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Summary of Operative Experience

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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

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