Clinical Practicum I Evaluations

Typhon Group: EASI - Evaluation & Survey Instrument Page 1 of 3
Responses About You - Details - "1st Semester Affective Clinical Evaluation"

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Evaluation by: Clinical Instructors (PACELLA, Matthew)
Evaluation of: Students (Frieling, Daniel)
Evaluation Period: 2/14/2018
Survey Completed: 2/14/2018 2:07:50 PM CT
First semester Evaluation:
• 1st Evaluation
Communications
• Explains medical dosimetry procedures to patient as appropriate to situation (e.g. when

assisting with procedures in treatment room or simulation). - N/A
• Respects patient's rights to privacy and confidentiality. - Meets Expectations [10 pts]
• Acts and speaks in a respectful manner with staff members. - Meets Expectations [10 pts]
• Asks questions in an appropriate manner. - Meets Expectations [10 pts]
• Accepts correction and direction in a professional manner. - Meets Expectations [10 pts]
• Contributes as a member of the medical dosimetry team. - N/A
• Uses effective verbal communication skills with physician during plan consultation and
review. - N/A
• Uses effective written communication skills for chart, plan, and dosimetry note
documentation. - N/A
MEAN: 10.00 (out of possible 10), POINTS: 40, % SCORE: 100.0%
Accuracy
• Follows through instructions with attention to detail. - Meets Expectations [10 pts]

• Accurately enters information into chart or R & V system. - N/A
Safety
• Double checks all student work to include calculations and treatment plans with
dosimetrist/physicist. - N/A
https://www.typhongroup.net/eval/analyze/studentdetails.asp?facility=9094&survey=38354... 5/4/2018
Dependability
• Arrives promptly as scheduled. - Meets Expectations [10 pts]

• Schedules breaks, lunches, and other time needs with clinical instructors. - Meets
Expectations [10 pts]
• Adheres to attendance standards of the program. - Meets Expectations [10 pts]
• Uses clinical time wisely. - Meets Expectations [10 pts]
• Follows school and hospital policies and procedures. - Meets Expectations [10 pts]
• Takes initiative in observing and assisting in dosimetry activities. - Meets Expectations [10
pts]
Application of Knowledge
• Demonstrates a basic understanding of physics concepts and principles. - Meets

• Is able to retrieve imaging study (CT) and bring into patient file. - N/A
• Is able to identify anatomy and contour appropriate structures. - Meets Expectations [10 pts]
• Understands the use of the computer for treatment planning. - Meets Expectations [10 pts]
• Is able to enter information into the computer and design a basic treatment plan in
accordance with prescription. - N/A
General Dosimetry Skills
• Performs calculations in a timely manner. - N/A

• Accurately uses dose calculation databooks to perform hand calculations. - N/A
• Is able to prioritize and organize duties to efficiently complete requirements. - Meets
• Exhibits a basic knowledge of anatomy, tissue dose tolerance, definitive tumor dose, and
typical field arrangement. - Meets Expectations [10 pts]
I have reviewed this evaluation with the student.
• Yes
Additional Comments:
• Dan is progressing just fine. It's a pleasure to have him here!
Total points for all rating scale questions: 160

Mean percentage score for all rating scale questions: 100.0%
(Each main question equally weighted)
NOTE: Question #5 is not included in this score due to no responses
Responses as of 5/4/2018 8:18:50 AM CT

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Survey Completed: 3/29/2018 11:25:25 AM CT
• 2nd Evaluation
Communications

• Contributes as a member of the medical dosimetry team. - Meets Expectations [10 pts]
review. - Meets Expectations [10 pts]
documentation. - Meets Expectations [10 pts]
Accuracy

• Accurately enters information into chart or R & V system. - Meets Expectations [10 pts]
Safety
dosimetrist/physicist. - Meets Expectations [10 pts]
Dependability

pts]

• Is able to retrieve imaging study (CT) and bring into patient file. - Meets Expectations [10 pts]
accordance with prescription. - Meets Expectations [10 pts]
• Performs calculations in a timely manner. - Meets Expectations [10 pts]

• Accurately uses dose calculation databooks to perform hand calculations. - N/A
• Yes
• Dan is making excellent progress! It's a pleasure to have him here.


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Survey Completed: 5/2/2018 1:26:52 PM CT
• 3rd Evaluation
Communications

• Contributes as a member of the medical dosimetry team. - Meets Expectations [10 pts]
review. - Meets Expectations [10 pts]
documentation. - Meets Expectations [10 pts]
Accuracy

• Accurately enters information into chart or R & V system. - Meets Expectations [10 pts]
Safety
dosimetrist/physicist. - Meets Expectations [10 pts]
Dependability

pts]

• Is able to retrieve imaging study (CT) and bring into patient file. - Meets Expectations [10 pts]
accordance with prescription. - Meets Expectations [10 pts]
• Performs calculations in a timely manner. - Meets Expectations [10 pts]

• Accurately uses dose calculation databooks to perform hand calculations. - Meets
Expectations (Additional Comment: Did a TBI) [10 pts]
• Yes
• Dan is doing an excellent job!!


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Typhon Group: EASI - Evaluation & Survey Instrument Page 1 of 3

Responses About You - Details - "1st Semester Affective Clinical Evaluation"

First semester Evaluation:

• Explains medical dosimetry procedures to patient as appropriate to situation (e.g. when

MEAN: 10.00 (out of possible 10), POINTS: 40, % SCORE: 100.0%

• Follows through instructions with attention to detail. - Meets Expectations [10 pts]

MEAN: 10.00 (out of possible 10), POINTS: 10, % SCORE: 100.0%

• Arrives promptly as scheduled. - Meets Expectations [10 pts]

MEAN: 10.00 (out of possible 10), POINTS: 60, % SCORE: 100.0%

• Demonstrates a basic understanding of physics concepts and principles. - Meets

MEAN: 10.00 (out of possible 10), POINTS: 30, % SCORE: 100.0%

General Dosimetry Skills

• Performs calculations in a timely manner. - N/A

MEAN: 10.00 (out of possible 10), POINTS: 20, % SCORE: 100.0%

I have reviewed this evaluation with the student.

• Dan is progressing just fine. It's a pleasure to have him here!

Total points for all rating scale questions: 160

Responses as of 5/4/2018 8:18:50 AM CT

Responses About You - Details - "1st Semester Affective Clinical Evaluation"

First semester Evaluation:

• Explains medical dosimetry procedures to patient as appropriate to situation (e.g. when

MEAN: 10.00 (out of possible 10), POINTS: 70, % SCORE: 100.0%

• Follows through instructions with attention to detail. - Meets Expectations [10 pts]

MEAN: 10.00 (out of possible 10), POINTS: 20, % SCORE: 100.0%

MEAN: 10.00 (out of possible 10), POINTS: 10, % SCORE: 100.0%

• Arrives promptly as scheduled. - Meets Expectations [10 pts]

MEAN: 10.00 (out of possible 10), POINTS: 60, % SCORE: 100.0%

• Demonstrates a basic understanding of physics concepts and principles. - Meets

MEAN: 10.00 (out of possible 10), POINTS: 50, % SCORE: 100.0%

General Dosimetry Skills

• Performs calculations in a timely manner. - Meets Expectations [10 pts]

MEAN: 10.00 (out of possible 10), POINTS: 30, % SCORE: 100.0%

I have reviewed this evaluation with the student.

• Dan is making excellent progress! It's a pleasure to have him here.

Total points for all rating scale questions: 240

Responses as of 5/4/2018 8:19:08 AM CT

Responses About You - Details - "1st Semester Affective Clinical Evaluation"

First semester Evaluation:

• Explains medical dosimetry procedures to patient as appropriate to situation (e.g. when

MEAN: 10.00 (out of possible 10), POINTS: 70, % SCORE: 100.0%

• Follows through instructions with attention to detail. - Meets Expectations [10 pts]

MEAN: 10.00 (out of possible 10), POINTS: 20, % SCORE: 100.0%

MEAN: 10.00 (out of possible 10), POINTS: 10, % SCORE: 100.0%

• Arrives promptly as scheduled. - Meets Expectations [10 pts]

MEAN: 10.00 (out of possible 10), POINTS: 60, % SCORE: 100.0%

• Demonstrates a basic understanding of physics concepts and principles. - Meets

MEAN: 10.00 (out of possible 10), POINTS: 50, % SCORE: 100.0%

General Dosimetry Skills

• Performs calculations in a timely manner. - Meets Expectations [10 pts]

MEAN: 10.00 (out of possible 10), POINTS: 40, % SCORE: 100.0%

I have reviewed this evaluation with the student.

• Dan is doing an excellent job!!

Total points for all rating scale questions: 250

Responses as of 5/4/2018 8:19:16 AM CT

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