Affective Evaluation Summary

4/3/2017 TyphonGroup:EASIEvaluation&SurveyInstrument
Responses About You - Details - "1st Semester Affective Clinical Evaluation"

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Evaluation by: Clinical Instructors (ZOLLER, Wesley)

Evaluation of: Students (Zoller, Ian)
Evaluation Period: 2/10/2017
Survey Completed: 2/13/2017 2:07:31 PM CT
First semester Evaluation:
1st Evaluation
Communications
Explains medical dosimetry procedures to patient as appropriate to situation (e.g. when assisting with procedures in treatment room or
simulation). - Meets Expectations(Additional Comment: Ian is genial with patients, introduces himself and his role at simulation and at treatment.)[10
pts]
Respects patient's rights to privacy and condentiality. - Meets Expectations[10 pts]
Acts and speaks in a respectful manner with staff members. - Meets Expectations(Additional Comment: Ian is very respectful of patients and staff,
and carries himself very well in the clinic.)[10 pts]
Asks questions in an appropriate manner. - Meets Expectations(Additional Comment: Ian asks appropriate questions showing a desire to learn.)[10
pts]
Accepts correction and direction in a professional manner. - Meets Expectations[10 pts]
Contributes as a member of the medical dosimetry team. - Meets Expectations(Additional Comment: Ian has been helpful with 2D/3D planning cases
already, as well as contouring and image fusions.)[10 pts]
Uses effective verbal communication skills with physician during plan consultation and review. - Meets Expectations[10 pts]
Uses effective written communication skills for chart, plan, and dosimetry note documentation. - Meets Expectations[10 pts]
MEAN: 10.00 (out of possible 10), POINTS: 80, % SCORE: 100.0%
Accuracy
https://www.typhongroup.net/eval/analyze/studentdetails.asp?r=0&facility=9094&survey=38354 1/3
Follows through instructions with attention to detail. - Meets Expectations(Additional Comment: Ian is very detail oriented, and this has served well thus
far.)[10 pts]
Accurately enters information into chart or R & V system. - Meets Expectations(Additional Comment: We have recently begun this aspect, choosing to
focus more on planning than documentation early in the process. He has observed this process, however.)[10 pts]
Safety
Double checks all student work to include calculations and treatment plans with dosimetrist/physicist. - Meets Expectations(Additional Comment:
Ian performs under preceptor supervision.)[10 pts]
Dependability
Arrives promptly as scheduled. - Meets Expectations[10 pts]
Schedules breaks, lunches, and other time needs with clinical instructors. - Meets Expectations[10 pts]
Adheres to attendance standards of the program. - Meets Expectations[10 pts]
Uses clinical time wisely. - Meets Expectations[10 pts]
Follows school and hospital policies and procedures. - Meets Expectations[10 pts]
Takes initiative in observing and assisting in dosimetry activities. - Meets Expectations(Additional Comment: Ian is very interested in an cases
assigned to him from simulation, and expresses an eagerness to be involved in other planning cases in dosimetry.)[10 pts]
Application of Knowledge
Demonstrates a basic understanding of physics concepts and principles. - Meets Expectations[10 pts]
Is able to retrieve imaging study (CT) and bring into patient le. - Meets Expectations(Additional Comment: Ian has been very helpful in this regard thus
far.)[10 pts]
Is able to identify anatomy and contour appropriate structures. - Meets Expectations(Additional Comment: Ian was quick to pick up contouring based
on his role as a dosimetry intern. Due to this he has been very helpful here thus far.)[10 pts]
Understands the use of the computer for treatment planning. - Meets Expectations(Additional Comment: His functionality and skills have increased as
the program has progressed.)[10 pts]
Is able to enter information into the computer and design a basic treatment plan in accordance with prescription. - Meets Expectations(Additional
Comment: Ian is able to plan 2D and 3D cases regularly at this point.)[10 pts]
General Dosimetry Skills

Performs calculations in a timely manner. - Meets Expectations[10 pts]
Accurately uses dose calculation databooks to perform hand calculations. - Meets Expectations[10 pts]
Is able to prioritize and organize duties to efciently complete requirements. - Meets Expectations[10 pts]
Exhibits a basic knowledge of anatomy, tissue dose tolerance, denitive tumor dose, and typical eld arrangement. - Meets Expectations[10 pts]
I have reviewed this evaluation with the student.
Yes(Additional Comment: Ian knows the next steps of his development into an outstanding dosimetrist.)
Additional Comments:
Ian has performed very well clinically thus far, and he shows a desire to learn this eld. He is very receptive to teaching and puts the work into
practicing and nely tuning his skills. Mark Addington and myself sat together to score each category and discussed the expectations with Ian.
Total points for all rating scale questions: 260

Mean percentage score for all rating scale questions: 100.0%
(Each main question equally weighted)
Responses as of 4/3/2017 3:03:18 PM CT

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2nd Evaluation
Communications
simulation). - Meets Expectations(Additional Comment: Ian is polite and speaks to patients regarding procedures.)[10 pts]
Acts and speaks in a respectful manner with staff members. - Meets Expectations[10 pts]
Asks questions in an appropriate manner. - Meets Expectations(Additional Comment: Ian asks a great deal of questions about planning techniques and
theories.)[10 pts]
Accepts correction and direction in a professional manner. - Meets Expectations(Additional Comment: Ian is very open to any and all suggestions; he
wants to apply these corrections to future cases.)[10 pts]
Contributes as a member of the medical dosimetry team. - Meets Expectations(Additional Comment: Ian really contributes by taking 2D and 3D cases
regularly. Same with contouring and image fusion.)[10 pts]
Uses effective written communication skills for chart, plan, and dosimetry note documentation. - Meets Expectations(Additional Comment: Ian is
very detail-oriented and performs all documentation accurately each time.)[10 pts]
Accuracy
Follows through instructions with attention to detail. - Meets Expectations[10 pts]
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Accurately enters information into chart or R & V system. - Meets Expectations(Additional Comment: Ian does this efciently and accurately.)[10 pts]
Safety
Double checks all student work to include calculations and treatment plans with dosimetrist/physicist. - Meets Expectations[10 pts]
Dependability
Uses clinical time wisely. - Meets Expectations(Additional Comment: Ian is always working on something to improve as a dosimetrist.)[10 pts]
Takes initiative in observing and assisting in dosimetry activities. - Meets Expectations(Additional Comment: Ian asks to be included in any procedure,
especially specialty cases.)[10 pts]
Demonstrates a basic understanding of physics concepts and principles. - Meets Expectations(Additional Comment: He is very adept with dosimetry
principles.)[10 pts]
Is able to retrieve imaging study (CT) and bring into patient le. - Meets Expectations[10 pts]
Is able to identify anatomy and contour appropriate structures. - Meets Expectations(Additional Comment: Anatomy is second nature at this point, all
contours are done quickly and accurately.)[10 pts]
Understands the use of the computer for treatment planning. - Meets Expectations(Additional Comment: He is very skilled at treatment planning.)[10
pts]
Is able to enter information into the computer and design a basic treatment plan in accordance with prescription. - Meets Expectations(Additional
Comment: In 2D and 3D planning, Ian is very comfortable at this point.)[10 pts]

Is able to prioritize and organize duties to efciently complete requirements. - Meets Expectations[10 pts]
Yes
Mark Addington and I reviewed and scored this application with Ian present. He understand the next steps he needs to take to continue down the
path of becoming a wonderful dosimetrist.

Responses as of 4/14/2017 7:37:11 AM CT

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3rd Evaluation
Communications
simulation). - Meets Expectations[10 pts]
Acts and speaks in a respectful manner with staff members. - Meets Expectations[10 pts]
Asks questions in an appropriate manner. - Meets Expectations[10 pts]
Accepts correction and direction in a professional manner. - Meets Expectations[10 pts]
Contributes as a member of the medical dosimetry team. - Meets Expectations[10 pts]
Uses effective written communication skills for chart, plan, and dosimetry note documentation. - Meets Expectations[10 pts]
Accuracy
Follows through instructions with attention to detail. - Meets Expectations[10 pts]
Accurately enters information into chart or R & V system. - Meets Expectations[10 pts]
Safety
Double checks all student work to include calculations and treatment plans with dosimetrist/physicist. - Meets Expectations[10 pts]
Dependability
Uses clinical time wisely. - Meets Expectations[10 pts]
Takes initiative in observing and assisting in dosimetry activities. - Meets Expectations[10 pts]
Demonstrates a basic understanding of physics concepts and principles. - Meets Expectations[10 pts]
Is able to retrieve imaging study (CT) and bring into patient le. - Meets Expectations[10 pts]
Is able to identify anatomy and contour appropriate structures. - Meets Expectations[10 pts]
Understands the use of the computer for treatment planning. - Meets Expectations[10 pts]
Is able to enter information into the computer and design a basic treatment plan in accordance with prescription. - Meets Expectations[10 pts]

Is able to prioritize and organize duties to eciently complete requirements. - Meets Expectations[10 pts]
Yes
At this point of the semester, Ian is very adept in 3D planning, and eager to learn. He started IMRT/VMAT planning a few weeks ago, and that
seems to be going very well. He's also been stellar with getting involved, always wanting to be included in dicult cases and wanting to take cases
when possible. Ian, Mark Addington, and myself sat together while lling this out.

Responses as of 5/4/2017 3:25:43 PM CT

Affective Evaluation Summary

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Affective Evaluation Summary

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4/3/2017 TyphonGroup:EASIEvaluation&SurveyInstrument

Responses About You - Details - "1st Semester Affective Clinical Evaluation"

Evaluation by: Clinical Instructors (ZOLLER, Wesley)

First semester Evaluation:

MEAN: 10.00 (out of possible 10), POINTS: 80, % SCORE: 100.0%

MEAN: 10.00 (out of possible 10), POINTS: 20, % SCORE: 100.0%

MEAN: 10.00 (out of possible 10), POINTS: 10, % SCORE: 100.0%

MEAN: 10.00 (out of possible 10), POINTS: 60, % SCORE: 100.0%

General Dosimetry Skills

MEAN: 10.00 (out of possible 10), POINTS: 40, % SCORE: 100.0%

I have reviewed this evaluation with the student.

Total points for all rating scale questions: 260

Responses as of 4/3/2017 3:03:18 PM CT

Responses About You - Details - "1st Semester Affective Clinical Evaluation"

Evaluation by: Clinical Instructors (ZOLLER, Wesley)

First semester Evaluation:

MEAN: 10.00 (out of possible 10), POINTS: 80, % SCORE: 100.0%

MEAN: 10.00 (out of possible 10), POINTS: 20, % SCORE: 100.0%

MEAN: 10.00 (out of possible 10), POINTS: 10, % SCORE: 100.0%

MEAN: 10.00 (out of possible 10), POINTS: 60, % SCORE: 100.0%

MEAN: 10.00 (out of possible 10), POINTS: 50, % SCORE: 100.0%

General Dosimetry Skills

MEAN: 10.00 (out of possible 10), POINTS: 40, % SCORE: 100.0%

I have reviewed this evaluation with the student.

Total points for all rating scale questions: 260

Responses as of 4/14/2017 7:37:11 AM CT

Responses About You - Details - "1st Semester Affective Clinical Evaluation"

Evaluation by: Clinical Instructors (ZOLLER, Wesley)

First semester Evaluation:

MEAN: 10.00 (out of possible 10), POINTS: 80, % SCORE: 100.0%

MEAN: 10.00 (out of possible 10), POINTS: 20, % SCORE: 100.0%

MEAN: 10.00 (out of possible 10), POINTS: 10, % SCORE: 100.0%

MEAN: 10.00 (out of possible 10), POINTS: 60, % SCORE: 100.0%

MEAN: 10.00 (out of possible 10), POINTS: 50, % SCORE: 100.0%

General Dosimetry Skills

I have reviewed this evaluation with the student.

Total points for all rating scale questions: 260

Responses as of 5/4/2017 3:25:43 PM CT

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