2.

Evaluation month:
G June 2014
3.Communications
G Explains medical dosimetry procedures to patient as appropriate to situation. - Meets Expectations[3 pts]
G Respects patient's rights to privacy and confidentiality. - Meets Expectations[3 pts]
G Acts and speaks in a respectful manner with staff members. - Meets Expectations[3 pts]
G Asks questions in an appropriate manner. - Meets Expectations[3 pts]
G Accepts correction and direction in a professional manner. - Meets Expectations[3 pts]
G Contributes as a member of the medical dosimetry team. - Meets Expectations[3 pts]
G Uses effective verbal communication skills with physician during plan consultation and review. - Meets
Expectations[3 pts]
G Uses effective written communication skills for chart, plan, and dosimetry note documentation. - Meets
Expectations[3 pts]
MEAN: 3.00 (out of possible 3), % SCORE: 100.0%
4.Accuracy
G Performs dose calculations accurately. - Meets Expectations[3 pts]
G Reads radiation measurement devices accurately and carefully. (eg, TLD, Diodes. Film, Ion Chamber) - N/A
G Accurately designs plans by computer or manual computation in accordance with prescription. - Meets
Expectations[3 pts]
G Accurately enters information into chart or R & V system. - Meets Expectations[3 pts]
MEAN: 3.00 (out of possible 3), % SCORE: 100.0%
Individual Responses Detail - "Clinical Affective Evaluation"
(Filters currently ON)
Evaluation Period from: 5/27/2014
Evaluation Period through: 8/31/2014
Evaluations Completed from: 5/27/2014
Evaluations Completed through: 8/31/2014
Evaluations for: Maurer, Heather

Filtered Responses: 3
TOTAL RESPONSES: 218
Evaluation by: Clinical Instructors (YOUNG, Lisa)
Evaluation of: Students (Maurer, Heather)
Evaluation Period: 6/30/2014
Survey Completed: 7/7/2014 12:57:51 PM CT
Reviewed by Administrator: 7/8/2014 2:46:35 PM CT
5.Safety
G Takes appropriate precautions in Radiation Safety. - Meets Expectations[3 pts]
G Double checks all calculations and treatment plans with dosimetrist/physicist. - Meets Expectations[3 pts]
G Performs Quality Assurance per recommended guidelines and reviews with dosimetrist/physicist. - Meets
Expectations[3 pts]
G Uses time, distance, shielding practices & principles. - Meets Expectations[3 pts]
MEAN: 3.00 (out of possible 3), % SCORE: 100.0%
6.Dependability
G Arrives promptly as scheduled. - Meets Expectations[3 pts]
G Schedules breaks, lunches, and other time needs with clinical instructors. - Meets Expectations[3 pts]
G Adheres to attendance standards of the program. - Meets Expectations[3 pts]
G Uses clinical time wisely. - Meets Expectations[3 pts]
G Follows school and hospital policies and procedures. - Meets Expectations[3 pts]
G Takes initiative in observing and assisting in dosimetry activities. - Meets Expectations[3 pts]
MEAN: 3.00 (out of possible 3), % SCORE: 100.0%
7.Application of Knowledge
G Understands the technique and use of special calculation methods. - Meets Expectations[3 pts]
G Is able to retrieve imaging study (CT) and bring into patient file. - Meets Expectations[3 pts]
G Is able to identify anatomy and contour appropriate structures. - Meets Expectations[3 pts]
G Understands the use of the computer for treatment planning. - Meets Expectations[3 pts]
G Is able to enter information into the computer and design treatment plan in accordance with prescription. -
Meets Expectations[3 pts]
G Utilizes critical thinking/problem solving skills in approaching treatment planning. - Meets Expectations[3
pts]
G Demonstrates a basic understanding of physics concepts and principles. - Meets Expectations[3 pts]
G Understands how clinical oncology information is used in treatment planning. - Meets Expectations[3 pts]
G Utilizes critical thinking skills when evaluating dose volume histograms. - Meets Expectations[3 pts]
G Uses problem solving skills when comparing various treatment plans for a specific treatment case. - Meets
Expectations[3 pts]
G Is able to design optimal treatment plans based on calculations, dose volume histograms, prescription, and
treatment implementation. - Meets Expectations[3 pts]
MEAN: 3.00 (out of possible 3), % SCORE: 100.0%
8.General Dosimetry Skills
G Performs calculations in a timely manner. - Meets Expectations[3 pts]
G Accurately uses dose calculation databooks to perform hand calculations. - Meets Expectations[3 pts]
G Is able to dose out chart per prescription and plan. - Meets Expectations[3 pts]
G Exhibits knowledge of anatomy, tissue dose tolerance, definitive tumor dose, and typical field arrangement. -
Meets Expectations[3 pts]
G Is able to independently produce treatment plans as required by competency list for the semester. - Meets
Expectations[3 pts]
G Is able to prioritize and organize duties to efficiently complete requirements. - Meets Expectations[3 pts]
MEAN: 3.00 (out of possible 3), % SCORE: 100.0%
9.I have reviewed this evaluation with the student.
G Yes
10.Additional Comments:
G Great job....keep up the good work!
Mean percentage score for all rating scale questions: 100.0%
(Each main question equally weighted)
Responses as of 9/9/2014 6:18:53 PM CT

2.
Evaluation month:
G July 2014
3.Communications
G Explains medical dosimetry procedures to patient as appropriate to situation. - Meets Expectations[3 pts]
G Respects patient's rights to privacy and confidentiality. - Meets Expectations[3 pts]
G Acts and speaks in a respectful manner with staff members. - Meets Expectations[3 pts]
G Asks questions in an appropriate manner. - Meets Expectations[3 pts]
G Accepts correction and direction in a professional manner. - Meets Expectations[3 pts]
G Contributes as a member of the medical dosimetry team. - Meets Expectations[3 pts]
G Uses effective verbal communication skills with physician during plan consultation and review. - Meets
Expectations[3 pts]
G Uses effective written communication skills for chart, plan, and dosimetry note documentation. - Meets
Expectations[3 pts]
MEAN: 3.00 (out of possible 3), % SCORE: 100.0%
4.Accuracy
G Performs dose calculations accurately. - Meets Expectations[3 pts]
G Reads radiation measurement devices accurately and carefully. (eg, TLD, Diodes. Film, Ion Chamber) -
Meets Expectations[3 pts]
G Accurately designs plans by computer or manual computation in accordance with prescription. - Meets
Expectations[3 pts]
G Accurately enters information into chart or R & V system. - Meets Expectations[3 pts]
MEAN: 3.00 (out of possible 3), % SCORE: 100.0%
5.Safety
G Takes appropriate precautions in Radiation Safety. - Meets Expectations[3 pts]
G Double checks all calculations and treatment plans with dosimetrist/physicist. - Meets Expectations[3 pts]
G Performs Quality Assurance per recommended guidelines and reviews with dosimetrist/physicist. - Meets
Expectations[3 pts]
G Uses time, distance, shielding practices & principles. - Meets Expectations[3 pts]
Evaluation by: Clinical Instructors (YOUNG, Lisa)
Evaluation of: Students (Maurer, Heather)
Evaluation Period: 7/28/2014
Survey Completed: 8/8/2014 5:51:34 AM CT
Reviewed by Administrator: 7/8/2014 2:46:35 PM CT
MEAN: 3.00 (out of possible 3), % SCORE: 100.0%
6.Dependability
G Arrives promptly as scheduled. - Meets Expectations[3 pts]
G Schedules breaks, lunches, and other time needs with clinical instructors. - Meets Expectations[3 pts]
G Adheres to attendance standards of the program. - Meets Expectations[3 pts]
G Uses clinical time wisely. - Meets Expectations[3 pts]
G Follows school and hospital policies and procedures. - Meets Expectations[3 pts]
G Takes initiative in observing and assisting in dosimetry activities. - Meets Expectations[3 pts]
MEAN: 3.00 (out of possible 3), % SCORE: 100.0%
7.Application of Knowledge
G Understands the technique and use of special calculation methods. - Meets Expectations[3 pts]
G Is able to retrieve imaging study (CT) and bring into patient file. - Meets Expectations[3 pts]
G Is able to identify anatomy and contour appropriate structures. - Meets Expectations[3 pts]
G Understands the use of the computer for treatment planning. - Meets Expectations[3 pts]
G Is able to enter information into the computer and design treatment plan in accordance with prescription. -
Meets Expectations[3 pts]
G Utilizes critical thinking/problem solving skills in approaching treatment planning. - Meets Expectations[3
pts]
G Demonstrates a basic understanding of physics concepts and principles. - Meets Expectations[3 pts]
G Understands how clinical oncology information is used in treatment planning. - Meets Expectations[3 pts]
G Utilizes critical thinking skills when evaluating dose volume histograms. - Meets Expectations[3 pts]
G Uses problem solving skills when comparing various treatment plans for a specific treatment case. - Meets
Expectations[3 pts]
G Is able to design optimal treatment plans based on calculations, dose volume histograms, prescription, and
treatment implementation. - Meets Expectations[3 pts]
MEAN: 3.00 (out of possible 3), % SCORE: 100.0%
8.General Dosimetry Skills
G Performs calculations in a timely manner. - Meets Expectations[3 pts]
G Accurately uses dose calculation databooks to perform hand calculations. - Meets Expectations[3 pts]
G Is able to dose out chart per prescription and plan. - Meets Expectations[3 pts]
G Exhibits knowledge of anatomy, tissue dose tolerance, definitive tumor dose, and typical field arrangement. -
Meets Expectations[3 pts]
G Is able to independently produce treatment plans as required by competency list for the semester. - Meets
Expectations[3 pts]
G Is able to prioritize and organize duties to efficiently complete requirements. - Meets Expectations[3 pts]
MEAN: 3.00 (out of possible 3), % SCORE: 100.0%
9.I have reviewed this evaluation with the student.
G Yes
10.Additional Comments:
G Heather continues to grow and improve in her skills. She has shown a great interest in learning more complex
planning and has excelled in those particular cases that I have evaluated her on. Excellent work!!!
Mean percentage score for all rating scale questions: 100.0%
(Each main question equally weighted)
Responses as of 9/9/2014 6:18:53 PM CT

2.
Evaluation month:
G August 2014
3.Communications
G Explains medical dosimetry procedures to patient as appropriate to situation. - Meets Expectations[3 pts]
G Respects patient's rights to privacy and confidentiality. - Meets Expectations[3 pts]
G Acts and speaks in a respectful manner with staff members. - Meets Expectations[3 pts]
G Asks questions in an appropriate manner. - Meets Expectations[3 pts]
G Accepts correction and direction in a professional manner. - Meets Expectations[3 pts]
G Contributes as a member of the medical dosimetry team. - Meets Expectations[3 pts]
G Uses effective verbal communication skills with physician during plan consultation and review. - Meets
Expectations[3 pts]
G Uses effective written communication skills for chart, plan, and dosimetry note documentation. - Meets
Expectations[3 pts]
MEAN: 3.00 (out of possible 3), % SCORE: 100.0%
4.Accuracy
G Performs dose calculations accurately. - Meets Expectations[3 pts]
G Reads radiation measurement devices accurately and carefully. (eg, TLD, Diodes. Film, Ion Chamber) -
Meets Expectations[3 pts]
G Accurately designs plans by computer or manual computation in accordance with prescription. - Meets
Expectations[3 pts]
G Accurately enters information into chart or R & V system. - Meets Expectations[3 pts]
MEAN: 3.00 (out of possible 3), % SCORE: 100.0%
5.Safety
G Takes appropriate precautions in Radiation Safety. - Meets Expectations[3 pts]
G Double checks all calculations and treatment plans with dosimetrist/physicist. - Meets Expectations[3 pts]
G Performs Quality Assurance per recommended guidelines and reviews with dosimetrist/physicist. - Meets
Expectations[3 pts]
G Uses time, distance, shielding practices & principles. - Meets Expectations[3 pts]
Evaluation by: Clinical Instructors (YOUNG, Lisa)
Evaluation of: Students (Maurer, Heather)
Evaluation Period: 8/15/2014
Survey Completed: 8/15/2014 10:34:37 AM CT
Reviewed by Administrator: 7/8/2014 2:46:35 PM CT
MEAN: 3.00 (out of possible 3), % SCORE: 100.0%
6.Dependability
G Arrives promptly as scheduled. - Meets Expectations[3 pts]
G Schedules breaks, lunches, and other time needs with clinical instructors. - Meets Expectations[3 pts]
G Adheres to attendance standards of the program. - Meets Expectations[3 pts]
G Uses clinical time wisely. - Meets Expectations[3 pts]
G Follows school and hospital policies and procedures. - Meets Expectations[3 pts]
G Takes initiative in observing and assisting in dosimetry activities. - Meets Expectations[3 pts]
MEAN: 3.00 (out of possible 3), % SCORE: 100.0%
7.Application of Knowledge
G Understands the technique and use of special calculation methods. - Meets Expectations[3 pts]
G Is able to retrieve imaging study (CT) and bring into patient file. - Meets Expectations[3 pts]
G Is able to identify anatomy and contour appropriate structures. - Meets Expectations[3 pts]
G Understands the use of the computer for treatment planning. - Meets Expectations[3 pts]
G Is able to enter information into the computer and design treatment plan in accordance with prescription. -
Meets Expectations[3 pts]
G Utilizes critical thinking/problem solving skills in approaching treatment planning. - Meets Expectations[3
pts]
G Demonstrates a basic understanding of physics concepts and principles. - Meets Expectations[3 pts]
G Understands how clinical oncology information is used in treatment planning. - Meets Expectations[3 pts]
G Utilizes critical thinking skills when evaluating dose volume histograms. - Meets Expectations[3 pts]
G Uses problem solving skills when comparing various treatment plans for a specific treatment case. - Meets
Expectations[3 pts]
G Is able to design optimal treatment plans based on calculations, dose volume histograms, prescription, and
treatment implementation. - Meets Expectations[3 pts]
MEAN: 3.00 (out of possible 3), % SCORE: 100.0%
8.General Dosimetry Skills
G Performs calculations in a timely manner. - Meets Expectations[3 pts]
G Accurately uses dose calculation databooks to perform hand calculations. - Meets Expectations[3 pts]
G Is able to dose out chart per prescription and plan. - Meets Expectations[3 pts]
G Exhibits knowledge of anatomy, tissue dose tolerance, definitive tumor dose, and typical field arrangement. -
Meets Expectations[3 pts]
G Is able to independently produce treatment plans as required by competency list for the semester. - Meets
Expectations[3 pts]
G Is able to prioritize and organize duties to efficiently complete requirements. - Meets Expectations[3 pts]
MEAN: 3.00 (out of possible 3), % SCORE: 100.0%
9.I have reviewed this evaluation with the student.
G Yes
10.Additional Comments:
G Great job !!! Keep it up!
Mean percentage score for all rating scale questions: 100.0%
(Each main question equally weighted)
Responses as of 9/9/2014 6:18:53 PM CT