Typhon Group: EASI - Evaluation & Survey Instrument

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Responses About You - Details - "Brachytherapy Planning Competency"

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Evaluation by: Clinical Instructors (PACELLA, Matthew)

Evaluation of: Students (Li, Joanne)
Evaluation Period: 11/21/2016
Survey Completed: 11/21/2016 2:21:52 PM CT

Select the brachytherapy planning competency from the drop down menu below:
Intracavitary

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]

Loads the patient imaging studies into the planning computer. - Satisfactory[2 pts]
Contours the appropriate anatomy on the image data set. - Satisfactory[2 pts]
Identifies appropriate dose points on the image data set. - Satisfactory[2 pts]
Successfully identifies source positions. - Satisfactory[2 pts]
Identifies available isotope and activity for date and time of treatment. - Satisfactory[2 pts]
Correctly generates plan using appropriate isotope and activity to achieve treatment objective. - Satisfactory[2 pts]
Accurately generates DVH/Dose point summary for implant. - Satisfactory[2 pts]
Communicates effectively with physician for plan review and makes changes as requested. - Satisfactory[2 pts]
Exports/Prints appropriate plan data. - Satisfactory[2 pts]
Performs hand verification calculations for dwell time. - Satisfactory[2 pts]
Assembles necessary equipment for source loading. - N/A(Additional Comment: NA) [0 pts]
Makes appropriate entries in source log and fills out necessary paperwork for appropriate room posting. - N/A(Additional Comment:
NA) [0 pts]

Prepares sources for transport and loading. - N/A(Additional Comment: NA) [0 pts]
Observes source insertion. - Satisfactory[2 pts]
Performs appropriate patient room surveys. - Satisfactory[2 pts]
Uses appropriate radiation measuring devices for brachytherapy procedures and source inventory. - Satisfactory[2 pts]
Uses time, distance and shielding principles during brachytherapy procedures. - Satisfactory[2 pts]

https://www.typhongroup.net/eval/analyze/studentdetails.asp?r=0&survey=14196&facility=9094&msgtext=

12/14/2016

Typhon Group: EASI - Evaluation & Survey Instrument

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MEAN: 1.67 (out of possible 2), POINTS: 30, % SCORE: 83.3%

Overall rating:
Pass[2 pts]
MEAN: 2.00 (out of possible 2), POINTS: 2, % SCORE: 100.0%

Additional Comments:
No response

Total points for all rating scale questions: 32

Mean percentage score for all rating scale questions: 91.7%
(Each main question equally weighted)

Responses as of 12/14/2016 3:06:08 PM CT

https://www.typhongroup.net/eval/analyze/studentdetails.asp?r=0&survey=14196&facility=9094&msgtext=

12/14/2016