85 / 161
Evaluation Form for an ESTRO Course on
Title
City, Country
Date
ESTRO hopes that you have found this course to be useful, but since nothing is perfect, we need your input to continue to develop
this course to meet participants’ needs. We therefore ask you to fill this evaluation form during the course and return it at the end
of the course. Your evaluation will be anonymous. Thank you for your comments.
I.
Background Information
1.
Gender:
Male
Female
2.
Specialty:
Radiation Oncologist
Specialist
Trainee
Radiation Physicist
Specialist
Trainee
Radiobiologist
Specialist
Trainee
RTT
Specialist
Trainee
Other, please specify:______________________________________
Number of years worked in the field of speciality:___________
3.
I heard about the course from:
ESTRO publications
Radiotherapy & Oncology journal
Department director
National Organizations
Colleagues
Internet
IAEA
Other____________________
4.
I have previously attended the following ESTRO courses
(please cross the corresponding number)
:
1 Basic Clinical Radiobiology
16 Advanced Skills in Modern Radiotherapy
2 Dose Modeling and Verification for External Beam Radiotherapy 17 MultidisciplinaryManagement of Lung Cancer
3 Modern Brachytherapy Techniques
18 MultidisciplicaryManagement of Head and Necl Cancer
4 Particle Therapy
19 Hematological Malignancies
5 IMRT and Other Conformal Techniques in Practice
20 Palliative Care and Radiotherapy
6 Image-Guided Cerviox Cancer Radiotherapy
21 Physics for Modern Radiotherapy
7 Target Volume Determination
22 Basic Treatment Planning
8 Molecular Imaging and Radiation Oncology
23 Advanced Treatment Planning
9 MultidisciplinaryManagement of Breast Cancer
24 Imaging for Physicists
10 MutidisciplinaryManagement of Prostate Cancer
25 Comprehensive QualityManagement in Radiotherapy
11 Lower GI
26 Biological Basis of Personalised Radiation Oncology
12 Upper GI
27 Image-Guided and Adaptive Radiotherapy
13 Advanced Brachytherapy Physcis
28 Multiodisciplinary Approach of Cancer Imaging
14 Image-Guided Stereotactic Body Radioatherapy
29 Accelerated Partial Breast Course
15 Evidence Based Radiation Oncology
30 Pediatric Radiation Oncology
5.
Did you have any training in treatment planning before?
Not at all
Some training at the department
Attended a local course: __________hours
I attended a national course: _______hours
Other: ________________________