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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 (DALTON, Paige)
Evaluation of: Students (Rocque, Michelle)
Evaluation Period: 11/19/2015
Survey Completed: 11/19/2015 10:11:02 AM CT

Select the brachytherapy planning competency from the drop down menu below:
z 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.
z Discusses the plan prescription with the physician. - N/A (Additional Comment: worked with physicist not

physician) [0 pts]
z Loads the patient imaging studies into the planning computer. - Satisfactory
z Contours the appropriate anatomy on the image data set. - Satisfactory
z Identifies appropriate dose points on the image data set. - Satisfactory
z Successfully identifies source positions. - Satisfactory

[2 pts]

[2 pts]
[2 pts]

[2 pts]

z Identifies available isotope and activity for date and time of treatment. - Satisfactory

[2 pts]

z Correctly generates plan using appropriate isotope and activity to achieve treatment objective. - Satisfactory

[2

pts]
z Accurately generates DVH/Dose point summary for implant. - Satisfactory [2 pts]
z Communicates effectively with physician for plan review and makes changes as requested. - N/A (Additional

Comment: worked with physicist not physician) [0 pts]


z Exports/Prints appropriate plan data. - Satisfactory

[2 pts]

z Performs hand verification calculations for dwell time. - N/A (Additional Comment: used secondary verification

program) [0 pts]
z Assembles necessary equipment for source loading. - N/A (Additional Comment: HDR)

[0 pts]

z Makes appropriate entries in source log and fills out necessary paperwork for appropriate room posting. -

N/A (Additional Comment: HDR) [0 pts]


z Prepares sources for transport and loading. - N/A (Additional Comment: HDR)
z Observes source insertion. - Satisfactory

[0 pts]

[2 pts]

z Performs appropriate patient room surveys. - Satisfactory

[2 pts]

z Uses appropriate radiation measuring devices for brachytherapy procedures and source inventory. -

Satisfactory [2 pts]
z Uses time, distance and shielding principles during brachytherapy procedures. - Satisfactory

[2 pts]

MEAN: 1.33 (out of possible 2), % SCORE: 66.7%

https://www.typhongroup.net/eval/analyze/studentdetails.asp?r=0&facility=9094&survey=... 12/7/2015

Typhon Group: EASI - Evaluation & Survey Instrument

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Overall rating:
z Pass

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

Additional Comments:
z Michelle did a great job planning brachytherapy which required her learning a new TPS.

Mean percentage score for all rating scale questions: 83.3%


(Each main question equally weighted)

Responses as of 12/7/2015 12:48:09 PM CT

https://www.typhongroup.net/eval/analyze/studentdetails.asp?r=0&facility=9094&survey=... 12/7/2015

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