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 patients 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
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