Typhon Group - EASI System 12/12/19, 9:39 PM

Survey: "Brachytherapy Planning Competency"

Reviewer: Clinical Instructors (CREBO, Donald) Reviewee: Students (Hufnal, Stephanie)
Survey Period: 12/5/2019 Completed: 12/12/2019 3:30:42 PM CT

1. Select the brachytherapy planning competency from the drop down menu below:

Intracavitary

2. 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 physician. Satisfactory [2 pts]

Additional Comment: Physics is responsible for the
brachytherapy planning for institution. Students observe, learn,
plan, and show Physicists.

Loads the patient imaging studies into the planning computer. Satisfactory [2 pts]

Contours the appropriate anatomy on the image data set. Satisfactory [2 pts]

IdentiPes appropriate dose points on the image data set. Satisfactory [2 pts]

Successfully identiPes source positions. Satisfactory [2 pts]

IdentiPes available isotope and activity for date and time of Satisfactory [2 pts]
treatment.

Correctly generates plan using appropriate isotope and activity to Satisfactory [2 pts]
achieve treatment objective.

Accurately generates DVH/Dose point summary for implant. Satisfactory [2 pts]

Communicates effectively with physician for plan review and Satisfactory [2 pts]
makes changes as requested.

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

Additional Comment: Plan was reviewed by physicist but never
exported for treatment

Performs hand veriPcation calculations for dwell time. Satisfactory [2 pts]

Additional Comment: Used RadCalc for secondary check

Assembles necessary equipment for source loading. Satisfactory [2 pts]

Additional Comment: Observed

Makes appropriate entries in source log and Plls out necessary N/A [0 pts]
paperwork for appropriate room posting. Additional Comment: Observed

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Typhon Group - EASI System 12/12/19, 9:39 PM

Prepares sources for transport and loading. Satisfactory [2 pts]

Additional Comment: Observed the connection of transfer tubes
to Savi device

Observes source insertion. N/A [0 pts]

Additional Comment: HDR treatment

Performs appropriate patient room surveys. Satisfactory [2 pts]

Uses appropriate radiation measuring devices for brachytherapy Satisfactory [2 pts]

procedures and source inventory.

Uses time, distance and shielding principles during brachytherapy Satisfactory [2 pts]
procedures.

Mean: 1.78 of 2 Points: 32 Score: 88.9%

3. Overall rating:

Pass [2 pts]
If applicable, please speciPy reason for failure: Physics is responsible for the brachytherapy planning for
institution. Students observe, learn, plan, and show Physicists.

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

4. Additional Comments:

NR

Total points for all rating scale questions: 34

Mean percentage score for all rating scale questions: 94.5%
(Each main question equally weighted)
Responses as of 12/12/2019 9:37:10 PM CT

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