Survey: Affective Clinical Evaluation Level I

Reviewer: Clinical Instructors (LAW, Camille)

Reviewee: Students (Peck, Fiona)
Survey Period: 4/4/2024
Completed: 4/4/2024 10:58:37 AM CT

1. First semester Evaluation:

2nd Evaluation

3. Communications

Explains medical dosimetry procedures to N/A

patient as appropriate to situation (e.g.
when assisting with procedures in
treatment room or simulation).

Respects patient's rights to privacy and Meets Expectations [10

confidentiality. pts]

Acts and speaks in a respectful manner Meets Expectations [10

with staff members. pts]

Asks questions in an appropriate manner. Meets Expectations [10

Additional Comment: Fiona is opening up and pts]
asking more questions; improvement from the
first eval

Accepts correction and direction in a Meets Expectations [10

professional manner. pts]

Contributes as a member of the medical Meets Expectations [10

dosimetry team. pts]

Uses effective verbal communication skills Partially Meets Expectations [5 pts]

with physician during plan consultation
and review.
Additional Comment: Advised to use more of the
practice email scenarios and to slow down when
approaching the conversation with the physician.
Encouraged her to ask for more help with drafting
messages

Uses effective written communication Meets Expectations [10

skills for chart, plan, and dosimetry note pts]
documentation.

Mean: 9.29 of 10 Points: 65 Score: 92.9%

4. Accuracy

Follows through instructions with attention Partially Meets Expectations [5 pts]

to detail. Additional Comment: Needs to slow down to make
sure each step is accurate

Accurately enters information into chart or Meets Expectations [10

R & V system. pts]

Mean: 7.50 of 10 Points: 15 Score: 75.0%

5. Safety

Double checks all student work to include Meets Expectations [10

calculations and treatment plans with pts]
dosimetrist/physicist.

Mean: 10.00 of 10 Points: 10 Score: 100.0%

6. Dependability

Arrives promptly as scheduled. Meets Expectations [10

Additional Comment: She feels that the schedule is pts]
working for her and she's arriving to the clinic on
time.

Schedules breaks, lunches, and other Meets Expectations [10

time needs with clinical instructors. pts]

Adheres to attendance standards of the Meets Expectations [10

program. pts]

Uses clinical time wisely. Partially Meets Expectations [5 pts]

Additional Comment: Fiona is improving with her
time management in the clinic. She's explained
she has a strict agenda to make sure things will
be finished on time!

Follows school and hospital policies and Meets Expectations [10

procedures. pts]

Takes initiative in observing and assisting Meets Expectations [10

in dosimetry activities. Additional Comment: Encouraged her to reach out pts]
more whenever she feels she needs it

Mean: 9.17 of 10 Points: 55 Score: 91.7%

7. Application of Knowledge

Demonstrates a basic understanding of Meets Expectations [10

physics concepts and principles. pts]

Is able to retrieve imaging study (CT) and Meets Expectations [10

bring into patient file. pts]

Is able to identify anatomy and contour Meets Expectations [10

appropriate structures. pts]

Understands the use of the computer for Meets Expectations [10

treatment planning. pts]

Is able to enter information into the Meets Expectations [10

computer and design a basic treatment pts]
plan in accordance with prescription.

Mean: 10.00 of 10 Points: 50 Score: 100.0%

8. General Dosimetry Skills

Performs calculations in a timely manner. N/A

Accurately uses dose calculation N/A

databooks to perform hand calculations.

Is able to prioritize and organize duties to Meets Expectations [10

efficiently complete requirements. pts]

Exhibits a basic knowledge of anatomy, Meets Expectations [10

tissue dose tolerance, definitive tumor pts]
dose, and typical field arrangement.

Mean: 10.00 of 10 Points: 20 Score: 100.0%

9. I have reviewed this evaluation with the student.

Yes

Additional Comment: Feeling a little stressed about finishing all the comps by May 10. Putting a lot of
pressure on herself to make the deadline. In the beginning it was overwhelming but she's feeling better and
comfortable. She trusts her notes are well organized and will allow her to approach her goal with confidence.

10. Additional Comments:

Fiona's timeline will be tight but she's explained her agenda and we will work together to ensure she
meets the goal. She should be finishing her 3 and 4f pelvis comps by the end of next week and the
following.
Total points for all rating scale questions: 215 (Each main question equally weighted)
Mean percentage score for all rating scale questions: 93.3% Response as of 5/9/2024 2:09:37 PM CT