Survey: “Affective Clinical Evaluation Level I"
‘Survey Period
Completed:
1. Fiat semester Evaato:
‘and Evaluation
2. Communications
Eplans medical dosietry procedres to patent as
soproprite to station (e9 when sssting with process
treatment rar oF smut).
Respects patients ght pracy ord confidently
Acts nd peaksin a respect manner wih staff member.
-Acaptecrracton and dct na prfeesionl mano,
ontbues ae member ofthe mel dosimetry tam,
Uses effective verbal communication kal with physician
urn plan contain ane even.
Uses efecove writen communication sil forchart plan and
dosimetry note documentation
‘Student (an He)
ayar2073
Meats Expectations
Moats Expectations
Meats Expectations
Meets Expectations
Mean: 10.00 of 10 Points: 80 Score: 100.0%
4. Accuracy
-Acartaly tere formation nto cha or RV sytem,
Meets Expectations
‘Adana Comer: He mae abe todo ths ary ery wll
ws greatly for us.
Mean; 10.00 of 10 Points: 20 Seore: 100.0%
5. Saety
Double checks al student worktoreudeclelatons and
Mean: 10.00 of 10 Points: 10 Score: 100.0%
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Hop)5 Dependabity
Arve prompt a schedules Moet Expect rope
Schedules beaks, lunches, end aterimeneeds wih clncel Meets Expectatons opt}
Adhere to attendance standart ofthe program, Moet Expectations nope)
Uses eal tine wily Meet Expectations opt
Follons school ang hosptal plies ana procedures. Meets Expectations nop)
Takes istatve in observing and assign dosimetry Moet Expectations hope
Mean: 10.00 of 10 Points: 60 Score: 100.0%
1. hopistion of Koowdge
Demonstates base understanding of physics concepts and Meets Expectatons| opt}
rapes
Ie able to retiveimapig study (CT) antbingint pant fle. Meets Expectations hops)
‘Adora Comment: His help inthis aspect has ben very
Ie leo identy anatomy andcortour eppropiate stuctues, Meet Expectatons opt
Understands the use ofthe computer for teaver planning. Meet Expectations nope)
In able to enter nfomation inte the compute and esa Meat Expect hope
Mean: 10.00 of 10 Points: 50 Score: 100.0%
£8. General Dosimtry his
Performs eaeatorsin atively manne Meets Expectations no pt
Accurately ees dose clelatondtsbooks perform hand Meets Expectations Hop)
leable to priortie and organize ces teint complete Meet Expectations hope
requirements
Eis 2 basic inode of anatomy issue dose elerance, Meet Expectations hops)
eine tumor ose, and typical Feld arrangoment
Mean; 10.00 of 10 Points: 40 Score: 100.0%
ver
leu has been an excellent student. He ha gone above and beyond to eam our system. Hehas taken all notes and pointers and applied them effectively to
is wotk am very happy wih his progress, He has also been 2 grea help in cli with things auch as plan prepping, and aking tentative pick up
patient to plan,
Total points fo all rating scale questions: 260,
‘Mean percentage score for allrating scale questions: 100.0%
(ach man gsson ual weighed)