Operative Evaluation of Resident

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Intra-Operative Evaluation of Neurosurgery Resident: __________________________________________________________

Neurosurgery Attending: ________________________________________                                       Date: _________________

Operation: (circle one) ACDF/ Lumbar discectomy or laminectomy/ craniotomy for supratentorial tumor/ craniotomy for bleed/ craniotomy for infection

Please circle the appropriate response:

 

1)                Has the Resident examined the patient prior to surgery and documented the rationale for the planned operation?

NA – Not Applicable 1 – Unsatisfactory 2 - Below Average 3 – Average 4 - Above Average 5 - Excellent

 

2)                Has the Resident previously discussed and understood the planned surgery with the attending?

NA – Not Applicable 1 – Unsatisfactory 2 - Below Average 3 – Average 4 - Above Average 5 - Excellent

 

3)                Did the Resident discuss the surgical plan with the patient and family?

NA – Not Applicable 1 – Unsatisfactory 2 - Below Average 3 – Average 4 - Above Average 5 - Excellent

 

4)                Does the Resident know the indications for the planned surgery?

NA – Not Applicable 1 – Unsatisfactory 2 - Below Average 3 – Average 4 - Above Average 5 - Excellent

 

5)                Has the Resident reviewed the patient’s neuroimaging and relevant lab results prior to surgery?

NA – Not Applicable 1 – Unsatisfactory 2 - Below Average 3 – Average 4 - Above Average 5 - Excellent

 

6)                Was the Resident in the OR prior to surgery to confirm all paperwork is complete so surgery can proceed on time?

NA – Not Applicable 1 – Unsatisfactory 2 - Below Average 3 – Average 4 - Above Average 5 - Excellent

 

7)                Is the Resident in the OR prior to the attending neurosurgeon?

NA – Not Applicable 1 – Unsatisfactory 2 - Below Average 3 – Average 4 - Above Average 5 - Excellent

 

8)                Does the Resident understand the issues with respect to appropriate intra-operative positioning and marking of incision?

NA – Not Applicable 1 – Unsatisfactory 2 - Below Average 3 – Average 4 - Above Average 5 - Excellent

 

9)                Has the Resident done the appropriate reading to prepare for the surgery?

NA – Not Applicable 1 – Unsatisfactory 2 - Below Average 3 – Average 4 - Above Average 5 - Excellent

 

10)             Is the Resident familiar with surgical the instruments?

NA – Not Applicable 1 – Unsatisfactory 2 - Below Average 3 – Average 4 - Above Average 5 - Excellent

 

11)             Does the Resident display technical skills appropriate for the level of training?

NA – Not Applicable 1 – Unsatisfactory 2 - Below Average 3 – Average 4 - Above Average 5 - Excellent

 

12)             Is the Resident capable of doing the operation independent of direct supervision?

NA – Not Applicable 1 – Unsatisfactory 2 - Below Average 3 – Average 4 - Above Average 5 - Excellent

 

13)             Does the Resident display intraoperative judgment appropriate for the level of training?

NA – Not Applicable 1 – Unsatisfactory 2 - Below Average 3 – Average 4 - Above Average 5 - Excellent

 

14) Does the Resident participate in all stages of the operation?

NA – Not Applicable 1 – Unsatisfactory 2 - Below Average 3 – Average 4 - Above Average 5 - Excellent

 

15) Has the Resident reviewed the post-operative orders with the junior resident(s)?

NA – Not Applicable 1 – Unsatisfactory 2 - Below Average 3 – Average 4 - Above Average 5 - Excellent

 

16) Did the Resident treat the nursing staff and other colleagues (e.g. anesthesia) professionally?

NA – Not Applicable 1 – Unsatisfactory 2 - Below Average 3 – Average 4 - Above Average 5 - Excellent

 

17)             Did the Resident update family with the attending?

NA – Not Applicable 1 – Unsatisfactory 2 - Below Average 3 – Average 4 - Above Average 5 - Excellent

 

18)             Did the Resident dictate the operative note?

NA – Not Applicable 1 – Unsatisfactory 2 - Below Average 3 – Average 4 - Above Average 5 - Excellent