ࡱ>  bjbj ;rr[R ...BBB8z,B\jJJ"lllp&p&p&[[[[[[[$U_b \.p&N&N&"p&p& \ll\B0B0B0p&l8lNWB0p&[B0B0R NxSl`#ԡ' Q:W\0\Qb". b<SSb.6Up&p&B0p&p&p&p&p& \ \B0p&p&p&\p&p&p&p&bp&p&p&p&p&p&p&p&p&  : Operative Performance Rating System (OPRS) LAPAROSCOPIC APPENDECTOMY Evaluator:Resident: Resident Level: Program:  Date of Procedure: Time Procedure Was Completed: Date Assessment Was Completed: Time Assessment Was Initiated: Please rate this resident's performance during this operative procedure. For most criteria, the caption above each checkbox provides descriptive anchors for 3 of the 5 points on the rating scale. "NA" (not applicable) should only be selected when the resident did not perform that part of the procedure. Case Difficulty 12345 Straightforward anatomy, no related prior surgeries or treatment Intermediate difficulty Abnormal anatomy, extensive pathology, related prior surgeries or treatment (for example radiation), or obesity&&&&&Degree of Prompting or Direction Substantial Direction 12Some Direction 34Minimal Direction 5 Unable to direct team, use/choose instruments, or anticipate next steps as surgeon or as first assistant without constant attending prompting Actively assists and anticipates own and attendings needs, performs basic steps with occasional attending direction to resident and/or surgical team. Somewhat hesitant and slow to anticipate or recognize aberrant anatomy, unexpected findings, and/or slowing down moments Performs all steps and directs team with minimal direction from attending to either resident or team, i.e., anticipates needs, sets up exposure for self and assistant, transitions fluently between steps, gives clear direction to first assistant, maintains situation awareness, calmly recovers from error and recognizes when to seek help/advice&&&&& Procedure-Specific Criteria Please assess performance and indicate the degree of prompting for each item. The assessment score for each item may differ from the prompting score for that item. Incision / Port Placement Poor 1Fair 2Good 3Very Good 4Excellent 5 NAPoor choice of port position; unsafe technique in insertion or removalFunctionalbut somewhat awkwardport positioning;generally safe technique; some difficulty inserting portsSafe, efficient and optimal positioning of ports for procedure, and anatomy&&&&&& Substantial Direction 1 2Some Direction 3 4Minimal Direction 5NA&&&&&&Exposure Poor 1Fair 2Good 3Very Good 4Excellent 5 NAPoor/inadequate pneumoperitoneum, camera angle and retraction with frequent loss of exposureAdequate establishment and maintenance of pneumoperitoneum, camera angle and retraction but with occasional loss of exposureOptimizes exposure, efficiently directs retraction and camera to maintain exposure and pneumoperitoneum&&&&&& Substantial Direction 1 2Some Direction 3 4Minimal Direction 5NA&&&&&&Appendix Dissection Poor 1Fair 2Good 3Very Good 4Excellent 5 NADissection of appendix inadequate for safe staple placementAdequate but inefficient dissection; some bleeding during creation of mesoappendix windowExpedient and efficient location of appendix and creation of mesoappendix window close to cecum&&&&&& Substantial Direction 1 2Some Direction 3 4Minimal Direction 5NA&&&&&&Appendix Division Poor 1Fair 2Good 3Very Good 4Excellent 5 NADissection of appendix inadequate to place staples and divide safely; multiple attempts to place staplesAdequate but inefficient dissection; stapled securely but spacing not idealSafe and secure staple placement across base of appendix and mesoappendix with clean division of appendix&&&&&& Substantial Direction 1 2Some Direction 3 4Minimal Direction 5NA&&&&&& Appendix Removal Poor 1Fair 2Good 3Very Good 4Excellent 5 NAInadequate division of appendix or mesoappendix (multiple attempts); did not cleanly*+EOQ\^_oqz|}~ % 4 5 ? ʶ{o['hBh5B*CJPJ\aJphh"h5CJaJ h5h5CJaJhCJaJ h-{hrJ h-{hrJ CJaJhrJ h"O6hrJ hBhrJ 5h/`hrJ 5CJaJhBh}.5h/Oh}.hBh}.5\hrJ hrJ 5CJaJhrJ 5CJaJhrJ 5CJaJmHnHu+EPQ]^ xx$If]`gdB:xx$If]:`gdBxx$If`gdB:xx$If]:gdB$dxha$gdxQ$dx&dPa$gdt^_pqD33xx$If]gdBkd$$Ifl\L&FFjF t0`'44 lBBap(ytBq{|_xx$If]_^gdBxx$If]`gdB|}~D<11 $IfgdnCK$$a$gdrJ kd@$$Ifl\L&F F t0`'44 lBBap(ytBG: <$IfgdBK$kd$IfK$L$l\~+  t~+44 lap(ytB$If^gdBK$xx$If^`gdBK$6kd!$IfK$L$l\'$  t~+44 lap(ytB$If^gdBK$<$If^gdBK$s<$If^`sgdBK$% 5 7 9 ; = ? |uggggg$$Ifa$gdB<gdhhgdnkd$$IfT F" t024Bayt*T $$Ifa$gdnC ? @ -!! $$Ifa$gdBkda$$Iflr r&FR F&F FF  t0&644 lBap2ytB? @           X Ѿ}p}p}p}pkWѳ}p}p}p}p'hBh5B*CJPJ\aJph h5hBhB*PJph$hBhB*OJPJQJo(phh/OhB*PJ\ph'h/OhB*OJPJQJ\o(phhBh/OCJaJ$hBhB*CJPJ\aJph!hBhB*CJPJaJph$h/OhB*CJPJ\aJphhBh/OCJaJ!       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VXkdC4$$IflֈN $bF t0644 lap<ytB remove appendix; or caused spillage or contaminationInefficient placement of appendix within bag; some contaminationEfficient placement of appendix within bag and removal from field without spillage or contamination&&&&&& Substantial Direction 1 2Some Direction 3 4Minimal Direction 5NA&&&&&& General Criteria Instrument Handling Poor 1Fair 2Good 3Very Good 4Excellent 5 NATentative or awkward movements, often did not visualize tips of instrument or clips poorly placed Competent use of instruments, occasionally appeared awkward or did not visualize instrument tipsFluid movements with instruments consistently using appropriate force, keeping tips in view, and placing clips securely&&&&&&Respect for Tissue Poor 1Fair 2Good 3Very Good 4Excellent 5 NAFrequent unnecessary tissue force or damage by inappropriate instrument useCareful tissue handling, occasional inadvertent damageConsistently handled tissue carefully (appropriately), minimal tissue damage &&&&&&Time and Motion Poor 1Fair 2Good 3Very Good 4Excellent 5 NAMany unnecessary moves Efficient time and motion, some unnecessary movesClear economy of motion, and maximum efficiency &&&&&&Operation Flow Poor 1Fair 2Good 3Very Good 4Excellent 5 NAFrequent lack of forward progression; frequently stopped operating and seemed unsure of next moveSome forward planning, reasonable procedure progressionObviously planned course of operation and anticipation of next steps&&&&&& Overall Performance (not included in calculation of mean score) Rating of very good or higher indicates technically proficient performance (i.e., resident is ready to perform operation independently, assuming resident consistently performs at this level) PoorFairGoodVery GoodExcellent&&&&& Please indicate the weaknesses in this resident s performance:  Please indicate the strengths in this resident s performance:      Laparoscopic Appendectomy  Page  PAGE \* MERGEFORMAT 2 PAGE   Published with permission of Southern 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