Dosimetrist Skills Checklist
Answer Key
1. No Experience 2. Requires Supervision 3. Proficient 4. Can Teach Others
Age of Patients
Rows
1
2
3
4
Newborn/Neonate (birth to 30 days)
Infant (1 month to 1 year)
Toddler (1 year to 3 years)
Preschooler (3 years to 5 years)
School Age Child (5 years to 12 years)
Adolescents (12 years to 18 years)
Young Adults (18 years to 39 years)
Middle Adults (39 years to 64 years)*
Older Adults (64 years to 79 years)*
Elderly Adults (over 79+ years)*
Skills
Rows
1
2
3
4
Standard Precautions
Isolation Precautions
Pediatric Respiratory/ Cardiac Arrest
Adult Respiratory/ Cardiac Arrest
Crash Carts
Defibrillators
Radiaton Therapy Physics
Rows
1
2
3
4
Physical Property of Atoms and Nuclei
Basic Nuclear Transformations
Medical Linear Accelerations
Interaction of High Energy Electrons & X-Rays with Matter
Rows
1
2
3
4
Photoelectric Effect
Campton Scatter
Pair Production
Physical Properties of Dose and Exposure
Dosimetry Equipment
Rows
1
2
3
4
Ion Chambers
Thermoluminescent Dosimetry
TG-51 (Calibration Protocol)
Radioactive Isotopes
Electron Beam Therapy
IMRT (Intensity Modulated Radiation Therapy)
Beam Modifiers
Rows
1
2
3
4
Physical Wedges
Dynamic Wedges
Blocks
3-D Conformal Radiation Therapy
Basic Principles and Applications
Rows
1
2
3
4
CT Scan
MRI Machine
PET Scan
Brachytherapy Procedures
Rows
1
2
3
4
Systemic Errors
Random Errors
Treatment Documentation, Procedure Checklists, & Forms
Application Preparation
Application Insertion
Implant Localization and Stimulation
Treatment Prescription
Implant Design and Evaluations
Rows
1
2
3
4
Localization
Computer Treatment Planning
Manual Verification of Computer
Patient Preparation, Setup, and Treatment
Post Treatment Quality Assurance
Emergency Procedures for HDR
Rows
1
2
3
4
Routine Emergency Equipment
Physical Plant Emergencies
Minor and Major Emergencies
Intravascular Brachytherapy
Prostate Seed Implants
Rows
1
2
3
4
I-125 Seeds
P-103 Seeds
Ommaya Reservoir
Standards for Treatment Plans and Protocols
Rows
1
2
3
4
Ensures Accurate Dose
Ensures Proper Patient Positioning
Ensures Proper Machine Settings
Deviation of Normal Parameters for Equipment
Field Shaping
Rows
1
2
3
4
Custom Blocking
Multileaf Collimators
Half-Value Thick Blocks
Gonadal Shields
Eye Shields
Internal Shields
In Vivo Dosimetry
TLD (Thermoluminescent Dosimeters) Chips
Patient Positioning
Rows
1
2
3
4
Immobilization Devices
Anatomic Landmarks
Certifications
Rows
Yes
No
Medical Dosimetrist Certification Board
Undertaking
*
The Information I Provided is True & Accurate
Name
*
Date
*
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Month
-
Day
Year
Date
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