2/22/23, 2:18 PM Typhon Group - EASI System

Survey: "Affective Clinical Evaluation Level I"

Reviewer: Clinical Instructors (ALFSON, Alyx)
Reviewee: Students (Wudtke, Jacob)
Survey Period: 2/20/2023
Completed: 2/22/2023 12:38:46 PM CT

1. First semester Evaluation:

1st Evaluation

3. Communications

Explains medical dosimetry procedures to patient as Meets Expectations [10 pts]

appropriate to situation (e.g. when assisting with procedures in Additional Comment: Along with patients; Jacob does a
treatment room or simulation). fantastic job explaining procedures to all members of our
department. We have some RTT students going through
dosimetry right now and he explain many dosimetry
procedures in way they could understand. Awesome
communication skills.

Respects patient's rights to privacy and confidentiality. 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]

Additional Comment: Never hesitant to ask questions, and his
questions are well thought out and retained when we answer
the question.

Accepts correction and direction in a professional manner. Meets Expectations [10 pts]
Additional Comment: He always appreciates the feedback we
give him on his plans.

Contributes as a member of the medical dosimetry team. Meets Expectations [10 pts]

Uses effective verbal communication skills with physician Meets Expectations [10 pts]
during plan consultation and review.

Uses effective written communication skills for chart, plan, and Meets Expectations [10 pts]
dosimetry note documentation.

Mean: 10.00 of 10 Points: 80 Score: 100.0%

4. 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 of 10 Points: 20 Score: 100.0%

5. Safety

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

Mean: 10.00 of 10 Points: 10 Score: 100.0%

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6. Dependability

Arrives promptly as scheduled. Meets Expectations [10 pts]

Schedules breaks, lunches, and other time needs with clinical Meets Expectations [10 pts]
instructors.

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 Meets Expectations [10 pts]
activities.

Mean: 10.00 of 10 Points: 60 Score: 100.0%

7. Application of Knowledge

Demonstrates a basic understanding of physics concepts and Meets Expectations [10 pts]
principles.

Is able to retrieve imaging study (CT) and bring into patient file. 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 Meets Expectations [10 pts]
basic treatment plan in accordance with prescription.

Mean: 10.00 of 10 Points: 50 Score: 100.0%

8. General Dosimetry Skills

Performs calculations in a timely manner. Meets Expectations [10 pts]

Accurately uses dose calculation databooks to perform hand Meets Expectations [10 pts]
calculations.

Is able to prioritize and organize duties to efficiently complete Meets Expectations [10 pts]
requirements. Additional Comment: He is very efficient in all clinical duties.

Exhibits a basic knowledge of anatomy, tissue dose tolerance, Meets Expectations [10 pts]
definitive tumor dose, and typical field arrangement.

Mean: 10.00 of 10 Points: 40 Score: 100.0%

9. I have reviewed this evaluation with the student.

Yes

10. Additional Comments:

Comments for members of our dosimetry team: - I think Jacob is doing great. Not afraid to pick up a new type of case and asking great questions! - I love his
enthusiasm to learn everything he can about treatment planning. He is very inquisitive about the different approaches to different treatment sites. - Jacob is
one of the best students we have ever had. He is organized, a great communicator, and produces lovely plans. He is so eager to learn and never afraid to ask
questions. He is already such a valuable member of our team, I can't wait to see how he grows through this program. I feel honored to be his clinical
preceptor.

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 2/22/2023 2:18:21 PM CT
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