Medical Physicist Checklist

GENERAL SKILLS EXPERIENCE:

Rank each of the following sections on a scale of 1 to 3: 1) Limited or no experience 2) Experienced, but may need review or supervision 3) Able to function independently *
HIPAA Regulations
National Patient Safety Goals
Awareness of HCAHPS scores
Electronic Medical Record
Accurate Patient Identification
Demonstrates knowledge of anatomy
Proper body mechanics
Technique to preserve respect and dignity for patients
Introduction of self prior to providing care
Crash Carts
Defibrillator

CLINICAL SKILLS IN RADIOTHERAPY:

Rank each of the following sections on a scale of 1 to 3: 1) Limited or no experience 2) Experienced, but may need review or supervision 3) Able to function independently *
Clinical environment
Clinical conduct
Chart checking
Verify and record systems
Radiation safety
Simulation

QUALITY ASSURANCE IN RADIATION ONCOLOGY:

Rank each of the following sections on a scale of 1 to 3: 1) Limited or no experience 2) Experienced, but may need review or supervision 3) Able to function independently *
Linear accelerator
Acceptance testing and commissioning
Measurement equipment
CT simulator
Portal imaging and kV X-Ray imaging
Cone-Beam CT
PET-CT
HDR
Software Systems
Prevention of technology-related errors

TREATMENT PLANNING:

Rank each of the following sections on a scale of 1 to 3: 1) Limited or no experience 2) Experienced, but may need review or supervision 3) Able to function independently *
Prerequisites for treatment
Mark and start cases
3D-conformal
IMRT
Protocols
Secondary monitor unit (MU) checks
Block cutting
Diodes/TLD
Beam data collection, modeling, commissioning

SPECIALTY PROCEDURES:

Rank each of the following sections on a scale of 1 to 3: 1) Limited or no experience 2) Experienced, but may need review or supervision 3) Able to function independently *
Radiosurgery
LDR Brachytherapy
HDR Brachytherapy
TBI electrons and photons
IGRT methods
Rotational therapy
Proton therapy

HEALTH PHYSICS:

Rank each of the following sections on a scale of 1 to 3: 1) Limited or no experience 2) Experienced, but may need review or supervision 3) Able to function independently *
Radiation Safety
Instruments for health physics measurements
Shielding calculations
Isotope procedures

INFECTION CONTROL:

Rank each of the following sections on a scale of 1 to 3: 1) Limited or no experience 2) Experienced, but may need review or supervision 3) Able to function independently *
Hand hygiene
Precautions associated with PPE (transmission, contact, airborne, droplet)
Universal Precautions
Negative-pressure room
Prevention and protocols for HAIs (CAUTI, CLABSI, VAP)
Prevention and protocols for MRSA, C.DIFF, Sepsis, etc.

WORK SETTING EXPERIENCE:

Rank each of the following sections on a scale of 1 to 3: 1) Limited or no experience 2) Experienced, but may need review or supervision 3) Able to function independently *
Acute care hospital
Outpatient clinic
Long term care
Rehabilitation center
Home health/private duty
Hospice

AGE-SPECIFIC EXPERIENCE:

Rank each of the following sections on a scale of 1 to 3: 1) Limited or no experience 2) Experienced, but may need review or supervision 3) Able to function independently *
Newborn / neonate (birth-30 days)
Infant (31 days-1 year)
Toddler (ages 2-3 years)
Preschool (ages 4-5 years)
School age (ages 6-12 years)
Adolescent (ages 13-21 years)
Young adult (ages 22-39 years)
Adult (ages 40-64 years)
Older adult (ages 65-79 years)
Elderly (ages 80+ years)