Survey: "Affective Clinical Evaluation Level I"
Reviewer: Clinical Instructors (ZIMMERMAN, Camille)
Reviewee: Students (Wingold, Shelby)
Survey Period: 5/8/2024
Completed: 5/10/2024 12:02:09 PM CT
1. First semester Evaluation:
3rd Evaluation
3. Communications
Explains medical dosimetry procedures to patient as Meets Expectations [10 pts]
appropriate to situation (e.g. when assisting with procedures in
treatment room or simulation).
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]
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 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%
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.
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:
Shelby did a great job in her first semester here! She takes initiative to help out wherever she can and has exceptional critical thinking skills.
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 5/10/2024 1:28:42 PM CT
