5/3/2018 Typhon Group: EASI - Evaluation & Survey Instrument

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

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Evaluation by:   Clinical Instructors (KOLLER, Dana)

Evaluation of:   Students (Schwartz, Adam)
Evaluation Period:   3/29/2018
Survey Completed:   3/29/2018 5:47:01 PM CT

First semester Evaluation:

2nd 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   [10 pts]
Respects patient's rights to privacy and con dentiality. - 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  (Additional Comment: Adam should take
the intiative to ask questions when he is uncertain or not understanding concepts.)   [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 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
Follows through instructions with attention to detail. - Meets Expectations   [10 pts]
Accurately enters information into chart or R & V system. - Meets Expectations   [10 pts]

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

Safety
Double checks all student work to include calculations and treatment plans with dosimetrist/physicist. -
Meets Expectations   [10 pts]

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

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5/3/2018 Typhon Group: EASI - Evaluation & Survey Instrument

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: During treatment planning downtime, Adam should take the initiative to sit and observe one of the
dosimetrists to gain a new perspective on treament planning techniques and different types of plans.)   [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   [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]

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

General Dosimetry Skills

Performs calculations in a timely manner. - Meets Expectations   [10 pts]
Accurately uses dose calculation databooks to perform hand calculations. - N/A
Is able to prioritize and organize duties to e ciently complete requirements. - Meets Expectations   [10
pts]
Exhibits a basic knowledge of anatomy, tissue dose tolerance, de nitive tumor dose, and typical eld
arrangement. - Meets Expectations   [10 pts]

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

 I have reviewed this evaluation with the student.

No

Additional Comments:

Adam is doing a great job of communicating with physicians and physicists to generate treatment plans,
and has been taking great notes to help him accomplish tasks independently.

Total points for all rating scale questions: 250

Mean percentage score for all rating scale questions: 100.0%
(Each main question equally weighted)
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5/3/2018 Typhon Group: EASI - Evaluation & Survey Instrument

Responses as of 5/3/2018 9:18:53 PM CT

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