5/10/24, 12:42 PM Typhon Group - EASI System

Survey: "External Beam ELECTRON Planning Competency"

Reviewer: Clinical Instructors (BOWLBY, Lee)
Reviewee: Students (Payne, Jenna)
Survey Period: 4/5/2024
Completed: 4/9/2024 10:10:59 AM CT

1. 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

Loads the patient imaging studies into the planning computer. Satisfactory
Additional Comment: Can do independently.

Contours the appropriate anatomy on the image data set. Satisfactory

Successfully places field/SSD using simulation data. Satisfactory

Additional Comment: Yes

Correctly generates plan using appropriate cone/cutout size. Satisfactory

Generates plan with correct reference depth. Satisfactory

Additional Comment: Understands normalization and depth dose,
D-Max etc

Generates plan with appropriate energy. Satisfactory

Additional Comment: Yes

Correctly adds the appropriate thickness of bolus. Satisfactory

Generates bolus to adequately cover treatment field borders. Satisfactory

Accurately calculates daily dose for treatment field using prescription Satisfactory
% and weighting.

Accurately generates a single fraction DVH or composite DVH (for Satisfactory

correct # of fractions).

Communicates effectively with physician for plan review and makes Satisfactory
changes as requested.

Exports/Prints appropriate plan data. Satisfactory

Performs hand verification calculations for plan MU settings using Satisfactory

data/calc books

Enters in correct parameters for patient chart. Satisfactory

Performs pretreatment checks/calculations. Satisfactory

Observes patient treatment. Satisfactory

Additional Comment: Yes, when applicable

2. Overall rating:

Pass

3. Additional Comments:

Jenna is doing fantastic.

Responses as of 5/10/2024 12:39:19 PM CT

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