12/15/2017 Typhon Group: EASI - Evaluation & Survey Instrument

Responses About You - Summary - "2nd & 3rd Semester Affective Clinical Evaluation"
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TOTAL RESPONSES: 6

Evaluation:
Response Response
(Choice - One Answer Drop Down)
Percent Total
1st of 3 - Summer
16.7% 1
Semester

2nd of 3 - Summer
33.3% 2
Semester

3rd of 3 - Summer
0.0% 0
Semester

1st of 3 - Fall
0.0% 0
Semester

2nd of 3 - Fall
33.3% 2
Semester

3rd of 3 - Fall
16.7% 1
Semester
Total Respondents: 6
Skipped this question: 0

Instructional Text

Communications
1 5
(Rating Scale - Matrix) 10 Mean
Does Not Partially Additional Total Percentage
Statistical Mode in Meets N/A [1-
Meet Meets Comment Points Score
BOLD Expectations 10]
Expectations Expectations
Explains medical
dosimetry procedures
to patient as
appropriate to situation
0.0% (0) 0.0% (0) 50.0% (3) 50.0% (3) 10.00 30 100.0%
(e.g. when participating
in procedures in the
treatment room or
simulation).
Respects patient's
rights to privacy and 0.0% (0) 0.0% (0) 100.0% (6) 0.0% (0) 10.00 60 100.0%
con dentiality.
Acts and speaks in a
respectful manner with 0.0% (0) 0.0% (0) 100.0% (6) 0.0% (0) 10.00 60 100.0%
staff members.
Asks questions in an
0.0% (0) 0.0% (0) 100.0% (6) 0.0% (0) 10.00 60 100.0%
appropriate manner.
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12/15/2017 Typhon Group: EASI - Evaluation & Survey Instrument

Accepts correction and 0.0% (0) 0.0% (0) 100.0% (6) 0.0% (0) 10.00 60 100.0%
direction in a
professional manner.
Contributes as a
member of the medical 0.0% (0) 0.0% (0) 100.0% (6) 0.0% (0) 10.00 60 100.0%
dosimetry team.
Uses effective verbal
communication skills
with physician during 0.0% (0) 0.0% (0) 100.0% (6) 0.0% (0) 10.00 60 100.0%
plan consultation and
review.
Uses effective written
communication skills
for chart, plan, and 0.0% (0) 0.0% (0) 100.0% (6) 0.0% (0) 10.00 60 100.0%
dosimetry note
documentation.
OVERALL
0 0 45 3 10.00 450 100.0%
COUNTS/MEANS:
Total Respondents: 6
Skipped this question: 0

Accuracy
1 5
(Rating Scale - Matrix) 10 Mean
Does Not Partially Additional Total Percentage
Statistical Mode in Meets N/A [1-
Meet Meets Comment Points Score
BOLD Expectations 10]
Expectations Expectations
Performs dose
0.0% (0) 0.0% (0) 100.0% (6) 0.0% (0) 10.00 60 100.0%
calculations accurately.
Reads radiation
measurement devices
accurately and
0.0% (0) 0.0% (0) 50.0% (3) 50.0% (3) 10.00 30 100.0%
carefully. (eg, TLD,
Diodes, Film, Ion
Chamber)
Accurately designs
plans by computer or
manual computation in 0.0% (0) 0.0% (0) 100.0% (6) 0.0% (0) 10.00 60 100.0%
accordance with
prescription.
Accurately enters
information into chart 0.0% (0) 0.0% (0) 100.0% (6) 0.0% (0) 10.00 60 100.0%
or R & V system.
OVERALL
0 0 21 3 10.00 210 100.0%
COUNTS/MEANS:
Total Respondents: 6
Skipped this question: 0

Safety
(Rating Scale - Matrix) 1 5 10 N/A Additional Mean Total Percentage

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12/15/2017 Typhon Group: EASI - Evaluation & Survey Instrument

Statistical Mode in BOLD Does Not Partially Meets Comment [1- Points Score
Meet Meets Expectations 10]
Expectations Expectations
Takes appropriate
precautions in Radiation 0.0% (0) 0.0% (0) 100.0% (6) 0.0% (0) 10.00 60 100.0%
Safety.
Double checks all
calculations and
0.0% (0) 0.0% (0) 100.0% (6) 0.0% (0) 10.00 60 100.0%
treatment plans with
dosimetrist/physicist.
Performs Quality
Assurance per
recommended
0.0% (0) 0.0% (0) 83.3% (5) 16.7% (1) 10.00 50 100.0%
guidelines and reviews
with
dosimetrist/physicist.
Uses time, distance,
shielding practices & 0.0% (0) 0.0% (0) 100.0% (6) 0.0% (0) 10.00 60 100.0%
principles.
OVERALL
0 0 23 1 10.00 230 100.0%
COUNTS/MEANS:
Total Respondents: 6
Skipped this question: 0

Dependability
1 5
(Rating Scale - Matrix) 10 Mean
Does Not Partially Additional Total Percentage
Statistical Mode in Meets N/A [1-
Meet Meets Comment Points Score
BOLD Expectations 10]
Expectations Expectations
Arrives promptly as
0.0% (0) 0.0% (0) 100.0% (6) 0.0% (0) 10.00 60 100.0%
scheduled.
Schedules breaks,
lunches, and other time
0.0% (0) 0.0% (0) 100.0% (6) 0.0% (0) 10.00 60 100.0%
needs with clinical
instructors.
Adheres to attendance
standards of the 0.0% (0) 0.0% (0) 100.0% (6) 0.0% (0) 10.00 60 100.0%
program.
Uses clinical time
0.0% (0) 0.0% (0) 100.0% (6) 0.0% (0) 10.00 60 100.0%
wisely.
Follows school and
hospital policies and 0.0% (0) 0.0% (0) 100.0% (6) 0.0% (0) 10.00 60 100.0%
procedures.
Takes initiative in
observing and assisting 0.0% (0) 0.0% (0) 100.0% (6) 0.0% (0) 10.00 60 100.0%
in dosimetry activities.
OVERALL
0 0 36 0 10.00 360 100.0%
COUNTS/MEANS:
Total Respondents: 6
Skipped this question: 0

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12/15/2017 Typhon Group: EASI - Evaluation & Survey Instrument

Application of Knowledge
1 5
(Rating Scale - Matrix) 10 Mean
Does Not Partially Additional Total Percentage
Statistical Mode in Meets N/A [1-
Meet Meets Comment Points Score
BOLD Expectations 10]
Expectations Expectations
Understands the
technique and use of
0.0% (0) 0.0% (0) 100.0% (6) 0.0% (0) 10.00 60 100.0%
special calculation
methods.
Is able to enter
information into the
computer and design
0.0% (0) 0.0% (0) 100.0% (6) 0.0% (0) 10.00 60 100.0%
treatment plan in
accordance with
prescription.
Is able to identify
anatomy and contour 0.0% (0) 0.0% (0) 100.0% (6) 0.0% (0) 10.00 60 100.0%
appropriate structures.
Utilizes critical
thinking/problem
solving skills in 0.0% (0) 0.0% (0) 100.0% (6) 0.0% (0) 10.00 60 100.0%
approaching treatment
planning.
Understands how
clinical oncology
information is used in
0.0% (0) 0.0% (0) 100.0% (6) 0.0% (0) 10.00 60 100.0%
treatment planning (e.g.
type, grade, stage of
cancer).
Utilizes critical thinking
skills when evaluating
0.0% (0) 0.0% (0) 100.0% (6) 0.0% (0) 10.00 60 100.0%
dose volume
histograms.
Uses problem solving
skills when comparing
various treatment plans 0.0% (0) 0.0% (0) 100.0% (6) 0.0% (0) 10.00 60 100.0%
for a speci c treatment
case.
Is able to design
optimal treatment plans
based on calculations,
dose volume
0.0% (0) 0.0% (0) 100.0% (6) 0.0% (0) 10.00 60 100.0%
histograms,
prescription, and
treatment
implementation.
OVERALL
0 0 48 0 10.00 480 100.0%
COUNTS/MEANS:
Total Respondents: 6
Skipped this question: 0

General Dosimetry Skills

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12/15/2017 Typhon Group: EASI - Evaluation & Survey Instrument
(Rating Scale - Matrix) 1 5 10 N/A Additional Mean Total Percentage
Statistical Mode in Does Not Partially Meets Comment [1- Points Score
BOLD Meet Meets Expectations 10]
Expectations Expectations
Performs calculations
0.0% (0) 0.0% (0) 100.0% (6) 0.0% (0) 10.00 60 100.0%
in a timely manner.
Accurately uses dose
calculation databooks
0.0% (0) 0.0% (0) 100.0% (6) 0.0% (0) 10.00 60 100.0%
to perform hand
calculations.
Is able to dose out
(complete) chart per 0.0% (0) 0.0% (0) 83.3% (5) 16.7% (1) 10.00 50 100.0%
prescription and plan.
Exhibits knowledge of
anatomy, tissue dose
tolerance, de nitive 0.0% (0) 0.0% (0) 100.0% (6) 0.0% (0) 10.00 60 100.0%
tumor dose, and typical
eld arrangement.
Is able to independently
produce treatment
plans as required by 0.0% (0) 0.0% (0) 100.0% (6) 0.0% (0) 10.00 60 100.0%
competency list for the
semester.
Is able to prioritize and
organize duties to
0.0% (0) 0.0% (0) 100.0% (6) 0.0% (0) 10.00 60 100.0%
e ciently complete
requirements.
OVERALL
0 0 35 1 10.00 350 100.0%
COUNTS/MEANS:
Total Respondents: 6
Skipped this question: 0

I have reviewed this evaluation with the student.

Response Response
(Yes or No)
Percent Total

Yes 50.0% 3

No 50.0% 3

Additional
16.7% 1
Comment

Total Respondents: 6
Skipped this question: 0

Please provide acommentto let the student know of anyweakness they can work on, and/oranystrength to commend:
(Open Ended - Comments Box)
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12/15/2017 Typhon Group: EASI - Evaluation & Survey Instrument

Total Respondents: 6
Skipped this question: 0

Total points for all rating scale questions: 2080

Mean percentage score for all rating scale questions: 100.0%
(Each main question equally weighted)

Responses as of 12/15/2017 10:49:54 PM CT

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