Survey: 3D- CRT Photon Planning Competency Evaluation

Reviewer: Clinical Instructors(CREBO, Donald) Reviewee: Students (Yiga, Tenzin)

Survey Period: 5/27/2020 Completed: 5/27/2020 9:11:12 AM CT

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

Palliative (Spine, Hip, Ribs, etc)

2. If Other competency, please specify the type here:

NR
3. Please assign each task a score of Satisfactory or Unsatisfactory.
Unsatisfactory in any essential task constitutes competency failure.
The student will repeat the competency at a later date.

Discusses the plan prescription with the Satisfactory [2 pts]

physician.
Loads the patient imaging studies into the Satisfactory [2 pts]
planning computer.
Contours the appropriate anatomy on the Satisfactory [2 pts]
image data set.
Successfully places the isocenter using Satisfactory [2 pts]
simulation data.
Correctly generates plan using blocks, Satisfactory [2 pts]
wedges, segmented fields.
Generates plan with appropriate Satisfactory [2 pts]
weighting.
Generates plan with appropriate Satisfactory [2 pts]
energies.
Accurately generates/evaluates plan DVH
or composite DVH (for correct # of Satisfactory [2 pts]
fractions).
Communicates effectively with physician
for plan review and makes changes as Satisfactory [2 pts]
requested.
Exports/Prints appropriate plan data. Satisfactory [2 pts]
Performs a verification calculation for Satisfactory [2 pts]
plan MU settings.
Enters correct parameters for the patient Satisfactory [2 pts]
chart.
 Performs pretreatment Satisfactory [2 pts]
checks/calculations.
Utilizes respiratory gating information to N/A
determine field parameters.
Observes patient treatment. N/A
Mean: 2.00 of 2 Points: 26 Score: 100.00%
4. Overall rating:

Pass [2 pts]
Mean: 2.00 of 2 Points: 2 Score: 100.00%
Total points: 28 (Each main question equally weighted)
Mean percentage score: 100.0% Responses as of 5/27/2020 9:37:44 AM CT