4/2/24, 2:12 PM Typhon Group - EASI System

Survey: "Affective Clinical Evaluation Level I"

Reviewer: Clinical Instructors (BOWLBY, Lee)
Reviewee: Students (Payne, Jenna)
Survey Period: 4/1/2024
Completed: 4/1/2024 9:20:22 AM CT

1. First semester Evaluation:

2nd Evaluation

3. Communications

Explains medical dosimetry procedures to patient as Meets Expectations [10 pts]

appropriate to situation (e.g. when assisting with procedures in Additional Comment: Has a good knowledge of dosimetry and
treatment room or simulation). was a therapist before, so understands the treatment and
planning process. Additionally, is very good with patients.

Respects patient's rights to privacy and confidentiality. Meets Expectations [10 pts]

Acts and speaks in a respectful manner with staff members. Meets Expectations [10 pts]
Additional Comment: Jenna gets along with all staff and is
respected by her peers.

Asks questions in an appropriate manner. Meets Expectations [10 pts]

Accepts correction and direction in a professional manner. Meets Expectations [10 pts]
Additional Comment: Yes, is very open to all advice or
explanations, a good listener.

Contributes as a member of the medical dosimetry team. Meets Expectations [10 pts]

Uses effective verbal communication skills with physician Meets Expectations [10 pts]
during plan consultation and review. Additional Comment: Yes, has a good rapport with the
physician.

Uses effective written communication skills for chart, plan, and Meets Expectations [10 pts]
dosimetry note documentation. Additional Comment: Very methodical and accurate.

Mean: 10.00 of 10 Points: 80 Score: 100.0%

4. Accuracy

Follows through instructions with attention to detail. Meets Expectations [10 pts]
Additional Comment: Most definitely.

Accurately enters information into chart or R & V system. Meets Expectations [10 pts]
Additional Comment: Yes, Jenna is very good at detail oriented
tasks.

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

5. Safety

Double checks all student work to include calculations and Meets Expectations [10 pts]
treatment plans with dosimetrist/physicist.

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

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6. Dependability

Arrives promptly as scheduled. Meets Expectations [10 pts]

Schedules breaks, lunches, and other time needs with clinical Meets Expectations [10 pts]
instructors.

Adheres to attendance standards of the program. Meets Expectations [10 pts]

Uses clinical time wisely. Meets Expectations [10 pts]

Additional Comment: If we have any break Jenna is doing
homework.

Follows school and hospital policies and procedures. Meets Expectations [10 pts]

Takes initiative in observing and assisting in dosimetry Meets Expectations [10 pts]
activities.

Mean: 10.00 of 10 Points: 60 Score: 100.0%

7. Application of Knowledge

Demonstrates a basic understanding of physics concepts and Meets Expectations [10 pts]
principles. Additional Comment: Jenna is very smart and is beyond the
curve in every way so far.

Is able to retrieve imaging study (CT) and bring into patient file. Meets Expectations [10 pts]

Is able to identify anatomy and contour appropriate structures. Meets Expectations [10 pts]
Additional Comment: Good knowledge of anatomy.

Understands the use of the computer for treatment planning. Meets Expectations [10 pts]

Is able to enter information into the computer and design a Meets Expectations [10 pts]
basic treatment plan in accordance with prescription. Additional Comment: Jenna enjoys dosimetry and is very
accurate in the planning process.

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

8. General Dosimetry Skills

Performs calculations in a timely manner. Meets Expectations [10 pts]

Accurately uses dose calculation databooks to perform hand Meets Expectations [10 pts]
calculations.

Is able to prioritize and organize duties to efficiently complete Meets Expectations [10 pts]
requirements.

Exhibits a basic knowledge of anatomy, tissue dose tolerance, Meets Expectations [10 pts]
definitive tumor dose, and typical field arrangement. Additional Comment: Doing good in this area, we discussed
this when she was a therapist.

Mean: 10.00 of 10 Points: 40 Score: 100.0%

9. I have reviewed this evaluation with the student.

Yes

10. Additional Comments:

Jenna is fun to work with and is doing excellent.

Total points for all rating scale questions: 260

Mean percentage score for all rating scale questions: 100.0%
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4/2/24, 2:12 PM Typhon Group - EASI System

(Each main question equally weighted)

Responses as of 4/2/2024 2:12:01 PM CT

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