1/19/2021 Typhon Group - EASI System

Survey: "External Beam ELECTRON Planning Competency"

Reviewer: Clinical Instructors (MICHEL, Ann)
Reviewee: Students (Kroeplin, Haley)
Survey Period: 1/15/2021
Completed: 1/19/2021 1:51:12 PM CT

1. 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 physician. Satisfactory

Loads the patient imaging studies into the planning computer. Satisfactory

Contours the appropriate anatomy on the image data set. Satisfactory

Successfully places eld/SSD using simulation data. Satisfactory

Correctly generates plan using appropriate cone/cutout size. Satisfactory

Generates plan with correct reference depth. Satisfactory

Generates plan with appropriate energy. Satisfactory

Correctly adds the appropriate thickness of bolus. N/A

Additional Comment:  Bolus not needed per MD

Generates bolus to adequately cover treatment eld borders. N/A

Additional Comment:  Bolus not needed per MD

Accurately calculates daily dose for treatment eld using Satisfactory

prescription % and weighting.

Accurately generates a single fraction DVH or composite DVH (for Satisfactory

correct # of fractions).

Communicates effectively with physician for plan review and makes Satisfactory
changes as requested.

Exports/Prints appropriate plan data. Satisfactory

Performs hand veri cation calculations for plan MU settings using Satisfactory
data/calc books

Enters in correct parameters for patient chart. Satisfactory

Performs pretreatment checks/calculations. Satisfactory

Observes patient treatment. Satisfactory

2. Overall rating:

Pass
If applicable, please specify reason for failure:  Haley did a wonderful job on this electron plan.

3. Additional Comments:

NR

Responses as of 1/19/2021 1:51:24 PM CT

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