5/6/24, 11:25 AM Typhon Group - EASI System

Survey: "3D- CRT Photon Planning Competency Evaluation"

Reviewer: Clinical Instructors (LAW, Camille)
Reviewee: Students (Ahmed, Muna)
Survey Period: 4/19/2024
Completed: 4/19/2024 12:32:50 PM 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:

Whole Brain (300 cGy x 10fx), prior RT to brain SRS, left chestwall, femur, sacrum, L2-L5, no cardiac devices, no fusion

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5/6/24, 11:25 AM Typhon Group - EASI System
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 physician. Satisfactory [2 pts]

Additional Comments: Normal/ ok - Midplane, 6x, opposed
field

Loads the patient imaging studies into the planning computer. Satisfactory [2 pts]
Additional Comments: Confirmed - iso and L workflow good

Contours the appropriate anatomy on the image data set. Satisfactory [2 pts]
Additional Comments: External, no couch because off the table
and lateral fields

Successfully places the isocenter using simulation data. Satisfactory [2 pts]

Additional Comments: Confirmed - placed in the middle of the
brain at midline

Correctly generates plan using blocks, wedges, segmented Satisfactory [2 pts]

fields. Additional Comments: left and right lat (270 and 90 degrees)

Generates plan with appropriate weighting. Satisfactory [2 pts]

Additional Comments: 50%/50% to midplane, placed reference
point at isocenter then adjusted to midplane between both
fields (7.7 cm depth)

Generates plan with appropriate energies. Satisfactory [2 pts]

Additional Comments: 6x because this is the brain

Accurately generates/evaluates plan DVH or composite DVH Satisfactory [2 pts]

(for correct # of fractions). Additional Comments: evaluated the 90% because the 100%
will be breaking up at depth. The max dose will follow along the
scalp where the separation is the thinnest.

Communicates effectively with physician for plan review and Satisfactory [2 pts]
makes changes as requested. Additional Comments: great

Exports/Prints appropriate plan data. Satisfactory [2 pts]

Additional Comments: Email communication with planner was
great and planner proceeded with no changes.

Performs a verification calculation for plan MU settings. Satisfactory [2 pts]

Enters correct parameters for the patient chart. Satisfactory [2 pts]

Performs pretreatment checks/calculations. Satisfactory [2 pts]

Utilizes respiratory gating information to determine field N/A

parameters.

Observes patient treatment. Satisfactory [2 pts]

Additional Comments: Reviewed OLR

Mean: 2.00 of 2 Points: 28 Score: 100.0%

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5/6/24, 11:25 AM Typhon Group - EASI System
4. Overall rating:

Pass [2 pts]
If applicable, please specify reason for failure: Feedback from the senior planner: everything looked
good. Finalization was smooth, no updates were needed. Muna has done 13 dev cases (brain, spine,
extremity) and 6 clinical palliative treatments (electron and photon). She has thoroughly learned how to
perform palliative plans on a variety of cases and troubleshooting: single vs. opposed fields, energy
change, and reference point prescription adjustments, analyzing dose distribution, and communication
with the senior planner and MD. Overall feedback from Muna: really like the brain troubleshooting dev
cases and how/when to email the MD. The employee training was also helpful to practice and review.
Overall materials were plenty and helpful.

Mean: 2.00 of 2 Points: 2 Score: 100.0%

Total points for all rating scale questions: 30

Mean percentage score for all rating scale questions: 100.0%
(Each main question equally weighted)
Responses as of 5/6/2024 11:22:52 AM CT

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