5/6/24, 11:17 AM Typhon Group - EASI System

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

Reviewer: Clinical Instructors (LAW, Camille)
Reviewee: Students (Ahmed, Muna)
Survey Period: 3/20/2024
Completed: 3/20/2024 1:18:05 PM CT

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

Pelvis (GYN or other)

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

Rectum: 4500 cGy (180x25fx), Rectum CD 180x5 fx protocol 22-438

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5/6/24, 11:17 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: Add the protocol details into the CD
prescription

Loads the patient imaging studies into the planning computer. Satisfactory [2 pts]
Additional Comments: MIM to Eclipse; set user origin as per
standards

Contours the appropriate anatomy on the image data set. Satisfactory [2 pts]
Additional Comments: Physics contours: femurs, cauda,
inserted couch. MD contours: fixed the small and large bowel
(Senior planner, Heather and MD approved)

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

Additional Comments: Iso was correctly placed posterior near
the sacrum

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

fields. Additional Comments: Started with the EDW 45 wedge plan
then went straight into the FiF plan because the small bowel
dose was dose was difficult to meet as per protocol
constraints. Skipped straight into the 3F CD because this MD
doesn't like lats.

Generates plan with appropriate weighting. Satisfactory [2 pts]

Generates plan with appropriate energies. Satisfactory [2 pts]

Additional Comments: Muna used 6x on the PA and 15x on the
lats to reduce the anterior bowel dose.

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

(for correct # of fractions). Additional Comments: correctly analyzed individual DVHs for
phase 1 and phase 2. Correctly created the plan sum and
scaled the dose correctly for the visual IDL. Prepared the DVH
summary report for the MD.

Communicates effectively with physician for plan review and Satisfactory [2 pts]
makes changes as requested. Additional Comments: Muna was very clear in her discussion
with the planner and the MD. The senior planner reminded her
to include the medical resident on all the communications.

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

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: OLR reviewed

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

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5/6/24, 11:17 AM Typhon Group - EASI System
4. Overall rating:

Pass [2 pts]
If applicable, please specify reason for failure: Muna has completed 9 development cases and 3 clinical
cases for practice and her comp. She has a very solid understanding of using EDW and FiF. Muna feels
very good on this type of planning. She liked the overall training process and having the training videos
as a guide was helpful. She wished in the beginning she focused more on the dose constraints beyond
the dose balance. Feedback on the comp case: The senior planner had to add the DRRs, update the ref
pt dose, and address the control points for too many subfields (EPID was performed) · Please let me
know how the overall plans were (did you have to make any changes or offer feedback)? The plan
quality was great. Muna had 2 sets of plans ready for the MD- one focusing prioritization on coverage
and one balancing coverage and volumetric constraints of OARs; in case the MD preferred one over the
other. She was very intentional in how she controlled hot spots around OARs and how much dose was
carved for their constraints. No changes or edits were needed from me. · Were there any things in the
process that were handled well or anything that was missed? Nothing was missed. If I had a question
about anything, in her answers she seemed to have a very solid understanding of the planning
technique. She handled everything well; from the volume completion time to communications with the
MD, keeping me informed on her progress, she did great. · How was the finalization process, kicking off
the plan to MD, and plan check? Finalization was organized and thorough. Once completed, she not
only informed me of everything complete but also what she did not do- acknowledging that there are
tasks she cannot do as a student. This not only ensured that she knows these are part of the process
but also let me know which tasks I needed to complete myself. · Any comments on overall
communication? Communications from Muna were prompt and detailed. Her organization of
communication is well thought out; describing the dose coverage vs OAR constraints to MD and myself
and following up in a timely fashion. · Can you describe the timeline of things? The plan Muna had was
on an accelerated timeline. MD was late with volumes and she checked in with me to update me when
they were. Follow up email was sent to remind MD about the timeline. Once volumes were complete,
she got started promptly. She reviewed contours and let me know which needed edits, and continued
planning. Her first set of plans prioritized coverage with OAR volumetric constraints slightly high. A
second set of plans lowering the OAR volumetric constraints was then completed. After MD approved
plans, she promptly let me know she was starting finalization. Once complete she sent a detailed list of
what she completed and tasks left that I needed to complete.

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 11:13:20 AM CT

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