Please circle the number corresponding to the candidate’s performance in each category, irrespective of training level |
Respect for tissue: | 1 Frequently used unnecessary force on tissue or caused damage by inappropriate use of instruments | 2 | 3 Careful handling of tissue but occasionally caused inadvertent damage | 4 | 5 Consistently handled tissues appropriately with minimal damage |
Time and motion: | 1 Many unnecessary moves | 2 | 3 Efficient time/motion but some unnecessary moves | 4 | 5 Clear economy of movement and maximum efficiency |
Knowledge and handling of instrument: | 1 Lack of knowledge of instruments | 2 | 3 Competent use of instruments but occasionally appeared stiff or awkward | 4 | 5 Obvious familiarity with instruments |
Flow of operation: | 1 Frequently stopped procedure and seemed unsure of next move | 2 | 3 Demonstrated some forward planning with reasonable progression of procedure | 4 | 5 Obviously planned course of procedure with effortless flow from one movement to the next |
Use of assistants: | 1 Consistently placed assistants poorly or failed to use assistants | 2 | 3 Appropriate use of assistants most of the time | 4 | 5 Strategically used assistants to the best advantage at all times |
Knowledge of specific procedure: | 1 Deficient knowledge. Needed specific instructions at most steps | 2 | 3 Knew all important steps of procedure | 4 | 5 Demonstrated familiarity with all aspects of operation |