Survey: 3D- CRT Photon Planning Competency Evaluation

Reviewer: Clinical Instructors (LAW, Camille)

Reviewee: Students (Peck, Fiona)
Survey Period: 4/24/2024
Completed: 4/24/2024 2:47:19 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:

GYN 180 x 25 fx = 4500 cGy, prone, cervix, vaginal cuff

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 Satisfactory [2 pts]

physician.

Loads the patient imaging studies into the Satisfactory [2 pts]

planning computer.

Contours the appropriate anatomy on the Satisfactory [2 pts]

image data set.

Successfully places the isocenter using Satisfactory [2 pts]

simulation data.

Correctly generates plan using blocks, Satisfactory [2 pts]

wedges, segmented fields. Additional Comments: Created a 4F box for the
centrally located target.

Generates plan with appropriate Unsatisfactory [1 pts]

weighting. Additional Comments: The original plan had too
much 70% unbalanced in the peripheries and it
wasn't necessary. She was able to nicely balance
the 70 to 100% within the in-field and maintain a
well-covered target.

Generates plan with appropriate energies. Satisfactory [2 pts]

Accurately generates/evaluates plan DVH Satisfactory [2 pts]

or composite DVH (for correct # of
fractions).

Communicates effectively with physician Satisfactory [2 pts]

for plan review and makes changes as
requested.

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

Performs a verification calculation for plan Satisfactory [2 pts]

MU settings.

Enters correct parameters for the patient Satisfactory [2 pts]

chart.

Performs pretreatment Satisfactory [2 pts]

checks/calculations.

Utilizes respiratory gating information to N/A

determine field parameters.

Observes patient treatment. Satisfactory [2 pts]

Mean: 1.93 of 2 Points: 27 Score: 96.4%

 4. Overall rating:

Pass [2 pts]
If applicable, please specify reason for failure: Fiona has completed 3 development
cases. In this competency case she was able to identify the bowel dose issue and
proposed a FiF option to reduce the dose.

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

Total points for all rating scale questions: 29 (Each main question equally weighted)
Mean percentage score for all rating scale questions: 98.2% Response as of 5/9/2024 2:06:32 PM CT