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Medical Dosimetrist

  • This self evaluation is for assessing your experience in specific clinical areas. This self evaluation will not be a determining factor in accepting your application to become an employee of Fusion Medical Staffing.

    • 0 = Not Applicable
    • 1 = No Experience
    • 2 = Some Experience
    • 3 = Intermittent Experience
    • 4 = Experienced
    • 5 = Very Experienced

    *Required fields

    AGE OF PATIENTS CARED FOR 0 1 2 3 4 5
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  • General Skills 0 1 2 3 4 5
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  • RADIATION THERAPY PHYSICS 0 1 2 3 4 5
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  • Interaction of High Energy Electrons & X-Rays with Matter:

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  • Dosimetry Equipment:

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  • Beam Modifiers:

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  • Basic Principles and Applications:

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  • BRACHYTHERAPY PROCEDURES

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  • Implant Design and Evaluations:

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  • Emergency Procedures for HDR

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  • Prostate Seed Implants:

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  • TREATMENT PLANNING

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  • SPECIAL TECHNIQUES

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  • STANDARDS FOR TREATMENT PLANS/PROTOCOLS

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  • TREATMENT AIDS

  • Field Shaping:

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  • Patient Positioning:

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  • Certifications

  • Other Skills

  • The information I have given is true and accurate to the best of my knowledge, and I hereby authorize Fusion Medical Staffing to release this Skills Checklist to staffing clients of Fusion Medical Staffing. Submit this skills evaluation with your initial application. To be updated annually.

  • Date Format: MM slash DD slash YYYY
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