Dosimetrist Skills Checklist

Skills Checklist

Let’s assess your clinical skills and experience. Fill out this checklist to get one step closer to your next opportunity.

1

= No theory and/or experience
2

= Limited Experience
3

= Experienced/minimal support needed to perform
4

= Proficient

Age of Patients Cared For
Newborn/Neonate (birth to 30 days)*
- 1
- 2
- 3
- 4
Infant (1 month to 1 year)*
- 1
- 2
- 3
- 4
Toddler (1 year to 3 years)*
- 1
- 2
- 3
- 4
Preschooler (3 years to 5 years)*
- 1
- 2
- 3
- 4
School Age Child (5 years to 12 years)*
- 1
- 2
- 3
- 4
Adolescents (12 years to 18 years)*
- 1
- 2
- 3
- 4
Young Adults (18 years to 39 years)*
- 1
- 2
- 3
- 4
Middle Adults (39 years to 64 years)*
- 1
- 2
- 3
- 4
Older Adults (64 years to 79 years)*
- 1
- 2
- 3
- 4
General Skills
Standard Precautions*
- 1
- 2
- 3
- 4
Isolation Precautions*
- 1
- 2
- 3
- 4
Pediatric Respiratory/ Cardiac Arrest*
- 1
- 2
- 3
- 4
Adult Respiratory/ Cardiac Arrest*
- 1
- 2
- 3
- 4
Crash Carts*
- 1
- 2
- 3
- 4
Defibrillators*
- 1
- 2
- 3
- 4
Radiation Therapy Physics
Physical Property of Atoms and Nuclei*
- 1
- 2
- 3
- 4
Basic Nuclear Transformations*
- 1
- 2
- 3
- 4
Medical Linear Accelerations*
- 1
- 2
- 3
- 4
Interaction of High Energy Electrons & X-Rays with Matter
Photoelectric Effect*
- 1
- 2
- 3
- 4
Campton Scatter*
- 1
- 2
- 3
- 4
Pair Production*
- 1
- 2
- 3
- 4
Physical Properties of Dose and Exposure*
- 1
- 2
- 3
- 4
Dosimetry Equipment
Ion Chambers*
- 1
- 2
- 3
- 4
Thermoluminescent Dosimetry*
- 1
- 2
- 3
- 4
TG-51 (Calibration Protocol)*
- 1
- 2
- 3
- 4
Radioactive Isotopes*
- 1
- 2
- 3
- 4
Electron Beam Therapy*
- 1
- 2
- 3
- 4
IMRT (Intensity Modulated Radiation Therapy)*
- 1
- 2
- 3
- 4
Beam Modifiers
Physical Wedges*
- 1
- 2
- 3
- 4
Dynamic Wedges*
- 1
- 2
- 3
- 4
Blocks*
- 1
- 2
- 3
- 4
3-D Conformal Radiation Therapy*
- 1
- 2
- 3
- 4
Basic Principals & Applications
CT Scan*
- 1
- 2
- 3
- 4
MRI Machine*
- 1
- 2
- 3
- 4
PET Scan*
- 1
- 2
- 3
- 4
Brachytherapy Procedures
Systemic Errors*
- 1
- 2
- 3
- 4
Random Errors*
- 1
- 2
- 3
- 4
Treatment Documentation, Procedure Checklists, & Forms*
- 1
- 2
- 3
- 4
Application Preparation*
- 1
- 2
- 3
- 4
Application Insertion*
- 1
- 2
- 3
- 4
Implant Localization and Stimulation*
- 1
- 2
- 3
- 4
Treatment Prescription*
- 1
- 2
- 3
- 4
Implant Design & Evaluations
Localization*
- 1
- 2
- 3
- 4
Computer Treatment Planning*
- 1
- 2
- 3
- 4
Manual Verification of Computer*
- 1
- 2
- 3
- 4
Patient Preparation, Setup, and Treatment*
- 1
- 2
- 3
- 4
Post Treatment Quality Assurance*
- 1
- 2
- 3
- 4
Emergency Procedures for HDR
Routine Emergency Equipment*
- 1
- 2
- 3
- 4
Physical Plant Emergencies*
- 1
- 2
- 3
- 4
Minor and Major Emergencies*
- 1
- 2
- 3
- 4
Intravascular Brachytherapy*
- 1
- 2
- 3
- 4
Prostate Seed Implants
I-125 Seeds*
- 1
- 2
- 3
- 4
P-103 Seeds*
- 1
- 2
- 3
- 4
Ommaya Reservoir*
- 1
- 2
- 3
- 4
Treatment Planning
Auxiliary Devices (Digitizer, Plotter)*
- 1
- 2
- 3
- 4
Software*
- 1
- 2
- 3
- 4
List Types*
Quality Assurance*
- 1
- 2
- 3
- 4
Special techniques
TBI (Total body Irradiation)*
- 1
- 2
- 3
- 4
Electron Arc Therapy*
- 1
- 2
- 3
- 4
Interoperative Electron Therapy*
- 1
- 2
- 3
- 4
TSI (Total Skin Irradiation)*
- 1
- 2
- 3
- 4
SRS (Stereotactic Radiosurgery)*
- 1
- 2
- 3
- 4
Beam Data Acquisition for Small Fields*
- 1
- 2
- 3
- 4
Treatment Planning Computer Data Input*
- 1
- 2
- 3
- 4
SRT (Stereotactic Radiotherapy)*
- 1
- 2
- 3
- 4
Standards for treatment plans & protocols
Ensures Accurate Dose*
- 1
- 2
- 3
- 4
Ensures Proper Patient Positioning*
- 1
- 2
- 3
- 4
Ensures Proper Machine Settings*
- 1
- 2
- 3
- 4
Deviation of Normal Parameters for Equipment*
- 1
- 2
- 3
- 4
Treatment Aids
Custom Blocking*
- 1
- 2
- 3
- 4
Multileaf Collimators*
- 1
- 2
- 3
- 4
Half-Value Thick Blocks*
- 1
- 2
- 3
- 4
Gonadal Shields*
- 1
- 2
- 3
- 4
Eye Shields*
- 1
- 2
- 3
- 4
Internal Shields*
- 1
- 2
- 3
- 4
In Vivo Dosimetry*
- 1
- 2
- 3
- 4
TLD (Thermoluminescent Dosimeters) Chips*
- 1
- 2
- 3
- 4
Immobilization Devices*
- 1
- 2
- 3
- 4
Anatomic Landmarks*
- 1
- 2
- 3
- 4
Certifications
Medical Dosimetrist Certification Board*
- Yes
- No
Please list the EMR systems you have used*
*
I attest that the information I have given is true and accurate to the best of my knowledge and that I am the individual completing this form.*
*
I hereby consent to allow CrossMed Healthcare Staffing Solutions to release these skills checklist to the client facilities.*
Select Recruiter*
Name*
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Email*
Phone*
TODAY'S DATE*
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Skills Checklist

Age of Patients Cared For

General Skills

Radiation Therapy Physics

Interaction of High Energy Electrons & X-Rays with Matter

Dosimetry Equipment

Beam Modifiers

Basic Principals & Applications

Brachytherapy Procedures

Implant Design & Evaluations

Emergency Procedures for HDR

Prostate Seed Implants

Treatment Planning

Special techniques

Standards for treatment plans & protocols

Treatment Aids

Certifications