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4 Fldpelvis

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0% found this document useful (0 votes)
17 views3 pages

4 Fldpelvis

Uploaded by

api-523912641
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
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Survey: 3D- CRT Photon Planning Competency Evaluation

Reviewer: Clinical Instructors (FELLOWS, Ashley)


Reviewee: Students (Lee, Ji)
Survey Period: 8/6/2021
Completed: 8/6/2021 1:16:38 PM CT

1. Select the external beam photon planning competency from the drop down menu below:

Pelvis (GYN or other)

2. If Other competency, please specify the type here:

4 field pelvis
3. 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 Satisfactory [2 pts]


physician.

Loads the patient imaging studies into the N/A


planning computer. Additional Comments: Done by simulation
therapists

Contours the appropriate anatomy on the N/A


image data set. Additional Comments: Contours done by physician
and resident before coming to dosimetry

Successfully places the isocenter using Satisfactory [2 pts]


simulation data.

Correctly generates plan using blocks, Satisfactory [2 pts]


wedges, segmented fields.

Generates plan with appropriate Satisfactory [2 pts]


weighting.

Generates plan with appropriate energies. Satisfactory [2 pts]

Accurately generates/evaluates plan DVH Satisfactory [2 pts]


or composite DVH (for correct # of
fractions).

Communicates effectively with physician Satisfactory [2 pts]


for plan review and makes changes as
requested.

Exports/Prints appropriate plan data. Satisfactory [2 pts]

Performs a verification calculation for plan Satisfactory [2 pts]


MU settings.

Enters correct parameters for the patient Satisfactory [2 pts]


chart.

Performs pretreatment N/A


checks/calculations.

Utilizes respiratory gating information to N/A


determine field parameters. Additional Comments: not used

Observes patient treatment. Satisfactory [2 pts]

Mean: 2.00 of 2 Points: 22 Score: 100.0%


4. Overall rating:

Pass [2 pts]

Mean: 2.00 of 2 Points: 2 Score: 100.0%

Total points for all rating scale questions: 24 (Each main question equally weighted)
Mean percentage score for all rating scale questions: 100.0% Response as of 8/9/2021 11:10:29 AM CT

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