Radiation Oncology

The Review Committee for Radiation Oncology has provided these sample assessment tools, intended to be suggestions; their use is not required by the Review Committee. Program directors should feel free to use them, and may modify them as appropriate to fit the needs of their programs. The procedure evaluation forms need not be completed for all patients, but only for a representative sample.

INSTRUCTIONS: Recommended Assessment Tools These assessment tools are intended to be ‘suggestions’; their use is not required by the Residency Committee. Program directors should feel free to use them or not, and should modify them as appropriate to fit the needs of a program. The procedure evaluation forms need not be completed for all patients, but only for a representative sample.

All Documents are in PDF Format

• Chart Stimulated Recall This form may be used by faculty to evaluate clinical decision-making using patient records in an oral examination.
• Professionalism Mini-CEX This form may be used by faculty to assess a resident’s professionalism in encounters with patients and staff.
• Brachytherapy Form This form may be used by faculty to evaluate a resident’s brachytherapy expertise. A representative sample of each major type of brachytherapy procedure should be evaluated periodically throughout a resident’s training.
• Simulation Form This form may be used by faculty to evaluate a resident’s simulation expertise. A representative sample of cases of each disease type and stage may be evaluated periodically throughout the resident’s training.
• Communication, Interpersonal Skills, & Professionalism Evaluation Form
• Evaluation Modified 360 Form These forms were designed to be used periodically (once or twice a year) to evaluate a resident’s performance. Paramedical staff including radiation therapists, dosimetrists, secretaries or other relevant non-physician staff are appropriate evaluators.
• Oral Examination Form If the program utilizes periodic mock oral examinations, then this form or a modification of it may be used to evaluate the resident’s performance on the specified examination.
• Global Rating Form This form or a modification of it may be used by the faculty to evaluate residents after each major rotation.