1yphon Group: EAS! - Evaluation & Survey Instrument Page 1 of 3 Responses About You - Details - "1st Semester Affective Clinical Evaluation’ Sam ee. ea ia Evaluation by: Clinical Instructors (ALKHAFAJI, Mazin) Evaluation of: Students (Burrier, Teri) Evaluation Period: 2/12/2018 ‘Survey Completed: First semester Evaluation: + Ist Evaluation Communications Explains medical dosimetry procedures to patient as appropriate to situation (e.g. when ‘assisting with procedures in treatment room or simulation). - Meets Expectations [10 pts] + 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 during plen consultation and review. - Meets Expectations [10 pts] Uses effective written communication skils for chart, plan, and dosimetry note documentation. - Meets Expectations [10 pts] MEAN: 10.09 (out of possible 10), POINTS: 60, % SCORE: 100.0% 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 (out of possible 10), POINTS: 20, % SCORE: 100.0% Safety + Double checks all student work to include calculations and treatment plans with dosimettist/physicist. - Meets Expectations [10 pts] ity=9094&survey=, https:/www.typhongroup.neeval/analyze/studentdetails.asp?1yphon Group; bADSI - Evaluation & Survey Instrument Page 2 of 3 MEAN: 10.00 (out of possibie 10), POINTS: 10, % SCORE: 100.0% Dependability + Arrives promptly as scheduled. - Meets Expectations [10 ats} + Schedules breaks, lunches, and other time needs with clinical instructors. - Meets Expectations [10 pts] + Acheres to attendance standards of the program. - Mests 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 dasimetry activities. - Meets Expectations [10 pis} MEAN: 10.00 (out of possible 10), POINTS: 60, % SCORE: 100.0% Application of Knowledge + Demonstrates 2 basic understanding of physics concepts and principles. - Meets, Expectations [10 pts) + Is able to retrieve imaging study (CT) and bring into patient file.- Meets Expectations [10 pte] + 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 basic treatment plan in accordance with prescription. - Meets Expectations [10 pts] MEAN: 10.00 (out of possible 10), POINTS: 50, % SCORE: 100.0% General Dosimetry Skills + Performs calculations in a timely manner.- Meets Expectations [10 ps] + Accutately uses dose calculation databooks to perform hand calculations. - Meets Expectations [10 pts] + Is able to prioritize and organize duties to efficiently complete requirements. - Meets Expectations [10 pts) + Exhibits a basic knowledge of anatomy, tissue dose tolerance, definitive tumor dose, and typical field arrangement. - Meets Expectations [10 pts] MEAN: 10.00 (out of possible 10), POINTS: 40, % SCORE: 100.0% | have reviewed this evaluation with the student. + No 2/26/2018 \&efacility=9094&survey’ https:/www.typhongroup.net/eval/analyze/studentdetails.asp?1ypnon Group: ASI - Evaluation & Survey Instrument Page 3 of 3 Additional Comments: + None Total points for all rating scale questions: 260 Mean percentage score forall rating scale questions: 100.0% (Each main question equally weighted) Responses as of 2/26/2018 1:14:38 PM CT https:/hvww.typhongroup.net/eval/analyze/studentdetails asp?r=08facility=904&surve