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<strong>Summary</strong> <strong>of</strong> <strong>Operative</strong> <strong>Experience</strong><br />
Record Nature <strong>of</strong> Cases – Major Procedures<br />
Surgical access if<br />
Total<br />
Surgeon<br />
Surgeon<br />
Assistant<br />
applicable<br />
Mentor<br />
Mentor<br />
Open<br />
Minimal<br />
Scrubbed<br />
Available<br />
access<br />
Breast<br />
Breast reconstruction<br />
Modified radical mastectomy<br />
Simple mastectomy<br />
Subcutaneous mastectomy<br />
Wide excision/quadrantectomy<br />
Sentinel lymph node biopsy<br />
Axillary dissection<br />
Other – specify<br />
Surgical access if<br />
Total<br />
Surgeon<br />
Surgeon<br />
Assistant<br />
applicable<br />
Mentor<br />
Mentor<br />
Open<br />
Minimal<br />
Scrubbed<br />
Available<br />
access<br />
Cardiothoracic<br />
Lung operation<br />
Thoracotomy<br />
Thoracoscopic sympathectomy<br />
Other - specify<br />
Surgical access if<br />
Total<br />
Surgeon<br />
Surgeon<br />
Assistant<br />
applicable<br />
Mentor<br />
Mentor<br />
Open<br />
Minimal<br />
Scrubbed<br />
Available<br />
access<br />
Colorectal<br />
Anal sphincter repair<br />
Colonic – AP resection (abdominal)<br />
Colonic – AP resection (perineal)<br />
Colonic – Anterior resection<br />
Revised in June 2011<br />
Endorsed by Council meeting on 20 June 2011
Colonic – bypass<br />
Colonic – Hartmann’s operation<br />
Colonic – Hartmann’s operation(reversal <strong>of</strong>)<br />
Colonic – partial colectomy<br />
Colonic – proctocolectomy<br />
Colonic – total colectomy<br />
Defunctioning colostomy/ileostomy<br />
Revision <strong>of</strong> colostomy/ileostomy<br />
Closure <strong>of</strong> colostomy/ileostomy<br />
Haemorrhoidectomy– stapler<br />
Rectal prolapse – abdominal repair<br />
Rectal prolapse – perineal repair<br />
Other - specify<br />
Surgical access if<br />
Total<br />
Surgeon<br />
Surgeon<br />
Assistant<br />
applicable<br />
Mentor<br />
Mentor<br />
Open<br />
Minimal<br />
Scrubbed<br />
Available<br />
access<br />
Gynaecological<br />
Hysterectomy<br />
Salpingo-oophorectomy<br />
Other - specify<br />
Surgical<br />
Total<br />
Surgeon<br />
Surgeon<br />
Assistant<br />
access if<br />
Mentor<br />
Mentor<br />
applicable<br />
Scrubbed<br />
Available<br />
Open<br />
Minimal<br />
access<br />
Head and Neck<br />
Laryngectomy<br />
Parathyroid<br />
Parotid/Submandibular/Sublingual<br />
Thyroid lobectomy<br />
Subtotal thyroidectomy<br />
Total thyroidectomy<br />
Tracheostomy<br />
Other - specify<br />
Revised in June 2011<br />
Endorsed by Council meeting on 20 June 2011
Surgical access if<br />
Total<br />
Surgeon<br />
Surgeon<br />
Assistant<br />
applicable<br />
Mentor<br />
Mentor<br />
Open<br />
Minimal<br />
Scrubbed<br />
Available<br />
access<br />
Hepatobiliary<br />
Cholecystectomy<br />
Cholecystectomy + exploration <strong>of</strong> CBD<br />
Choledochoduodenostomy<br />
Choledochojejunostomy<br />
Exploration <strong>of</strong> CBD without<br />
cholecystectomy<br />
Major hepatic resection<br />
Other hepatic operation – specify<br />
Other - specify<br />
Surgical access if<br />
Total<br />
Surgeon<br />
Surgeon<br />
Assistant<br />
applicable<br />
Mentor<br />
Mentor<br />
Open<br />
Minimal<br />
Scrubbed<br />
Available<br />
access<br />
Laparoscopy/Thoracoscopy<br />
Diagnostic laparoscopy<br />
Diagnostic thoracoscopy<br />
Laparoscopic ultrasound<br />
Laparoscopic appendectomy<br />
Laparoscopic hernioplasty<br />
Other - specify<br />
Revised in June 2011<br />
Endorsed by Council meeting on 20 June 2011
Surgical access if<br />
Total<br />
Surgeon<br />
Surgeon<br />
Assistant<br />
applicable<br />
Mentor<br />
Mentor<br />
Open<br />
Minimal<br />
Scrubbed<br />
Available<br />
access<br />
Lymphatic/Spleen<br />
Axillary dissection (excluding with the<br />
breast)<br />
Groin dissection<br />
Neck dissection<br />
Splenectomy<br />
Other - specify<br />
Surgical access if<br />
Total<br />
Surgeon<br />
Surgeon<br />
Assistant<br />
applicable<br />
Mentor<br />
Mentor<br />
Open<br />
Minimal<br />
Scrubbed<br />
Available<br />
access<br />
Oesophagogastric<br />
Anti-reflux surgery<br />
Hiatal hernia – repair<br />
Fundoplication<br />
Heller’s myotomy<br />
Oesophageal resection<br />
Gastroenterostomy<br />
Oversew bleeding vessel +/- vagotomy<br />
Oversew/patch repair <strong>of</strong> ulcer perforation<br />
+/- vagotomy<br />
Partial gastrectomy<br />
Subtotal gastrectomy<br />
Total gastrectomy<br />
Vagotomy – highly selective<br />
Vagotomy +/- drainage procedure<br />
Other – specify<br />
Revised in June 2011<br />
Endorsed by Council meeting on 20 June 2011
Surgical access if<br />
Total<br />
Surgeon<br />
Surgeon<br />
Assistant<br />
applicable<br />
Mentor<br />
Mentor<br />
Open<br />
Minimal<br />
Scrubbed<br />
Available<br />
access<br />
Paediatric<br />
Neonatal – Infant (5 years) (include<br />
hernia/groin hernial orchidopexy)<br />
Abdominal procedures<br />
Urological (exclude circumcision)<br />
Other – specify<br />
Surgical access if<br />
Total<br />
Surgeon<br />
Surgeon<br />
Assistant<br />
applicable<br />
Mentor<br />
Mentor<br />
Open<br />
Minimal<br />
Scrubbed<br />
Available<br />
access<br />
Pancreatic<br />
Pancreaticoduodenectomy<br />
Bypass for pancreatic/biliary malignancy<br />
Operation for pseudocyst<br />
Other – specify<br />
Surgical access if<br />
Total<br />
Surgeon<br />
Surgeon<br />
Assistant<br />
applicable<br />
Mentor<br />
Mentor<br />
Open<br />
Minimal<br />
Scrubbed<br />
Available<br />
access<br />
Plastic<br />
Microvascular anastomosis<br />
Myocutaneous flap<br />
Oro-facial/hand fracture<br />
Nerve repair<br />
Tendon repair<br />
Other – specify<br />
Revised in June 2011<br />
Endorsed by Council meeting on 20 June 2011
Surgical access if<br />
Total<br />
Surgeon<br />
Surgeon<br />
Assistant<br />
applicable<br />
Mentor<br />
Mentor<br />
Open<br />
Minimal<br />
Scrubbed<br />
Available<br />
access<br />
Small intestine<br />
Small intestine – adhesions<br />
Small intestine – resection+/-anastomosis<br />
Small intestine – stoma<br />
Small intestine – bypass<br />
Other – specify<br />
Surgical access if<br />
Total<br />
Surgeon<br />
Surgeon<br />
Assistant<br />
applicable<br />
Mentor<br />
Mentor<br />
Open<br />
Minimal<br />
Scrubbed<br />
Available<br />
access<br />
S<strong>of</strong>t tissue<br />
Sarcoma<br />
Other – specify<br />
Surgical access if<br />
Total<br />
Surgeon<br />
Surgeon<br />
Assistant<br />
applicable<br />
Mentor<br />
Mentor<br />
Open<br />
Minimal<br />
Scrubbed<br />
Available<br />
access<br />
Transplantation<br />
Harvest<br />
Heart/heart-lung<br />
Kidney<br />
Lung<br />
Liver<br />
Pancreas<br />
Other – specify<br />
Revised in June 2011<br />
Endorsed by Council meeting on 20 June 2011
Surgical access if<br />
Total<br />
Surgeon<br />
Surgeon<br />
Assistant<br />
applicable<br />
Mentor<br />
Mentor<br />
Open<br />
Minimal<br />
Scrubbed<br />
Available<br />
access<br />
Urology<br />
Cystectomy<br />
Endoscopic resection<br />
Varicocelectomy<br />
Nephrectomy<br />
Orchidectomy<br />
Ureteric surgery<br />
Other – specify<br />
Surgical access if<br />
Total<br />
Surgeon<br />
Surgeon<br />
Assistant<br />
applicable<br />
Mentor<br />
Mentor<br />
Open<br />
Minimal<br />
Scrubbed<br />
Available<br />
access<br />
Vascular<br />
Angioplasty<br />
Aortic aneurysm<br />
Aorto-iliac reconstruction<br />
Carotid endarterectomy<br />
Embolectomy/thrombectomy<br />
Endovascular Stenting<br />
Femoro-pop-tib-peroneal-bypass<br />
Major amputations<br />
Major venous reconstruction<br />
Shunt for portal hypertension<br />
Subclavian artery operation<br />
Vascular – fistulae/shunt<br />
Visceral revascularisation<br />
Other – specify<br />
Revised in June 2011<br />
Endorsed by Council meeting on 20 June 2011
Surgical access if<br />
Total<br />
Surgeon<br />
Surgeon<br />
Assistant<br />
applicable<br />
Mentor<br />
Mentor<br />
Open<br />
Minimal<br />
Scrubbed<br />
Available<br />
access<br />
Abdominal – other<br />
Adrenalectomy<br />
Emergency surgical repair <strong>of</strong> hernia <strong>of</strong> any<br />
kind<br />
Laparotomy – other - specify<br />
Major ventral hernia repair<br />
Parastomal hernia repair<br />
Other – specify<br />
Revised in June 2011<br />
Endorsed by Council meeting on 20 June 2011
Record Nature <strong>of</strong> Cases – Minor and Intermediate Procedures<br />
Surgical access if<br />
Total<br />
Surgeon<br />
Surgeon<br />
Assistant<br />
applicable<br />
Mentor<br />
Mentor<br />
Open<br />
Minimal<br />
Scrubbed<br />
Available<br />
access<br />
Breast<br />
Breast biopsy<br />
Excision following needle localisation<br />
Subareolar excision <strong>of</strong> ducts<br />
Drainage <strong>of</strong> breast abscess<br />
Other – specify<br />
Surgical access if<br />
Total<br />
Surgeon<br />
Surgeon<br />
Assistant<br />
applicable<br />
Mentor<br />
Mentor<br />
Open<br />
Minimal<br />
Scrubbed<br />
Available<br />
access<br />
Gastrointestinal<br />
Open appendectomy<br />
Banding/injection <strong>of</strong> haemorrhoids<br />
Haemorrhoidectomy– excisional<br />
Perianal abscess/fistula in ano<br />
Other anal operations<br />
Other – specify<br />
Surgical access if<br />
Total<br />
Surgeon<br />
Surgeon<br />
Assistant<br />
applicable<br />
Mentor<br />
Mentor<br />
Open<br />
Minimal<br />
Scrubbed<br />
Available<br />
access<br />
Head and Neck<br />
Minor head and neck procedures<br />
Other – specify<br />
Revised in June 2011<br />
Endorsed by Council meeting on 20 June 2011
Surgical access if<br />
Total<br />
Surgeon<br />
Surgeon<br />
Assistant<br />
applicable<br />
Mentor<br />
Mentor<br />
Open<br />
Minimal<br />
Scrubbed<br />
Available<br />
access<br />
Hernia(elective operation)<br />
Femoral hernia<br />
Inguinal hernia<br />
Umbilical, paraumbilical, epigastric hernia<br />
Other – specify<br />
Surgical access if<br />
Total<br />
Surgeon<br />
Surgeon<br />
Assistant<br />
applicable<br />
Mentor<br />
Mentor<br />
Open<br />
Minimal<br />
Scrubbed<br />
Available<br />
access<br />
Lymphatic<br />
Lymph node biopsy<br />
Other – specify<br />
Surgical access if<br />
Total<br />
Surgeon<br />
Surgeon<br />
Assistant<br />
applicable<br />
Mentor<br />
Mentor<br />
Open<br />
Minimal<br />
Scrubbed<br />
Available<br />
access<br />
Skin and appendage<br />
Abscess drainage<br />
Ingrowing toenail<br />
Minor amputation<br />
Minor plastic<br />
Pilonidal sinus<br />
Simple excision<br />
Skin graft<br />
Wound exploration<br />
Other – specify<br />
Revised in June 2011<br />
Endorsed by Council meeting on 20 June 2011
Surgical access if<br />
Total<br />
Surgeon<br />
Surgeon<br />
Assistant<br />
applicable<br />
Mentor<br />
Mentor<br />
Open<br />
Minimal<br />
Scrubbed<br />
Available<br />
access<br />
Urology<br />
Circumcision<br />
Exploration <strong>of</strong> testis<br />
Hydrocoele/cyst<br />
Vasectomy<br />
Testicular fixation for torsion<br />
Other – specify<br />
Surgical access if<br />
Total<br />
Surgeon<br />
Surgeon<br />
Assistant<br />
applicable<br />
Mentor<br />
Mentor<br />
Open<br />
Minimal<br />
Scrubbed<br />
Available<br />
access<br />
Vascular<br />
Varicose veins<br />
Other – specify<br />
Surgical access if<br />
Total<br />
Surgeon<br />
Surgeon<br />
Assistant<br />
applicable<br />
Mentor<br />
Mentor<br />
Open<br />
Minimal<br />
Scrubbed<br />
Available<br />
access<br />
Endoscopy/Diagnostic<br />
Oesophagoscopy<br />
OGD<br />
Panendoscopy<br />
Rigid sigmoidoscopy<br />
Flexible sigmoidoscopy<br />
Colonoscopy<br />
ERCP<br />
Cystoscopy<br />
Direct laryngoscopy<br />
Bronchoscopy<br />
Revised in June 2011<br />
Endorsed by Council meeting on 20 June 2011
Other – specify<br />
Surgical access if<br />
Total<br />
Surgeon<br />
Surgeon<br />
Assistant<br />
applicable<br />
Mentor<br />
Mentor<br />
Open<br />
Minimal<br />
Scrubbed<br />
Available<br />
access<br />
Endoscopy/Therapeutic<br />
Therapeutic OGD<br />
Therapeutic colonoscopy<br />
Therapeutic ERCP<br />
Therapeutic bronchoscopy<br />
Other – specify<br />
Revised in June 2011<br />
Endorsed by Council meeting on 20 June 2011
<strong>Summary</strong><br />
Surgical access if<br />
Total<br />
Surgeon<br />
Surgeon<br />
Assistant<br />
applicable<br />
Mentor<br />
Mentor<br />
Open<br />
Minimal<br />
Scrubbed<br />
Available<br />
access<br />
Major<br />
Intermediate and Minor<br />
OGD(diagnostic)<br />
OGD(therapeutic)<br />
Colonoscopy(diagnostic)<br />
Colonoscopy(therapeutic)<br />
Revised in June 2011<br />
Endorsed by Council meeting on 20 June 2011
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