5/5/2017 TyphonGroup:EASIEvaluation&SurveyInstrument

Responses About You - Summary - "3D CRT Photon Planning Competency Evaluation"
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TOTAL RESPONSES: 5

Select the external beam photon planning competency from the drop down menu below:
Response Response
(Choice - One Answer Drop Down)
Percent Total
Palliative (Spine,
20.0% 1
Hip, Ribs, etc)
Para-aortic or
20.0% 1
Nodal Irradiation
Limb Sarcoma 20.0% 1
Conformal Lung
0.0% 0
with Boost
Pelvis (GYN or
20.0% 1
other)
Intact Breast
0.0% 0
Tangents
Chestwall Tangents
(Bolus:Non-Bolus
0.0% 0
Weighting) with
SClav and PAB
Lymphoma 0.0% 0
ReTreat avoiding or
matching old port 0.0% 0
(any area)
Emergent case:
Sim and Treat 20.0% 1
same day
Other: 0.0% 0
Total Respondents: 5
Skipped this question: 0

If Other competency, please specify the type here:

(Open Ended - Comments Box)
Total Respondents: 0
Skipped this question: 5

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.

(Rating Scale - Matrix) 1 2 N/A Additional Mean Total Percentage
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5/5/2017 TyphonGroup:EASIEvaluation&SurveyInstrument

Statistical Mode in BOLD Unsatisfactory Satisfactory Comment [1-2] Points Score

Discusses the plan
prescription with the 0.0% (0) 100.0% (5) 0.0% (0) 2.00 10 100.0%
physician.
Loads the patient imaging
studies into the planning 0.0% (0) 100.0% (5) 0.0% (0) 2.00 10 100.0%
computer.
Contours the appropriate
anatomy on the image 0.0% (0) 80.0% (4) 20.0% (1) 2.00 8 100.0%
data set.
Successfully places the
isocenter using simulation 0.0% (0) 100.0% (5) 0.0% (0) 2.00 10 100.0%
data.
Correctly generates plan
using blocks, wedges, 0.0% (0) 100.0% (5) 0.0% (0) 2.00 10 100.0%
segmented elds.
Generates plan with
0.0% (0) 100.0% (5) 0.0% (0) 2.00 10 100.0%
appropriate weighting.
Generates plan with
0.0% (0) 100.0% (5) 0.0% (0) 2.00 10 100.0%
appropriate energies.
Accurately calculates
daily isocenter dose for
each treatment eld using 0.0% (0) 100.0% (5) 0.0% (0) 2.00 10 100.0%
prescription % and
weighting.
Accurately generates a
single fraction DVH or
0.0% (0) 60.0% (3) 40.0% (2) 2.00 6 100.0%
composite DVH (for
correct # of fractions).
Communicates effectively
with physician for plan
0.0% (0) 100.0% (5) 0.0% (0) 2.00 10 100.0%
review and makes
changes as requested.
Exports/Prints
0.0% (0) 100.0% (5) 0.0% (0) 2.00 10 100.0%
appropriate plan data.
Performs a verication
calculation for plan MU 0.0% (0) 100.0% (5) 0.0% (0) 2.00 10 100.0%
settings.
Enters correct parameters
0.0% (0) 100.0% (5) 0.0% (0) 2.00 10 100.0%
for the patient chart.
Performs pretreatment
0.0% (0) 100.0% (5) 0.0% (0) 2.00 10 100.0%
checks/calculations.
Observes patient
0.0% (0) 100.0% (5) 0.0% (0) 2.00 10 100.0%
treatment.
OVERALL
0 72 3 2.00 144 100.0%
COUNTS/MEANS:
Total Respondents: 5
Skipped this question: 0

Overall rating:
(Rating Scale - One Answer 1 2 If applicable, please Mean Total Percentage

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5/5/2017 TyphonGroup:EASIEvaluation&SurveyInstrument
Horizontal) Fail Pass specify reason for [1-2] Points Score
Statistical Mode in BOLD failure
0.0% (0) 100.0% (5) 2.00 10 100.0%
Total Respondents: 5
Skipped this question: 0

Total points for all rating scale questions: 154

Mean percentage score for all rating scale questions: 100.0%
(Each main question equally weighted)

Responses as of 5/5/2017 7:31:10 PM CT

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