8/9/2017 Typhon Group: EASI - Evaluation & Survey Instrument

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

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Evaluation by: Clinical Instructors (DIAZ, Irma)

Evaluation of: Students (Sanford, Stephanie)
Evaluation Period: 2/14/2017
Survey Completed: 2/14/2017 1:36:28 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: Stefanie is
progressing very well and it helps that she knows about treatment guidelines.)[10 pts]
Respects patient's rights to privacy and con dentiality. - Meets Expectations(Additional Comment:
Always very cordial and respectful.)[10 pts]
Acts and speaks in a respectful manner with staff members. - Meets Expectations(Additional
Comment: She will ask questions when needed and doesn't hesitate to ask questions.)[10 pts]
Asks questions in an appropriate manner. - Meets Expectations(Additional Comment: She is asking
questions to areas that she is working on.)[10 pts]
Accepts correction and direction in a professional manner. - Meets Expectations(Additional Comment:
Will accept constructive criticism very well.)[10 pts]
Contributes as a member of the medical dosimetry team. - Meets Expectations(Additional Comment:
She has been helping the dosimetry team out with planning.)[10 pts]
Uses effective verbal communication skills with physician during plan consultation and review. - Meets
Expectations(Additional Comment: Great communicator.)[10 pts]
Uses effective written communication skills for chart, plan, and dosimetry note documentation. - Meets
Expectations(Additional Comment: Quite familiar with our routine and physicians which is an
added plus.)[10 pts]

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

Accuracy

Follows through instructions with attention to detail. - Meets Expectations(Additional Comment: She
is very focused and is creating instructional pdfs for others to follow.)[10 pts]
Accurately enters information into chart or R & V system. - Meets Expectations(Additional Comment:
She is excelling in this area.)[10 pts]

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

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8/9/2017 Typhon Group: EASI - Evaluation & Survey Instrument

Safety

Double checks all student work to include calculations and treatment plans with dosimetrist/physicist. -
Meets Expectations(Additional Comment: She has been instructed to complete all plans along
with the R&V information in mosaiq and one of the dosimetrists checks her work prior to
releasing to the therapists.)[10 pts]

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

Dependability

Arrives promptly as scheduled. - Meets Expectations(Additional Comment: Always here bright and
early.)[10 pts]
Schedules breaks, lunches, and other time needs with clinical instructors. - Meets
Expectations(Additional Comment: Steafanie is always available when needed and scheduled
lunches are taken accordingly.)[10 pts]
Adheres to attendance standards of the program. - Meets Expectations(Additional Comment: Stefanie
is here for one purpose: to complete the program and start her career in dosimetry. That's been
her main goal since I have met her.)[10 pts]
Uses clinical time wisely. - Meets Expectations(Additional Comment: De nitely.)[10 pts]
Follows school and hospital policies and procedures. - Meets Expectations(Additional Comment: She
is very acquainted with our p&p.)[10 pts]
Takes initiative in observing and assisting in dosimetry activities. - Meets Expectations(Additional
Comment: She is very involved in simulation procedures, dosimetry meetings, committee
meetings and journal club meetings.)[10 pts]

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

Application of Knowledge
Demonstrates a basic understanding of physics concepts and principles. - Meets
Expectations(Additional Comment: Stefanie is in institution where she is surrounded by great
therapists, dosimetrists, and physics staff that will assist her in her journey.)[10 pts]
Is able to retrieve imaging study (CT) and bring into patient le. - Meets Expectations(Additional
Comment: She is able to retrieve cts scans into pinnacle. We will assist her with fusion next.)[10
pts]
Is able to identify anatomy and contour appropriate structures. - Meets Expectations(Additional
Comment: She has an anatomy book and tutorials that aid in her learning A&P.)[10 pts]
Understands the use of the computer for treatment planning. - Meets Expectations(Additional
Comment: Very techy savvy.)[10 pts]
Is able to enter information into the computer and design a basic treatment plan in accordance with
prescription. - Meets Expectations(Additional Comment: She is excelling in this area.)[10 pts]

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

General Dosimetry Skills

Performs calculations in a timely manner. - Meets Expectations(Additional Comment: she is very

prompt with nishing plans in a timely manner.)[10 pts]

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8/9/2017 Typhon Group: EASI - Evaluation & Survey Instrument
Accurately uses dose calculation databooks to perform hand calculations. - N/A(Additional Comment:
We don't do manual calcs. We use rad calc and she knows how to manuever it.)
Is able to prioritize and organize duties to e ciently complete requirements. - Meets
Expectations(Additional Comment: De nitely.)[10 pts]
Exhibits a basic knowledge of anatomy, tissue dose tolerance, de nitive tumor dose, and typical eld
arrangement. - Meets Expectations(Additional Comment: She has our treatment guidelines that we
use and follows thru with it.)[10 pts]

MEAN: 10.00 (out of possible 10), POINTS: 30, % SCORE: 100.0%

I have reviewed this evaluation with the student.

Yes(Additional Comment: Stefanie will be asset to any facility that she will be going to after the
completion of this program.)

Additional Comments:

Continue to learn from our dosimetry experts and physics staff.

Total points for all rating scale questions: 250

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

Responses as of 8/9/2017 8:34:36 AM CT

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