UW-La Crosse Medical Dosimetry Program

Master Competency Checklist

Student: Lauren Jankowski Site: Michigan Medicine

Date Evaluation
Competency
Performed Completed
Head & Neck
Primary Brain (Conformal, IMRT/VMAT) 9/8/2022 DT/KK
Primary H & N (IMRT/VMAT) 10/19/22 AD/KK
Thoracic
Lung (Conformal, IMRT/VMAT) 6/7/2022 CM/PA
Esophagus (Conformal, IMRT/VMAT) 2/23/2022 VE/KK
Intact Breast Tangentials 3/23/22 AD/PA
Chest Wall Tangentials (bolus:non-bolus) w/Supraclav & Axilla 6/15/2022 MS/PA
Abdomen
Pancreas or GE Junction (Conformal, IMRT/VMAT) 7/28/22 VE/PA
Para-aortic or nodal irradiation (Conformal, IMRT/VMAT) 7/6/22 CM/PA
Pelvis
3 fld Pelvis with Wedges 6/21/22 PA
4 fld Pelvis 10/28/22 KK
Prostate with Nodes SIB Technique (IMRT/VMAT) 6/14/2022 CM/PA
Anus or Vulva Conventional 3D Technique* 6/6/2022 CP II 160/160
Extremities
Limb Melanoma/Sarcoma (Conformal, IMRT/VMAT) 10/13/22 LY/KK Gilpin
Brachytherapy * …
Interstitial 9/17/22 CPIII 24/26
Intracavitary HDR 7/28/22 LY/PA
Other
Craniospinal Irradiation* 9/12/22 CP III125.77/127
Palliative 2/24/2022 CM/KK
Lymphoma (Mantle)* 2/23/2022 DOS CALC
Electron Beam Plan 10/31/22 MS/KK
Fusion (MR, PET, etc.) 2/22/2022 KK
Re-Irradiation 9/15/22 CM/KK
Stereotactic Body Radiation Therapy (SBRT)* 9/8/22 CP III 148.78/150
Sim & Start Tx Same Day Plan 10/26/22 AD/KK
Optional
Proton Treatment Planning

COMPETENCIES PER SEMESTER

REQUIRED #_ACHIEVED
SPRING SEMESTER 5 (Mantle Lab included) 5
SUMMER SEMESTER 8 (Vulva Lab included) 8
FALL SEMESTER 10 (CSI & SBRT labs included) 10
* These competencies will be performed in a lab assignment. Students are encouraged to perform them in the
clinical setting on actual patients if the opportunity arises.
… One Brachytherapy competency must be performed in the clinic.