/12/2016
Student Information - Clark, Ryan
Semester: Spring
Course: DOS 772 Clinical Practicum II
Clinical Instructor: PARKS, Heather
Clinical Site: Northwestern Medicine Cancer Center Delnor
Patient Demographics
Age: 61 years
Gender: Female
Race: White, Non Hispanic
Clinical Information
Time with Patient: 520 minutes
Consult with Clinical Instructor:
ICD-10 Diagnosis Codes
#1 - c50.111 - MALIGNANT NEOPLASM OF CENTRAL PORTION OF RIGHT FEMALE BREAST
Procedures/Skills (Observed/Assisted/Performed) (Critical in Bold)
Beam Modification Devices - Custom Block (photon) (Asst)
Beam Modification Devices - MLC Digitization (Perf)
Beam Modification Devices - Wedge (Perf)
External Beam Treatment Planning - Breast - Forward Planning (Perf)
External Beam Treatment Planning - Breast - with s'clav (Perf)
Contouring - Breast (Perf)
Dose Calculations - MU Calculation - 2nd Check (Computer) (Perf)
Dose Calculations - MU Calculation (Computer) (Perf)
Charting - Billing/Coding Documentation (Perf)
Charting - Configuration of Portal Images (Perf)
Charting - Patient Setup & Machine Parameter Documentation (Perf)
Charting - Radiation Dose Programming (Perf)
Charting - Treatment Plan Import/Export to Chart (Perf)
Other Questions About This Case
Mock Procedure:
Required Competency:
Protocol Patient:
Patient presented at conference:
Clinical Notes

University of Wisconsin La Crosse - Med Dosimetry (Acct #9094)

Case ID #: 1204-20160713-001
Date of Service: 7/13/2016
Student Information - Clark, Ryan
Semester: Spring
Course: DOS 772 Clinical Practicum II
Clinical Instructor: PARKS, Heather
Clinical Site: Northwestern Medicine Cancer Center Delnor
Patient Demographics
Age: 57 years
Gender: Male
Race: White, Non Hispanic
Clinical Information
Time with Patient: 300 minutes
Consult with Clinical Instructor:
ICD-10 Diagnosis Codes
#1 - c81.20 - MIXED CELLULARITY HODGKIN LYMPHOMA, UNSP SITE
Procedures/Skills (Observed/Assisted/Performed) (Critical in Bold)
Beam Modification Devices - Custom Block (photon) (Asst)
Beam Modification Devices - Wedge (Perf)
External Beam Treatment Planning - Thorax - Basic (Perf)
Contouring - Thorax (Perf)
Dose Calculations - MU Calculation - 2nd Check (Computer) (Perf)
Dose Calculations - MU Calculation (Computer) (Perf)
Charting - Billing/Coding Documentation (Perf)
Charting - Configuration of Portal Images (Perf)
Charting - Patient Setup & Machine Parameter Documentation (Perf)
Charting - Radiation Dose Programming (Perf)
Charting - Treatment Plan Import/Export to Chart (Perf)
Image Fusion - TPCT - PET/CT (Perf)
Other Questions About This Case
Mock Procedure:
Required Competency:
Protocol Patient:
Patient presented at conference:
Clinical Notes

University of Wisconsin La Crosse - Med Dosimetry (Acct #9094)

Case ID #: 1204-20160715-001
Date of Service: 7/15/2016
Student Information - Clark, Ryan
Semester: Spring
Course: DOS 772 Clinical Practicum II
Clinical Instructor: PARKS, Heather
Clinical Site: Northwestern Medicine Cancer Center Delnor
Patient Demographics
Age: 81 years
Gender: Male
Race: White, Non Hispanic
Clinical Information
Time with Patient: 120 minutes
Consult with Clinical Instructor:
ICD-10 Diagnosis Codes
#1 - c77.1 - SECONDARY AND UNSP MALIGNANT NEOPLASM OF INTRATHORAC NODES
Procedures/Skills (Observed/Assisted/Performed) (Critical in Bold)
Beam Modification Devices - Custom Block (photon) (Asst)
Beam Modification Devices - Wedge (Perf)
External Beam Treatment Planning - Thorax - Basic (Perf)
Contouring - Thorax (Perf)
Dose Calculations - MU Calculation - 2nd Check (Computer) (Perf)
Dose Calculations - MU Calculation (Computer) (Perf)
Charting - Billing/Coding Documentation (Perf)
Charting - Configuration of Portal Images (Perf)
Charting - Patient Setup & Machine Parameter Documentation (Perf)
Charting - Radiation Dose Programming (Perf)
Charting - Treatment Plan Import/Export to Chart (Perf)
Other Questions About This Case
Mock Procedure:
Required Competency:
Protocol Patient:
Patient presented at conference:
Clinical Notes

University of Wisconsin La Crosse - Med Dosimetry (Acct #9094)

Case ID #: 1204-20160718-001
Date of Service: 7/18/2016
Student Information - Clark, Ryan
Semester: Spring
Course: DOS 772 Clinical Practicum II
Clinical Instructor: PARKS, Heather
Clinical Site: Northwestern Medicine Cancer Center Delnor
Patient Demographics
Age: 70 years
Gender: Female
Race: White, Non Hispanic
Clinical Information
Time with Patient: 2 minutes
Consult with Clinical Instructor:
ICD-10 Diagnosis Codes
#1 - c50.411 - MALIG NEOPLM OF UPPER-OUTER QUADRANT OF RIGHT FEMALE BREAST
#3 - 250 is not a valid ICD code.
Procedures/Skills (Observed/Assisted/Performed) (Critical in Bold)
Beam Modification Devices - MLC Digitization (Perf)
External Beam Treatment Planning - Breast - Tangential (Perf)
Contouring - Breast (Perf)
Dose Calculations - MU Calculation - 2nd Check (Computer) (Perf)
Dose Calculations - MU Calculation (Computer) (Perf)
Charting - Billing/Coding Documentation (Perf)
Charting - Configuration of Portal Images (Perf)
Charting - Patient Setup & Machine Parameter Documentation (Perf)
Charting - Radiation Dose Programming (Perf)
Charting - Treatment Plan Import/Export to Chart (Perf)
Other Questions About This Case
Mock Procedure:
Required Competency:
Protocol Patient:
Patient presented at conference:
Clinical Notes

University of Wisconsin La Crosse - Med Dosimetry (Acct #9094)

Case ID #: 1204-20160718-002
Date of Service: 7/18/2016
Student Information - Clark, Ryan
Semester: Spring
Course: DOS 772 Clinical Practicum II
Clinical Instructor: PARKS, Heather
Clinical Site: Northwestern Medicine Cancer Center Delnor
Patient Demographics
Age: 62 years
Gender: Female
Race: Hispanic
Clinical Information
Time with Patient: 230 minutes
Consult with Clinical Instructor:
ICD-10 Diagnosis Codes
#1 - c50.612 - MALIGNANT NEOPLASM OF AXILLARY TAIL OF LEFT FEMALE BREAST
Procedures/Skills (Observed/Assisted/Performed) (Critical in Bold)
Beam Modification Devices - MLC Digitization (Perf)
External Beam Treatment Planning - Breast - Forward Planning (Perf)
External Beam Treatment Planning - Breast - Tangential (Perf)
Contouring - Breast (Perf)
Dose Calculations - MU Calculation - 2nd Check (Computer) (Perf)
Dose Calculations - MU Calculation (Computer) (Perf)
Charting - Billing/Coding Documentation (Perf)
Charting - Configuration of Portal Images (Perf)
Charting - Patient Setup & Machine Parameter Documentation (Perf)
Charting - Radiation Dose Programming (Perf)
Charting - Treatment Plan Import/Export to Chart (Perf)
Other Questions About This Case
Mock Procedure:
Required Competency:
Protocol Patient:
Patient presented at conference:
Clinical Notes

University of Wisconsin La Crosse - Med Dosimetry (Acct #9094)

Case ID #: 1204-20160721-001
Date of Service: 7/21/2016
Student Information - Clark, Ryan
Semester: Summer
Course: DOS 772 Clinical Practicum II
Clinical Instructor: PARKS, Heather
Clinical Site: Northwestern Medicine Cancer Center Delnor
Patient Demographics
Age: 69 years
Gender: Male
Race: White, Non Hispanic
Clinical Information
Time with Patient: 430 minutes
Consult with Clinical Instructor:
ICD-10 Diagnosis Codes
#1 - c61 - MALIGNANT NEOPLASM OF PROSTATE
Procedures/Skills (Observed/Assisted/Performed) (Critical in Bold)
External Beam Treatment Planning - Pelvis - Basic (Perf)
Contouring - Pelvis (Perf)
Dose Calculations - MU Calculation - 2nd Check (Computer) (Perf)
Dose Calculations - MU Calculation (Computer) (Perf)
Charting - Billing/Coding Documentation (Perf)
Charting - Configuration of Portal Images (Perf)
Charting - Patient Setup & Machine Parameter Documentation (Perf)
Charting - Radiation Dose Programming (Perf)
Charting - Treatment Plan Import/Export to Chart (Perf)
Other Questions About This Case
Mock Procedure:
Required Competency: Yes
Protocol Patient:
Patient presented at conference:
Clinical Notes

University of Wisconsin La Crosse - Med Dosimetry (Acct #9094)

Case ID #: 1204-20160725-001
Date of Service: 7/25/2016
Student Information - Clark, Ryan
Semester: Spring
Course: DOS 772 Clinical Practicum II
Clinical Instructor: PARKS, Heather
Clinical Site: Northwestern Medicine Cancer Center Delnor
Patient Demographics
Age: 73 years
Gender: Male
Race: White, Non Hispanic
Clinical Information
Time with Patient: 120 minutes
Consult with Clinical Instructor:
ICD-10 Diagnosis Codes
#1 - c20 - MALIGNANT NEOPLASM OF RECTUM
Procedures/Skills (Observed/Assisted/Performed) (Critical in Bold)
Beam Modification Devices - Custom Block (photon) (Asst)
Beam Modification Devices - Wedge (Perf)
External Beam Treatment Planning - Pelvis - Basic (Perf)
External Beam Treatment Planning - Pelvis - Prone (Perf)
Contouring - Pelvis (Perf)
Dose Calculations - MU Calculation - 2nd Check (Computer) (Perf)
Dose Calculations - MU Calculation (Computer) (Perf)
Charting - Billing/Coding Documentation (Perf)
Charting - Patient Setup & Machine Parameter Documentation (Perf)
Charting - Radiation Dose Programming (Perf)
Charting - Treatment Plan Import/Export to Chart (Perf)
Other Questions About This Case
Mock Procedure:
Required Competency:
Protocol Patient:
Patient presented at conference:
Clinical Notes

University of Wisconsin La Crosse - Med Dosimetry (Acct #9094)

Case ID #: 1204-20160726-001
Date of Service: 7/26/2016
Student Information - Clark, Ryan
Semester: Spring
Course: DOS 772 Clinical Practicum II
Clinical Instructor: PARKS, Heather
Clinical Site: Northwestern Medicine Cancer Center Delnor
Patient Demographics
Age: 70 years
Gender: Female
Race: White, Non Hispanic
Clinical Information
Time with Patient: 220 minutes
Consult with Clinical Instructor:
ICD-10 Diagnosis Codes
#1 - c50.411 - MALIG NEOPLM OF UPPER-OUTER QUADRANT OF RIGHT FEMALE BREAST
Procedures/Skills (Observed/Assisted/Performed) (Critical in Bold)
Beam Modification Devices - Custom Block (electron) (Perf)
External Beam Treatment Planning - Breast - Forward Planning (Perf)
Contouring - Breast (Perf)
Dose Calculations - MU Calculation - 2nd Check (Computer) (Perf)
Dose Calculations - MU Calculation (Computer) (Perf)
Charting - Billing/Coding Documentation (Perf)
Charting - Patient Setup & Machine Parameter Documentation (Perf)
Charting - Radiation Dose Programming (Perf)
Charting - Treatment Plan Import/Export to Chart (Perf)
Other Questions About This Case
Mock Procedure:
Required Competency:
Protocol Patient:
Patient presented at conference:
Clinical Notes

University of Wisconsin La Crosse - Med Dosimetry (Acct #9094)

Case ID #: 1204-20160727-001
Date of Service: 7/27/2016
Student Information - Clark, Ryan
Semester: Spring
Course: DOS 772 Clinical Practicum II
Clinical Instructor: PARKS, Heather
Clinical Site: Northwestern Medicine Cancer Center Delnor
Patient Demographics
Age: 58 years
Gender: Female
Race: White, Non Hispanic
Clinical Information
Time with Patient: 180 minutes
Consult with Clinical Instructor:
ICD-10 Diagnosis Codes
#1 - c50.212 - MALIG NEOPLASM OF UPPER-INNER QUADRANT OF LEFT FEMALE BREAST
Procedures/Skills (Observed/Assisted/Performed) (Critical in Bold)
Beam Modification Devices - Custom Block (photon) (Perf)
Beam Modification Devices - Wedge (Perf)
External Beam Treatment Planning - Breast - Forward Planning (Perf)
Contouring - Breast (Perf)
Dose Calculations - MU Calculation - 2nd Check (Computer) (Perf)
Dose Calculations - MU Calculation (Computer) (Perf)
Charting - Billing/Coding Documentation (Perf)
Charting - Configuration of Portal Images (Perf)
Charting - Patient Setup & Machine Parameter Documentation (Perf)
Charting - Radiation Dose Programming (Perf)
Charting - Treatment Plan Import/Export to Chart (Perf)
Other Questions About This Case
Mock Procedure:
Required Competency:
Protocol Patient:
Patient presented at conference:
Clinical Notes

University of Wisconsin La Crosse - Med Dosimetry (Acct #9094)

Case ID #: 1204-20160808-001
Date of Service: 8/8/2016
Student Information - Clark, Ryan
Semester: Spring
Course: DOS 772 Clinical Practicum II
Clinical Instructor: PARKS, Heather
Clinical Site: Northwestern Medicine Cancer Center Delnor
Patient Demographics
Age: 49 years
Gender: Female
Race: White, Non Hispanic
Clinical Information
Time with Patient: 360 minutes
Consult with Clinical Instructor:
ICD-10 Diagnosis Codes
#1 - C50.211 - MALIG NEOPLM OF UPPER-INNER QUADRANT OF RIGHT FEMALE BREAST
Procedures/Skills (Observed/Assisted/Performed) (Critical in Bold)
Beam Modification Devices - Custom Block (photon) (Asst)
Beam Modification Devices - MLC Digitization (Perf)
External Beam Treatment Planning - Breast - Forward Planning (Perf)
External Beam Treatment Planning - Breast - with s'clav (Perf)
Contouring - Breast (Perf)
Dose Calculations - MU Calculation - 2nd Check (Computer) (Perf)
Dose Calculations - MU Calculation (Computer) (Perf)
Charting - Billing/Coding Documentation (Perf)
Charting - Configuration of Portal Images (Perf)
Charting - Patient Setup & Machine Parameter Documentation (Perf)
Charting - Radiation Dose Programming (Perf)
Charting - Treatment Plan Import/Export to Chart (Perf)
Other Questions About This Case
Mock Procedure:
Required Competency: Yes
Protocol Patient:
Patient presented at conference:
Clinical Notes

University of Wisconsin La Crosse - Med Dosimetry (Acct #9094)

Case ID #: 1204-20160808-002
Date of Service: 8/8/2016
Student Information - Clark, Ryan
Semester: Spring
Course: DOS 772 Clinical Practicum II
Clinical Instructor: PARKS, Heather
Clinical Site: Northwestern Medicine Cancer Center Delnor
Patient Demographics
Age: 73 years
Gender: Male
Race: White, Non Hispanic
Clinical Information
Time with Patient: 180 minutes
Consult with Clinical Instructor:
ICD-10 Diagnosis Codes
#1 - C83.34 - DIFFUSE LARGE B-CELL LYMPH, NODES OF AXILLA AND UPPER LIMB
Procedures/Skills (Observed/Assisted/Performed) (Critical in Bold)
Beam Modification Devices - Custom Block (photon) (Perf)
External Beam Treatment Planning - Extremity - non-skin (Perf)
Contouring - Extremity (Perf)
Dose Calculations - Mayneord F Calculation (Computer) (Perf)
Dose Calculations - MU Calculation - 2nd Check (Computer) (Perf)
Charting - Billing/Coding Documentation (Perf)
Charting - Configuration of Portal Images (Perf)
Charting - Patient Setup & Machine Parameter Documentation (Perf)
Charting - Radiation Dose Programming (Perf)
Charting - Treatment Plan Import/Export to Chart (Perf)
Simulation/CT - Extremity (Asst)
Other Questions About This Case
Mock Procedure:
Required Competency: Yes
Protocol Patient:
Patient presented at conference:
Clinical Notes

University of Wisconsin La Crosse - Med Dosimetry (Acct #9094)

Case ID #: 1204-20160810-001
Date of Service: 8/10/2016
Student Information - Clark, Ryan
Semester: Spring
Course: DOS 772 Clinical Practicum II
Clinical Instructor: PARKS, Heather
Clinical Site: Northwestern Medicine Cancer Center Delnor
Patient Demographics
Age: 61 years
Gender: Female
Race: White, Non Hispanic
Clinical Information
Time with Patient: 340 minutes
Consult with Clinical Instructor:
ICD-10 Diagnosis Codes
#1 - C50 - MALIGNANT NEOPLASM OF BREAST
Procedures/Skills (Observed/Assisted/Performed) (Critical in Bold)
Beam Modification Devices - MLC Digitization (Perf)
External Beam Treatment Planning - Breast - Forward Planning (Perf)
Contouring - Breast (Perf)
Dose Calculations - Mayneord F Calculation (Computer) (Perf)
Dose Calculations - MU Calculation - 2nd Check (Computer) (Perf)
Charting - Billing/Coding Documentation (Perf)
Charting - Configuration of Portal Images (Perf)
Charting - Patient Setup & Machine Parameter Documentation (Perf)
Charting - Radiation Dose Programming (Perf)
Charting - Treatment Plan Import/Export to Chart (Perf)
Other Questions About This Case
Mock Procedure:
Required Competency:
Protocol Patient:
Patient presented at conference:
Clinical Notes

University of Wisconsin La Crosse - Med Dosimetry (Acct #9094)

Case ID #: 1204-20160812-001
Date of Service: 8/12/2016
Student Information - Clark, Ryan
Semester: Spring
Course: DOS 772 Clinical Practicum II
Clinical Instructor: PARKS, Heather
Clinical Site: Northwestern Medicine Cancer Center Delnor
Patient Demographics
Age: 88 years
Gender: Female
Race: White, Non Hispanic
Clinical Information
Time with Patient: 200 minutes
Consult with Clinical Instructor:
ICD-10 Diagnosis Codes
#1 - c20 - MALIGNANT NEOPLASM OF RECTUM
Procedures/Skills (Observed/Assisted/Performed) (Critical in Bold)
Beam Modification Devices - Custom Block (photon) (Asst)
Beam Modification Devices - Wedge (Perf)
External Beam Treatment Planning - Pelvis - Basic (Perf)
Contouring - Pelvis (Perf)
Dose Calculations - MU Calculation (Computer) (Perf)
Image Fusion - TPCT - MR (Perf)
Other Questions About This Case
Mock Procedure:
Required Competency:
Protocol Patient:
Patient presented at conference:
Clinical Notes

University of Wisconsin La Crosse - Med Dosimetry (Acct #9094)

Case ID #: 1204-20160912-002
Date of Service: 9/12/2016
Student Information - Clark, Ryan
Semester: Fall
Course: DOS 773 Clinical Practicum III
Clinical Instructor: CREBO, Donald
Clinical Site: Northwestern Medicine Cancer Center Warrenville
Patient Demographics
Age: 41 years
Gender: Female
Race: White, Non Hispanic
Clinical Information
Time with Patient: 240 minutes
Consult with Clinical Instructor:
ICD-10 Diagnosis Codes
#1 - C50.812 - MALIGNANT NEOPLASM OF OVRLP SITES OF LEFT FEMALE BREAST
Procedures/Skills (Observed/Assisted/Performed) (Critical in Bold)
Beam Modification Devices - Custom Block (photon) (Perf)
External Beam Treatment Planning - Breast - Forward Planning (Perf)
Contouring - Breast (Perf)
Dose Calculations - MU Calculation - 2nd Check (Computer) (Perf)
Dose Calculations - MU Calculation (Computer) (Perf)
Charting - Billing/Coding Documentation (Perf)
Charting - Configuration of Portal Images (Perf)
Charting - Patient Setup & Machine Parameter Documentation (Perf)
Charting - Radiation Dose Programming (Perf)
Charting - Treatment Plan Import/Export to Chart (Perf)
Other Questions About This Case
Mock Procedure:
Required Competency:
Protocol Patient:
Patient presented at conference:
Clinical Notes

University of Wisconsin La Crosse - Med Dosimetry (Acct #9094)

Case ID #: 1204-20160913-001
Date of Service: 9/13/2016
Student Information - Clark, Ryan
Semester: Fall
Course: DOS 773 Clinical Practicum III
Clinical Instructor: CREBO, Donald
Clinical Site: Northwestern Medicine Cancer Center Delnor
Patient Demographics
Age: 63 years
Gender: Female
Race: White, Non Hispanic
Clinical Information
Time with Patient: 260 minutes
Consult with Clinical Instructor:
ICD-10 Diagnosis Codes
#1 - C60.212 is not a valid ICD code.
Procedures/Skills (Observed/Assisted/Performed) (Critical in Bold)
Beam Modification Devices - Custom Block (photon) (Perf)
External Beam Treatment Planning - Breast - Forward Planning (Perf)
Contouring - Breast (Perf)
Dose Calculations - MU Calculation - 2nd Check (Computer) (Perf)
Dose Calculations - MU Calculation (Computer) (Perf)
Charting - Billing/Coding Documentation (Perf)
Charting - Configuration of Portal Images (Perf)
Charting - Patient Setup & Machine Parameter Documentation (Perf)
Charting - Radiation Dose Programming (Perf)
Charting - Treatment Plan Import/Export to Chart (Perf)
Other Questions About This Case
Mock Procedure:
Required Competency:
Protocol Patient:
Patient presented at conference:
Clinical Notes

University of Wisconsin La Crosse - Med Dosimetry (Acct #9094)

Case ID #: 1204-20160915-001
Date of Service: 9/15/2016
Student Information - Clark, Ryan
Semester: Fall
Course: DOS 773 Clinical Practicum III
Clinical Instructor: CREBO, Donald
Clinical Site: Northwestern Medicine Cancer Center Warrenville
Patient Demographics
Age: 76 years
Gender: Female
Race: Hispanic
Clinical Information
Time with Patient: 230 minutes
Consult with Clinical Instructor:
ICD-10 Diagnosis Codes
#1 - C50.411 - MALIG NEOPLM OF UPPER-OUTER QUADRANT OF RIGHT FEMALE BREAST
Procedures/Skills (Observed/Assisted/Performed) (Critical in Bold)
Beam Modification Devices - Custom Block (photon) (Asst)
Beam Modification Devices - MLC Digitization (Perf)
External Beam Treatment Planning - Breast - Forward Planning (Perf)
Contouring - Breast (Perf)
Dose Calculations - MU Calculation - 2nd Check (Computer) (Perf)
Dose Calculations - MU Calculation (Computer) (Perf)
Charting - Billing/Coding Documentation (Perf)
Charting - Configuration of Portal Images (Perf)
Charting - Patient Setup & Machine Parameter Documentation (Perf)
Charting - Treatment Plan Import/Export to Chart (Perf)
Other Questions About This Case
Mock Procedure:
Required Competency:
Protocol Patient:
Patient presented at conference:
Clinical Notes

University of Wisconsin La Crosse - Med Dosimetry (Acct #9094)

Case ID #: 1204-20160920-001
Date of Service: 9/20/2016
Student Information - Clark, Ryan
Semester: Fall
Course: DOS 773 Clinical Practicum III
Clinical Instructor: CREBO, Donald
Clinical Site: Northwestern Medicine Cancer Center Warrenville
Patient Demographics
Age: 76 years
Gender: Female
Race: White, Non Hispanic
Clinical Information
Time with Patient: 280 minutes
Consult with Clinical Instructor:
ICD-10 Diagnosis Codes
#1 - c54.1 - MALIGNANT NEOPLASM OF ENDOMETRIUM
Procedures/Skills (Observed/Assisted/Performed) (Critical in Bold)
Brachytherapy Treatment Planning - HDR Intracavitary (Perf)
Brachytherapy - Operating Room Participation (Perf)
Brachytherapy - Safety Surveys/Measurements (Asst)
Brachytherapy - Source Leak Check (Asst)
Brachytherapy - Source Log Book/Records (Asst)
Quality Assurance - HDR - Daily (Asst)
Other Questions About This Case
Mock Procedure:
Required Competency: Yes
Protocol Patient:
Patient presented at conference:
Clinical Notes

University of Wisconsin La Crosse - Med Dosimetry (Acct #9094)

Case ID #: 1204-20160921-001
Date of Service: 9/21/2016
Student Information - Clark, Ryan
Semester: Fall
Course: DOS 773 Clinical Practicum III
Clinical Instructor: CREBO, Donald
Clinical Site: Northwestern Medicine Cancer Center Warrenville
Patient Demographics
Age: 89 years
Gender: Male
Race: White, Non Hispanic
Clinical Information
Time with Patient: 130 minutes
Consult with Clinical Instructor:
ICD-10 Diagnosis Codes
#1 - c44.519 - BASAL CELL CARCINOMA OF SKIN OF OTHER PART OF TRUNK
Procedures/Skills (Observed/Assisted/Performed) (Critical in Bold)
Beam Modification Devices - Custom Block (electron) (Perf)
External Beam Treatment Planning - Extremity - Skin (Perf)
Contouring - Spine (Perf)
Dose Calculations - MU Calculation - 2nd Check (Computer) (Perf)
Dose Calculations - MU Calculation (Computer) (Perf)
Other Questions About This Case
Mock Procedure:
Required Competency:
Protocol Patient:
Patient presented at conference:
Clinical Notes

University of Wisconsin La Crosse - Med Dosimetry (Acct #9094)

Case ID #: 1204-20160923-001
Date of Service: 9/23/2016
Student Information - Clark, Ryan
Semester: Fall
Course: DOS 773 Clinical Practicum III
Clinical Instructor: CREBO, Donald
Clinical Site: Northwestern Medicine Cancer Center Warrenville
Patient Demographics
Age: 84 years
Gender: Male
Race: White, Non Hispanic
Clinical Information
Time with Patient: 300 minutes
Consult with Clinical Instructor:
ICD-10 Diagnosis Codes
#1 - c79.51 - SECONDARY MALIGNANT NEOPLASM OF BONE
Procedures/Skills (Observed/Assisted/Performed) (Critical in Bold)
Beam Modification Devices - Bolus (Perf)
Beam Modification Devices - MLC Digitization (Perf)
Beam Modification Devices - Wedge (Perf)
External Beam Treatment Planning - H & N - Conformal (Perf)
Contouring - Head & Neck (Perf)
Dose Calculations - MU Calculation - 2nd Check (Computer) (Perf)
Dose Calculations - MU Calculation (Computer) (Perf)
Charting - Billing/Coding Documentation (Perf)
Charting - Patient Setup & Machine Parameter Documentation (Perf)
Charting - Radiation Dose Programming (Perf)
Charting - Treatment Plan Import/Export to Chart (Perf)
Other Questions About This Case
Mock Procedure:
Required Competency:
Protocol Patient:
Patient presented at conference:
Clinical Notes

University of Wisconsin La Crosse - Med Dosimetry (Acct #9094)

Case ID #: 1204-20160923-002
Date of Service: 9/23/2016
Student Information - Clark, Ryan
Semester: Fall
Course: DOS 773 Clinical Practicum III
Clinical Instructor: CREBO, Donald
Clinical Site: Northwestern Medicine Cancer Center Warrenville
Patient Demographics
Age: 61 years
Gender: Male
Race: White, Non Hispanic
Clinical Information
Time with Patient: 400 minutes
Consult with Clinical Instructor:
ICD-10 Diagnosis Codes
#1 - 16.8 is not a valid ICD code.
Procedures/Skills (Observed/Assisted/Performed) (Critical in Bold)
Beam Modification Devices - MLC Digitization (Perf)
External Beam Treatment Planning - Abdomen - IMRT (Perf)
Contouring - Abdomen (Perf)
Dose Calculations - MU Calculation - 2nd Check (Computer) (Perf)
Dose Calculations - MU Calculation (Computer) (Perf)
Charting - Billing/Coding Documentation (Perf)
Charting - Configuration of Portal Images (Perf)
Charting - Patient Setup & Machine Parameter Documentation (Perf)
Charting - Radiation Dose Programming (Perf)
Charting - Treatment Plan Import/Export to Chart (Perf)
Quality Assurance - Cone Beam CT (Perf)
Quality Assurance - IMRT QA- Plan Creation or Phantom Measurement (Perf)
Quality Assurance - Linac - Daily (Perf)
Quality Assurance - Simulator - Daily (Perf)
Quality Assurance - Simulator - Monthly (Perf)
Other Questions About This Case
Mock Procedure:
Required Competency:
Protocol Patient:
Patient presented at conference:
Clinical Notes

University of Wisconsin La Crosse - Med Dosimetry (Acct #9094)

Case ID #: 1204-20160926-001
Date of Service: 9/26/2016
Student Information - Clark, Ryan
Semester: Fall
Course: DOS 773 Clinical Practicum III
Clinical Instructor: CREBO, Donald
Clinical Site: Northwestern Medicine Cancer Center Warrenville
Patient Demographics
Age: 46 years
Gender: Male
Race: American Indian or Alaskan Native
Clinical Information
Time with Patient: 350 minutes
Consult with Clinical Instructor:
ICD-10 Diagnosis Codes
#1 - c71.1 - MALIGNANT NEOPLASM OF FRONTAL LOBE
Procedures/Skills (Observed/Assisted/Performed) (Critical in Bold)
Beam Modification Devices - MLC Digitization (Perf)
External Beam Treatment Planning - Brain - IMRT (Perf)
Contouring - Brain (Perf)
Dose Calculations - MU Calculation - 2nd Check (Computer) (Perf)
Dose Calculations - MU Calculation (Computer) (Perf)
Charting - Billing/Coding Documentation (Perf)
Charting - Patient Setup & Machine Parameter Documentation (Perf)
Charting - Radiation Dose Programming (Perf)
Charting - Treatment Plan Import/Export to Chart (Perf)
Other Questions About This Case
Mock Procedure:
Required Competency:
Protocol Patient:
Patient presented at conference:
Clinical Notes

University of Wisconsin La Crosse - Med Dosimetry (Acct #9094)

Case ID #: 1204-20160927-001
Date of Service: 9/27/2016
Student Information - Clark, Ryan
Semester: Fall
Course: DOS 773 Clinical Practicum III
Clinical Instructor: CREBO, Donald
Clinical Site: Northwestern Medicine Cancer Center Warrenville
Patient Demographics
Age: 74 years
Gender: Female
Race: White, Non Hispanic
Clinical Information
Time with Patient: 450 minutes
Consult with Clinical Instructor:
ICD-10 Diagnosis Codes
#1 - 198.5 is not a valid ICD code.
Procedures/Skills (Observed/Assisted/Performed) (Critical in Bold)
Beam Modification Devices - MLC Digitization (Perf)
External Beam Treatment Planning - Thorax - IMRT (Perf)
Contouring - Pelvis (Perf)
Contouring - Spine (Perf)
Contouring - Thorax (Perf)
Dose Calculations - MU Calculation - 2nd Check (Computer) (Perf)
Dose Calculations - MU Calculation (Computer) (Perf)
Special Treatment Techniques - Field Matching (Perf)
Charting - Billing/Coding Documentation (Perf)
Charting - Configuration of Portal Images (Perf)
Charting - Patient Setup & Machine Parameter Documentation (Perf)
Charting - Radiation Dose Programming (Perf)
Charting - Treatment Plan Import/Export to Chart (Perf)
Image Fusion - TPCT - CT (Perf)
Other Questions About This Case
Mock Procedure:
Required Competency:
Protocol Patient:
Patient presented at conference:
Clinical Notes

University of Wisconsin La Crosse - Med Dosimetry (Acct #9094)

Case ID #: 1204-20160928-001
Date of Service: 9/28/2016
Student Information - Clark, Ryan
Semester: Fall
Course: DOS 773 Clinical Practicum III
Clinical Instructor: CREBO, Donald
Clinical Site: Northwestern Medicine Cancer Center Warrenville
Patient Demographics
Age: 61 years
Gender: Female
Race: White, Non Hispanic
Clinical Information
Time with Patient: 300 minutes
Consult with Clinical Instructor:
ICD-10 Diagnosis Codes
#1 - C79.51 - SECONDARY MALIGNANT NEOPLASM OF BONE
Procedures/Skills (Observed/Assisted/Performed) (Critical in Bold)
Beam Modification Devices - Custom Block (photon) (Perf)
External Beam Treatment Planning - Brain - Conformal (Perf)
External Beam Treatment Planning - Pelvis - Basic (Perf)
Contouring - Brain (Perf)
Contouring - Pelvis (Perf)
Dose Calculations - MU Calculation - 2nd Check (Computer) (Perf)
Dose Calculations - MU Calculation (Computer) (Perf)
Charting - Billing/Coding Documentation (Perf)
Charting - Configuration of Portal Images (Perf)
Charting - Patient Setup & Machine Parameter Documentation (Perf)
Charting - Radiation Dose Programming (Perf)
Charting - Treatment Plan Import/Export to Chart (Perf)
Image Fusion - TPCT - CT (Perf)
Other Questions About This Case
Mock Procedure:
Required Competency:
Protocol Patient:
Patient presented at conference:
Clinical Notes

University of Wisconsin La Crosse - Med Dosimetry (Acct #9094)

Case ID #: 1204-20160930-001
Date of Service: 9/30/2016
Student Information - Clark, Ryan
Semester: Fall
Course: DOS 773 Clinical Practicum III
Clinical Instructor: CREBO, Donald
Clinical Site: Northwestern Medicine Cancer Center Warrenville
Patient Demographics
Age: 41 years
Gender: Female
Race: White, Non Hispanic
Clinical Information
Time with Patient: 200 minutes
Consult with Clinical Instructor:
ICD-10 Diagnosis Codes
#1 - C50.812 - MALIGNANT NEOPLASM OF OVRLP SITES OF LEFT FEMALE BREAST
Procedures/Skills (Observed/Assisted/Performed) (Critical in Bold)
Beam Modification Devices - Custom Block (electron) (Perf)
External Beam Treatment Planning - Breast - Forward Planning (Perf)
Contouring - Breast (Perf)
Dose Calculations - MU Calculation - 2nd Check (Computer) (Perf)
Dose Calculations - MU Calculation (Computer) (Perf)
Charting - Billing/Coding Documentation (Perf)
Charting - Patient Setup & Machine Parameter Documentation (Perf)
Charting - Radiation Dose Programming (Perf)
Charting - Treatment Plan Import/Export to Chart (Perf)
Other Questions About This Case
Mock Procedure:
Required Competency:
Protocol Patient:
Patient presented at conference:
Clinical Notes

University of Wisconsin La Crosse - Med Dosimetry (Acct #9094)

Case ID #: 1204-20161003-001
Date of Service: 10/3/2016
Student Information - Clark, Ryan
Semester: Fall
Course: DOS 773 Clinical Practicum III
Clinical Instructor: CREBO, Donald
Clinical Site: Northwestern Medicine Cancer Center Warrenville
Patient Demographics
Age: 64 years
Gender: Female
Race: White, Non Hispanic
Clinical Information
Time with Patient: 250 minutes
Consult with Clinical Instructor:
ICD-10 Diagnosis Codes
#1 - C50.812 - MALIGNANT NEOPLASM OF OVRLP SITES OF LEFT FEMALE BREAST
Procedures/Skills (Observed/Assisted/Performed) (Critical in Bold)
Beam Modification Devices - Custom Block (photon) (Asst)
Beam Modification Devices - MLC Digitization (Perf)
External Beam Treatment Planning - Breast - Forward Planning (Perf)
Contouring - Breast (Perf)
Charting - Billing/Coding Documentation (Perf)
Charting - Configuration of Portal Images (Perf)
Charting - Patient Setup & Machine Parameter Documentation (Perf)
Charting - Radiation Dose Programming (Perf)
Charting - Treatment Plan Import/Export to Chart (Perf)
Other Questions About This Case
Mock Procedure:
Required Competency:
Protocol Patient:
Patient presented at conference:
Clinical Notes

University of Wisconsin La Crosse - Med Dosimetry (Acct #9094)

Case ID #: 1204-20161006-001
Date of Service: 10/6/2016
Student Information - Clark, Ryan
Semester: Fall
Course: DOS 773 Clinical Practicum III
Clinical Instructor: CREBO, Donald
Clinical Site: Northwestern Medicine Cancer Center Warrenville
Patient Demographics
Age: 13 years
Gender: Female
Race: White, Non Hispanic
Clinical Information
Time with Patient: 400 minutes
Consult with Clinical Instructor:
ICD-10 Diagnosis Codes
#1 - C22.9 - MALIG NEOPLASM OF LIVER, NOT SPECIFIED AS PRIMARY OR SEC
Procedures/Skills (Observed/Assisted/Performed) (Critical in Bold)
Beam Modification Devices - Custom Block (photon) (Perf)
Beam Modification Devices - MLC Digitization (Perf)
External Beam Treatment Planning - Brain - Basic (Perf)
Contouring - Abdomen (Perf)
Contouring - Head (Perf)
Contouring - Thorax (Perf)
Dose Calculations - Craniospinal Calculation (Computer) (Perf)
Dose Calculations - Gap Calculation (Computer) (Perf)
Special Treatment Techniques - Cranio-Spinal Irradiation (CSI) (Perf)
Special Treatment Techniques - Field Matching (Perf)
Special Treatment Techniques - Junction Shifting (Perf)
Other Questions About This Case
Mock Procedure:
Required Competency:
Protocol Patient:
Patient presented at conference:
Clinical Notes

University of Wisconsin La Crosse - Med Dosimetry (Acct #9094)

Case ID #: 1204-20161010-001
Date of Service: 10/10/2016
Student Information - Clark, Ryan
Semester: Fall
Course: DOS 773 Clinical Practicum III
Clinical Instructor: CREBO, Donald
Clinical Site: Northwestern Medicine Cancer Center Warrenville
Patient Demographics
Age: 65 years
Gender: Male
Race: White, Non Hispanic
Clinical Information
Time with Patient: 100 minutes
Consult with Clinical Instructor:
ICD-10 Diagnosis Codes
#1 - c15.5 - MALIGNANT NEOPLASM OF LOWER THIRD OF ESOPHAGUS
Procedures/Skills (Observed/Assisted/Performed) (Critical in Bold)
Beam Modification Devices - Custom Block (photon) (Perf)
Beam Modification Devices - Wedge (Perf)
External Beam Treatment Planning - Thorax - Conformal (Perf)
Other Questions About This Case
Mock Procedure:
Required Competency:
Protocol Patient:
Patient presented at conference:
Clinical Notes

University of Wisconsin La Crosse - Med Dosimetry (Acct #9094)

Case ID #: 1204-20161010-002
Date of Service: 10/10/2016
Student Information - Clark, Ryan
Semester: Fall
Course: DOS 773 Clinical Practicum III
Clinical Instructor: CREBO, Donald
Clinical Site: Northwestern Medicine Cancer Center Warrenville
Patient Demographics
Age: 68 years
Gender: Female
Race: White, Non Hispanic
Clinical Information
Time with Patient: 45 minutes
Consult with Clinical Instructor:
ICD-10 Diagnosis Codes
#1 - c54.1 - MALIGNANT NEOPLASM OF ENDOMETRIUM
Procedures/Skills (Observed/Assisted/Performed) (Critical in Bold)
Contouring - Pelvis (Perf)
Brachytherapy Treatment Planning - HDR Intracavitary (Perf)
Other Questions About This Case
Mock Procedure:
Required Competency:
Protocol Patient:
Patient presented at conference:
Clinical Notes

University of Wisconsin La Crosse - Med Dosimetry (Acct #9094)

Case ID #: 1204-20161011-001
Date of Service: 10/11/2016
Student Information - Clark, Ryan
Semester: Fall
Course: DOS 773 Clinical Practicum III
Clinical Instructor: CREBO, Donald
Clinical Site: Northwestern Medicine Cancer Center Warrenville
Patient Demographics
Age: 29 years
Gender: Male
Race: White, Non Hispanic
Clinical Information
Time with Patient: 400 minutes
Consult with Clinical Instructor:
ICD-10 Diagnosis Codes
#1 - C71.1 - MALIGNANT NEOPLASM OF FRONTAL LOBE
Procedures/Skills (Observed/Assisted/Performed) (Critical in Bold)
Beam Modification Devices - MLC Digitization (Perf)
External Beam Treatment Planning - Brain - ARC (Perf)
Dose Calculations - MU Calculation - 2nd Check (Computer) (Perf)
Dose Calculations - MU Calculation (Computer) (Perf)
Charting - Billing/Coding Documentation (Perf)
Charting - Patient Setup & Machine Parameter Documentation (Perf)
Charting - Radiation Dose Programming (Perf)
Charting - Treatment Plan Import/Export to Chart (Perf)
Image Fusion - TPCT - MR (Perf)
Other Questions About This Case
Mock Procedure:
Required Competency: Yes
Protocol Patient:
Patient presented at conference:
Clinical Notes

University of Wisconsin La Crosse - Med Dosimetry (Acct #9094)

Case ID #: 1204-20161012-001
Date of Service: 10/12/2016
Student Information - Clark, Ryan
Semester: Fall
Course: DOS 773 Clinical Practicum III
Clinical Instructor: CREBO, Donald
Clinical Site: Northwestern Medicine Cancer Center Warrenville
Patient Demographics
Age: 52 years
Gender: Female
Race: White, Non Hispanic
Clinical Information
Time with Patient: 200 minutes
Consult with Clinical Instructor:
ICD-10 Diagnosis Codes
#1 - C50.412 - MALIG NEOPLASM OF UPPER-OUTER QUADRANT OF LEFT FEMALE BREAST
Procedures/Skills (Observed/Assisted/Performed) (Critical in Bold)
Contouring - Breast (Perf)
Brachytherapy Treatment Planning - HDR Intracavitary (Perf)
Other Questions About This Case
Mock Procedure:
Required Competency:
Protocol Patient:
Patient presented at conference:
Clinical Notes

University of Wisconsin La Crosse - Med Dosimetry (Acct #9094)

Case ID #: 1204-20161012-002
Date of Service: 10/12/2016
Student Information - Clark, Ryan
Semester: Fall
Course: DOS 773 Clinical Practicum III
Clinical Instructor: CREBO, Donald
Clinical Site: Northwestern Medicine Cancer Center Warrenville
Patient Demographics
Age: 78 years
Gender: Female
Race: White, Non Hispanic
Clinical Information
Time with Patient: 60 minutes
Consult with Clinical Instructor:
ICD-10 Diagnosis Codes
#1 - C79.31 - SECONDARY MALIGNANT NEOPLASM OF BRAIN
Procedures/Skills (Observed/Assisted/Performed) (Critical in Bold)
Beam Modification Devices - Custom Block (photon) (Asst)
External Beam Treatment Planning - Brain - Basic (Perf)
Contouring - Brain (Perf)
Dose Calculations - MU Calculation - 2nd Check (Computer) (Perf)
Dose Calculations - MU Calculation (Computer) (Perf)
Charting - Billing/Coding Documentation (Perf)
Charting - Configuration of Portal Images (Perf)
Charting - Patient Setup & Machine Parameter Documentation (Perf)
Charting - Radiation Dose Programming (Perf)
Charting - Treatment Plan Import/Export to Chart (Perf)
Other Questions About This Case
Mock Procedure:
Required Competency:
Protocol Patient:
Patient presented at conference:
Clinical Notes

University of Wisconsin La Crosse - Med Dosimetry (Acct #9094)

Case ID #: 1204-20161013-001
Date of Service: 10/13/2016
Student Information - Clark, Ryan
Semester: Fall
Course: DOS 773 Clinical Practicum III
Clinical Instructor: CREBO, Donald
Clinical Site: Northwestern Medicine Cancer Center Warrenville
Patient Demographics
Age: 78 years
Gender: Female
Race: White, Non Hispanic
Clinical Information
Time with Patient: 100 minutes
Consult with Clinical Instructor:
ICD-10 Diagnosis Codes
#1 - C79.31 - SECONDARY MALIGNANT NEOPLASM OF BRAIN
Procedures/Skills (Observed/Assisted/Performed) (Critical in Bold)
Beam Modification Devices - Custom Block (photon) (Asst)
External Beam Treatment Planning - Pelvis - Basic (Perf)
External Beam Treatment Planning - Thorax - Basic (Perf)
Contouring - Abdomen (Perf)
Contouring - Spine (Perf)
Dose Calculations - MU Calculation - 2nd Check (Computer) (Perf)
Dose Calculations - MU Calculation (Computer) (Perf)
Charting - Billing/Coding Documentation (Perf)
Charting - Configuration of Portal Images (Perf)
Charting - Patient Setup & Machine Parameter Documentation (Perf)
Charting - Radiation Dose Programming (Perf)
Charting - Treatment Plan Import/Export to Chart (Perf)
Other Questions About This Case
Mock Procedure:
Required Competency:
Protocol Patient:
Patient presented at conference:
Clinical Notes

University of Wisconsin La Crosse - Med Dosimetry (Acct #9094)

Case ID #: 1204-20161017-002
Date of Service: 10/17/2016
Student Information - Clark, Ryan
Semester: Fall
Course: DOS 773 Clinical Practicum III
Clinical Instructor: CREBO, Donald
Clinical Site: Northwestern Medicine Cancer Center Delnor
Patient Demographics
Age: 64 years
Gender: Male
Race: White, Non Hispanic
Clinical Information
Time with Patient: 180 minutes
Consult with Clinical Instructor:
ICD-10 Diagnosis Codes
#1 - C79.51 - SECONDARY MALIGNANT NEOPLASM OF BONE
Procedures/Skills (Observed/Assisted/Performed) (Critical in Bold)
Beam Modification Devices - Custom Block (photon) (Asst)
Beam Modification Devices - Wedge (Perf)
External Beam Treatment Planning - Pelvis - Basic (Perf)
Contouring - Pelvis (Perf)
Dose Calculations - MU Calculation - 2nd Check (Computer) (Perf)
Dose Calculations - MU Calculation (Computer) (Perf)
Charting - Billing/Coding Documentation (Perf)
Charting - Configuration of Portal Images (Perf)
Charting - Radiation Dose Programming (Perf)
Charting - Treatment Plan Import/Export to Chart (Perf)
Other Questions About This Case
Mock Procedure:
Required Competency:
Protocol Patient:
Patient presented at conference:
Clinical Notes

University of Wisconsin La Crosse - Med Dosimetry (Acct #9094)

Case ID #: 1204-20161017-003
Date of Service: 10/17/2016
Student Information - Clark, Ryan
Semester: Fall
Course: DOS 773 Clinical Practicum III
Clinical Instructor: CREBO, Donald
Clinical Site: Northwestern Medicine Cancer Center Warrenville
Patient Demographics
Age: 58 years
Gender: Male
Race: White, Non Hispanic
Clinical Information
Time with Patient: 400 minutes
Consult with Clinical Instructor:
ICD-10 Diagnosis Codes
#1 - C15.5 - MALIGNANT NEOPLASM OF LOWER THIRD OF ESOPHAGUS
Procedures/Skills (Observed/Assisted/Performed) (Critical in Bold)
Beam Modification Devices - MLC Digitization (Perf)
External Beam Treatment Planning - Abdomen - IMRT (Perf)
Contouring - Abdomen (Perf)
Dose Calculations - MU Calculation (Computer) (Perf)
Other Questions About This Case
Mock Procedure:
Required Competency: Yes
Protocol Patient:
Patient presented at conference:
Clinical Notes

University of Wisconsin La Crosse - Med Dosimetry (Acct #9094)

Case ID #: 1204-20161018-001
Date of Service: 10/18/2016
Student Information - Clark, Ryan
Semester: Fall
Course: DOS 773 Clinical Practicum III
Clinical Instructor: CREBO, Donald
Clinical Site: Northwestern Medicine Cancer Center Warrenville
Patient Demographics
Age: 64 years
Gender: Female
Race: White, Non Hispanic
Clinical Information
Time with Patient: 210 minutes
Consult with Clinical Instructor:
ICD-10 Diagnosis Codes
#1 - C50.812 - MALIGNANT NEOPLASM OF OVRLP SITES OF LEFT FEMALE BREAST
Procedures/Skills (Observed/Assisted/Performed) (Critical in Bold)
Beam Modification Devices - Custom Block (photon) (Perf)
Beam Modification Devices - Wedge (Perf)
External Beam Treatment Planning - Breast - Forward Planning (Perf)
Dose Calculations - MU Calculation - 2nd Check (Computer) (Perf)
Dose Calculations - MU Calculation (Computer) (Perf)
Charting - Billing/Coding Documentation (Perf)
Charting - Configuration of Portal Images (Perf)
Charting - Patient Setup & Machine Parameter Documentation (Perf)
Charting - Radiation Dose Programming (Perf)
Charting - Treatment Plan Import/Export to Chart (Perf)
Other Questions About This Case
Mock Procedure:
Required Competency:
Protocol Patient:
Patient presented at conference:
Clinical Notes

University of Wisconsin La Crosse - Med Dosimetry (Acct #9094)

Case ID #: 1204-20161019-001
Date of Service: 10/19/2016
Student Information - Clark, Ryan
Semester: Fall
Course: DOS 773 Clinical Practicum III
Clinical Instructor: CREBO, Donald
Clinical Site: Northwestern Medicine Cancer Center Warrenville
Patient Demographics
Age: 70 years
Gender: Male
Race: White, Non Hispanic
Clinical Information
Time with Patient: 90 minutes
Consult with Clinical Instructor:
ICD-10 Diagnosis Codes
#1 - C79.51 - SECONDARY MALIGNANT NEOPLASM OF BONE
Procedures/Skills (Observed/Assisted/Performed) (Critical in Bold)
Beam Modification Devices - Custom Block (photon) (Asst)
External Beam Treatment Planning - Pelvis - Conformal (Perf)
Contouring - Pelvis (Perf)
Charting - Billing/Coding Documentation (Perf)
Charting - Configuration of Portal Images (Perf)
Charting - Patient Setup & Machine Parameter Documentation (Perf)
Charting - Radiation Dose Programming (Perf)
Charting - Treatment Plan Import/Export to Chart (Perf)
Other Questions About This Case
Mock Procedure:
Required Competency:
Protocol Patient:
Patient presented at conference:
Clinical Notes

University of Wisconsin La Crosse - Med Dosimetry (Acct #9094)

Case ID #: 1204-20161020-001
Date of Service: 10/20/2016
Student Information - Clark, Ryan
Semester: Fall
Course: DOS 773 Clinical Practicum III
Clinical Instructor: CREBO, Donald
Clinical Site: Northwestern Medicine Cancer Center Warrenville
Patient Demographics
Age: 70 years
Gender: Male
Race: White, Non Hispanic
Clinical Information
Time with Patient: 90 minutes
Consult with Clinical Instructor:
ICD-10 Diagnosis Codes
#1 - C79.51 - SECONDARY MALIGNANT NEOPLASM OF BONE
Procedures/Skills (Observed/Assisted/Performed) (Critical in Bold)
Beam Modification Devices - Custom Block (photon) (Asst)
External Beam Treatment Planning - Pelvis - Basic (Perf)
Contouring - Pelvis (Perf)
Dose Calculations - MU Calculation - 2nd Check (Computer) (Perf)
Dose Calculations - MU Calculation (Computer) (Perf)
Charting - Billing/Coding Documentation (Perf)
Charting - Configuration of Portal Images (Perf)
Charting - Patient Setup & Machine Parameter Documentation (Perf)
Charting - Radiation Dose Programming (Perf)
Charting - Treatment Plan Import/Export to Chart (Perf)
Other Questions About This Case
Mock Procedure:
Required Competency:
Protocol Patient:
Patient presented at conference:
Clinical Notes

University of Wisconsin La Crosse - Med Dosimetry (Acct #9094)

Case ID #: 1204-20161027-001
Date of Service: 10/27/2016
Student Information - Clark, Ryan
Semester: Fall
Course: DOS 773 Clinical Practicum III
Clinical Instructor: CREBO, Donald
Clinical Site: Northwestern Medicine Cancer Center Warrenville
Patient Demographics
Age: 64 years
Gender: Male
Race: Black or African American
Clinical Information
Time with Patient: 340 minutes
Consult with Clinical Instructor:
ICD-10 Diagnosis Codes
#1 - C61.4 is not a valid ICD code.
Procedures/Skills (Observed/Assisted/Performed) (Critical in Bold)
Beam Modification Devices - MLC Digitization (Perf)
External Beam Treatment Planning - Pelvis - IMRT (Perf)
Contouring - Pelvis (Perf)
Dose Calculations - MU Calculation - 2nd Check (Computer) (Perf)
Dose Calculations - MU Calculation (Computer) (Perf)
Charting - Billing/Coding Documentation (Perf)
Charting - Patient Setup & Machine Parameter Documentation (Perf)
Charting - Radiation Dose Programming (Perf)
Charting - Treatment Plan Import/Export to Chart (Perf)
Image Fusion - MRI scan (Perf)
Other Questions About This Case
Mock Procedure:
Required Competency: Yes
Protocol Patient:
Patient presented at conference:
Clinical Notes

University of Wisconsin La Crosse - Med Dosimetry (Acct #9094)

Case ID #: 1204-20161028-001
Date of Service: 10/28/2016
Student Information - Clark, Ryan
Semester: Fall
Course: DOS 773 Clinical Practicum III
Clinical Instructor: CREBO, Donald
Clinical Site: Northwestern Medicine Cancer Center Warrenville
Patient Demographics
Age: 60 years
Gender: Male
Race: Hispanic
Clinical Information
Time with Patient: 300 minutes
Consult with Clinical Instructor:
ICD-10 Diagnosis Codes
#1 - C79.49 - SECONDARY MALIGNANT NEOPLASM OF OTH PARTS OF NERVOUS SYSTEM
Procedures/Skills (Observed/Assisted/Performed) (Critical in Bold)
Beam Modification Devices - Custom Block (photon) (Perf)
Beam Modification Devices - Wedge (Perf)
External Beam Treatment Planning - Pelvis - Conformal (Perf)
Contouring - Pelvis (Perf)
Dose Calculations - Mayneord F Calculation (Computer) (Perf)
Dose Calculations - MU Calculation - 2nd Check (Computer) (Perf)
Charting - Billing/Coding Documentation (Perf)
Charting - Configuration of Portal Images (Perf)
Charting - Patient Setup & Machine Parameter Documentation (Perf)
Charting - Radiation Dose Programming (Perf)
Charting - Treatment Plan Import/Export to Chart (Perf)
Other Questions About This Case
Mock Procedure:
Required Competency:
Protocol Patient:
Patient presented at conference:
Clinical Notes

University of Wisconsin La Crosse - Med Dosimetry (Acct #9094)

Case ID #: 1204-20161031-001
Date of Service: 10/31/2016
Student Information - Clark, Ryan
Semester: Fall
Course: DOS 773 Clinical Practicum III
Clinical Instructor: CREBO, Donald
Clinical Site: Northwestern Medicine Cancer Center Warrenville
Patient Demographics
Age: 55 years
Gender: Female
Race: White, Non Hispanic
Clinical Information
Time with Patient: 430 minutes
Consult with Clinical Instructor:
ICD-10 Diagnosis Codes
#1 - C85.15 - UNSP B-CELL LYMPHOMA, NODES OF ING REGION AND LOWER LIMB
Procedures/Skills (Observed/Assisted/Performed) (Critical in Bold)
Beam Modification Devices - Bolus (Perf)
Beam Modification Devices - MLC Digitization (Perf)
External Beam Treatment Planning - Pelvis - IMRT (Perf)
Contouring - Pelvis (Perf)
Dose Calculations - MU Calculation - 2nd Check (Computer) (Perf)
Dose Calculations - MU Calculation (Computer) (Perf)
Charting - Billing/Coding Documentation (Perf)
Charting - Configuration of Portal Images (Perf)
Charting - Patient Setup & Machine Parameter Documentation (Perf)
Charting - Radiation Dose Programming (Perf)
Charting - Treatment Plan Import/Export to Chart (Perf)
Image Fusion - TPCT - PET/CT (Perf)
Other Questions About This Case
Mock Procedure:
Required Competency:
Protocol Patient:
Patient presented at conference:
Clinical Notes

University of Wisconsin La Crosse - Med Dosimetry (Acct #9094)

Case ID #: 1204-20161101-001
Date of Service: 11/1/2016
Student Information - Clark, Ryan
Semester: Fall
Course: DOS 773 Clinical Practicum III
Clinical Instructor: CREBO, Donald
Clinical Site: Northwestern Medicine Cancer Center Delnor
Patient Demographics
Age: 71 years
Gender: Female
Race: White, Non Hispanic
Clinical Information
Time with Patient: 260 minutes
Consult with Clinical Instructor:
ICD-10 Diagnosis Codes
#1 - C50.512 - MALIG NEOPLASM OF LOWER-OUTER QUADRANT OF LEFT FEMALE BREAST
Procedures/Skills (Observed/Assisted/Performed) (Critical in Bold)
Beam Modification Devices - Bolus (Perf)
Beam Modification Devices - Custom Block (photon) (Perf)
Beam Modification Devices - MLC Digitization (Perf)
External Beam Treatment Planning - Chest Wall - IMRT (Perf)
Contouring - Breast (Perf)
Dose Calculations - MU Calculation - 2nd Check (Computer) (Perf)
Dose Calculations - MU Calculation (Computer) (Perf)
Charting - Billing/Coding Documentation (Perf)
Charting - Configuration of Portal Images (Perf)
Charting - Patient Setup & Machine Parameter Documentation (Perf)
Charting - Radiation Dose Programming (Perf)
Charting - Treatment Plan Import/Export to Chart (Perf)
Other Questions About This Case
Mock Procedure:
Required Competency:
Protocol Patient:
Patient presented at conference:
Clinical Notes

University of Wisconsin La Crosse - Med Dosimetry (Acct #9094)

Case ID #: 1204-20161102-001
Date of Service: 11/2/2016
Student Information - Clark, Ryan
Semester: Fall
Course: DOS 773 Clinical Practicum III
Clinical Instructor: CREBO, Donald
Clinical Site: Northwestern Medicine Cancer Center Warrenville
Patient Demographics
Age: 68 years
Gender: Female
Race: White, Non Hispanic
Clinical Information
Time with Patient: 300 minutes
Consult with Clinical Instructor:
ICD-10 Diagnosis Codes
#1 - C54.1 - MALIGNANT NEOPLASM OF ENDOMETRIUM
Procedures/Skills (Observed/Assisted/Performed) (Critical in Bold)
Brachytherapy Treatment Planning - HDR Intracavitary (Perf)
Other Questions About This Case
Mock Procedure:
Required Competency:
Protocol Patient:
Patient presented at conference:
Clinical Notes

University of Wisconsin La Crosse - Med Dosimetry (Acct #9094)

Case ID #: 1204-20161103-001
Date of Service: 11/3/2016
Student Information - Clark, Ryan
Semester: Fall
Course: DOS 773 Clinical Practicum III
Clinical Instructor: CREBO, Donald
Clinical Site: Northwestern Medicine Cancer Center Warrenville
Patient Demographics
Age: 90+ years
Gender: Male
Race: White, Non Hispanic
Clinical Information
Time with Patient: 150 minutes
Consult with Clinical Instructor:
ICD-10 Diagnosis Codes
#1 - C44.5 - OTHER AND UNSPECIFIED MALIGNANT NEOPLASM OF SKIN OF TRUNK
Procedures/Skills (Observed/Assisted/Performed) (Critical in Bold)
Beam Modification Devices - Custom Block (photon) (Perf)
External Beam Treatment Planning - Pelvis - Conformal (Perf)
Contouring - Pelvis (Perf)
Dose Calculations - Mayneord F Calculation (Computer) (Perf)
Dose Calculations - MU Calculation - 2nd Check (Computer) (Perf)
Charting - Billing/Coding Documentation (Perf)
Charting - Configuration of Portal Images (Perf)
Charting - Patient Setup & Machine Parameter Documentation (Perf)
Charting - Radiation Dose Programming (Perf)
Charting - Treatment Plan Import/Export to Chart (Perf)
Other Questions About This Case
Mock Procedure:
Required Competency:
Protocol Patient:
Patient presented at conference:
Clinical Notes

University of Wisconsin La Crosse - Med Dosimetry (Acct #9094)

Case ID #: 1204-20161103-002
Date of Service: 11/3/2016
Student Information - Clark, Ryan
Semester: Fall
Course: DOS 773 Clinical Practicum III
Clinical Instructor: CREBO, Donald
Clinical Site: Northwestern Medicine Cancer Center Warrenville
Patient Demographics
Age: 52 years
Gender: Female
Race: White, Non Hispanic
Clinical Information
Time with Patient: 200 minutes
Consult with Clinical Instructor:
ICD-10 Diagnosis Codes
#1 - C50.412 - MALIG NEOPLASM OF UPPER-OUTER QUADRANT OF LEFT FEMALE BREAST
Procedures/Skills (Observed/Assisted/Performed) (Critical in Bold)
Brachytherapy Treatment Planning - HDR Intracavitary (Perf)
Other Questions About This Case
Mock Procedure:
Required Competency:
Protocol Patient:
Patient presented at conference:
Clinical Notes

University of Wisconsin La Crosse - Med Dosimetry (Acct #9094)

Case ID #: 1204-20161103-003
Date of Service: 11/3/2016
Student Information - Clark, Ryan
Semester: Fall
Course: DOS 773 Clinical Practicum III
Clinical Instructor: CREBO, Donald
Clinical Site: Northwestern Medicine Cancer Center Warrenville
Patient Demographics
Age: 69 years
Gender: Female
Race: White, Non Hispanic
Clinical Information
Time with Patient: 300 minutes
Consult with Clinical Instructor:
ICD-10 Diagnosis Codes
#1 - C54.1 - MALIGNANT NEOPLASM OF ENDOMETRIUM
Procedures/Skills (Observed/Assisted/Performed) (Critical in Bold)
Brachytherapy Treatment Planning - HDR Intracavitary (Perf)
Other Questions About This Case
Mock Procedure:
Required Competency: Yes
Protocol Patient:
Patient presented at conference:
Clinical Notes

University of Wisconsin La Crosse - Med Dosimetry (Acct #9094)

Case ID #: 1204-20161103-004
Date of Service: 11/3/2016
Student Information - Clark, Ryan
Semester: Fall
Course: DOS 773 Clinical Practicum III
Clinical Instructor: CREBO, Donald
Clinical Site: Northwestern Medicine Cancer Center Delnor
Patient Demographics
Age: 70 years
Gender: Female
Race: Hispanic
Clinical Information
Time with Patient: 400 minutes
Consult with Clinical Instructor:
ICD-10 Diagnosis Codes
#1 - C53 - MALIGNANT NEOPLASM OF CERVIX UTERI
Procedures/Skills (Observed/Assisted/Performed) (Critical in Bold)
Brachytherapy Treatment Planning - HDR Intracavitary (Perf)
Other Questions About This Case
Mock Procedure:
Required Competency:
Protocol Patient:
Patient presented at conference:
Clinical Notes

University of Wisconsin La Crosse - Med Dosimetry (Acct #9094)

Case ID #: 1204-20161104-001
Date of Service: 11/4/2016
Student Information - Clark, Ryan
Semester: Spring
Course: DOS 773 Clinical Practicum III
Clinical Instructor: CREBO, Donald
Clinical Site: Northwestern Medicine Cancer Center Warrenville
Patient Demographics
Age: 42 years
Gender: Female
Race: Hispanic
Clinical Information
Time with Patient: 200 minutes
Consult with Clinical Instructor:
ICD-10 Diagnosis Codes
#1 - C90 - MULTIPLE MYELOMA AND MALIGNANT PLASMA CELL NEOPLASMS
Procedures/Skills (Observed/Assisted/Performed) (Critical in Bold)
Beam Modification Devices - Custom Block (photon) (Perf)
External Beam Treatment Planning - Pelvis - Conformal (Perf)
External Beam Treatment Planning - Thorax - Basic (Perf)
Contouring - Pelvis (Perf)
Contouring - Thorax (Perf)
Dose Calculations - Mayneord F Calculation (Computer) (Perf)
Dose Calculations - MU Calculation - 2nd Check (Computer) (Perf)
Dose Calculations - MU Calculation (Computer) (Perf)
Other Questions About This Case
Mock Procedure:
Required Competency:
Protocol Patient:
Patient presented at conference:
Clinical Notes

University of Wisconsin La Crosse - Med Dosimetry (Acct #9094)

Case ID #: 1204-20161107-001
Date of Service: 11/7/2016
Student Information - Clark, Ryan
Semester: Summer
Course: DOS 773 Clinical Practicum III
Clinical Instructor: CREBO, Donald
Clinical Site: Northwestern Medicine Cancer Center Warrenville
Patient Demographics
Age: 77 years
Gender: Female
Race: White, Non Hispanic
Clinical Information
Time with Patient: 400 minutes
Consult with Clinical Instructor:
ICD-10 Diagnosis Codes
#1 - C72.50 - MALIGNANT NEOPLASM OF UNSPECIFIED CRANIAL NERVE
Procedures/Skills (Observed/Assisted/Performed) (Critical in Bold)
Beam Modification Devices - MLC Digitization (Perf)
External Beam Treatment Planning - H & N - IMRT (Perf)
Contouring - Head & Neck (Perf)
Dose Calculations - MU Calculation - 2nd Check (Computer) (Perf)
Dose Calculations - MU Calculation (Computer) (Perf)
Charting - Billing/Coding Documentation (Perf)
Charting - Configuration of Portal Images (Perf)
Charting - Patient Setup & Machine Parameter Documentation (Perf)
Charting - Radiation Dose Programming (Perf)
Charting - Treatment Plan Import/Export to Chart (Perf)
Image Fusion - TPCT - MR (Perf)
Other Questions About This Case
Mock Procedure:
Required Competency: Yes
Protocol Patient:
Patient presented at conference:
Clinical Notes

University of Wisconsin La Crosse - Med Dosimetry (Acct #9094)

Case ID #: 1204-20161107-002
Date of Service: 11/7/2016
Student Information - Clark, Ryan
Semester: Fall
Course: DOS 773 Clinical Practicum III
Clinical Instructor: CREBO, Donald
Clinical Site: Northwestern Medicine Cancer Center Warrenville
Patient Demographics
Age: 74 years
Gender: Male
Race: White, Non Hispanic
Clinical Information
Time with Patient: 300 minutes
Consult with Clinical Instructor:
ICD-10 Diagnosis Codes
#1 - C61 - MALIGNANT NEOPLASM OF PROSTATE
Procedures/Skills (Observed/Assisted/Performed) (Critical in Bold)
Beam Modification Devices - MLC Digitization (Perf)
External Beam Treatment Planning - Pelvis - IMRT (Perf)
Contouring - Pelvis (Perf)
Dose Calculations - MU Calculation (Computer) (Perf)
Other Questions About This Case
Mock Procedure:
Required Competency: Yes
Protocol Patient:
Patient presented at conference:
Clinical Notes

University of Wisconsin La Crosse - Med Dosimetry (Acct #9094)

Case ID #: 1204-20161114-001
Date of Service: 11/14/2016
Student Information - Clark, Ryan
Semester: Spring
Course: DOS 773 Clinical Practicum III
Clinical Instructor: CREBO, Donald
Clinical Site: Northwestern Medicine Cancer Center Warrenville
Patient Demographics
Age: 67 years
Gender: Male
Race: White, Non Hispanic
Clinical Information
Time with Patient: 400 minutes
Consult with Clinical Instructor:
ICD-10 Diagnosis Codes
#1 - C15.3 - MALIGNANT NEOPLASM OF UPPER THIRD OF ESOPHAGUS
Procedures/Skills (Observed/Assisted/Performed) (Critical in Bold)
Beam Modification Devices - MLC Digitization (Perf)
External Beam Treatment Planning - Thorax - IMRT (Perf)
Contouring - Thorax (Perf)
Charting - Billing/Coding Documentation (Perf)
Charting - Patient Setup & Machine Parameter Documentation (Perf)
Charting - Radiation Dose Programming (Perf)
Charting - Treatment Plan Import/Export to Chart (Perf)
Image Fusion - TPCT - PET/CT (Perf)
Simulation/CT - Thorax (Perf)
Other Questions About This Case
Mock Procedure:
Required Competency:
Protocol Patient:
Patient presented at conference:
Clinical Notes

University of Wisconsin La Crosse - Med Dosimetry (Acct #9094)

Case ID #: 1204-20161115-001
Date of Service: 11/15/2016
Student Information - Clark, Ryan
Semester: Fall
Course: DOS 773 Clinical Practicum III
Clinical Instructor: CREBO, Donald
Clinical Site: Northwestern Medicine Cancer Center Warrenville
Patient Demographics
Age: 29 years
Gender: Male
Race: White, Non Hispanic
Clinical Information
Time with Patient: 240 minutes
Consult with Clinical Instructor:
ICD-10 Diagnosis Codes
#1 - C71.1 - MALIGNANT NEOPLASM OF FRONTAL LOBE
Procedures/Skills (Observed/Assisted/Performed) (Critical in Bold)
Beam Modification Devices - MLC Digitization (Perf)
External Beam Treatment Planning - Brain - IMRT (Perf)
Contouring - Brain (Perf)
Charting - Billing/Coding Documentation (Perf)
Charting - Configuration of Portal Images (Perf)
Charting - Patient Setup & Machine Parameter Documentation (Perf)
Charting - Radiation Dose Programming (Perf)
Charting - Treatment Plan Import/Export to Chart (Perf)
Other Questions About This Case
Mock Procedure:
Required Competency:
Protocol Patient:
Patient presented at conference:
Clinical Notes

University of Wisconsin La Crosse - Med Dosimetry (Acct #9094)

Case ID #: 1204-20161116-001
Date of Service: 11/16/2016
Student Information - Clark, Ryan
Semester: Fall
Course: DOS 773 Clinical Practicum III
Clinical Instructor: CREBO, Donald
Clinical Site: Northwestern Medicine Cancer Center Warrenville
Patient Demographics
Age: 67 years
Gender: Female
Race: White, Non Hispanic
Clinical Information
Time with Patient: 330 minutes
Consult with Clinical Instructor:
ICD-10 Diagnosis Codes
#1 - D05.11 - INTRADUCTAL CARCINOMA IN SITU OF RIGHT BREAST
Procedures/Skills (Observed/Assisted/Performed) (Critical in Bold)
Beam Modification Devices - Custom Block (photon) (Asst)
Beam Modification Devices - MLC Digitization (Perf)
External Beam Treatment Planning - Breast - Forward Planning (Perf)
Contouring - Breast (Perf)
Dose Calculations - MU Calculation - 2nd Check (Computer) (Perf)
Dose Calculations - MU Calculation (Computer) (Perf)
Charting - Billing/Coding Documentation (Perf)
Charting - Configuration of Portal Images (Perf)
Charting - Patient Setup & Machine Parameter Documentation (Perf)
Charting - Radiation Dose Programming (Perf)
Charting - Treatment Plan Import/Export to Chart (Perf)
Other Questions About This Case
Mock Procedure:
Required Competency:
Protocol Patient:
Patient presented at conference:
Clinical Notes