PGY-5
Surgical Video Case Conference
Ophthalmology Resident Operative Feedback
Resident: ____________________________ Training Level: Y1 Y2Y3 Date:___________
Procedure: Phaco Other: ___________________________________
|SURGICAL SKILL |5 |4 |3 |2 |1 | |
|Excellent preoperative understanding/decision-making for | | | | | |Poor preoperative understanding/decision-making for procedures to be |
|procedures to be performed. | | | | | |performed. |
|Excellent presentation to patient of risks, benefits, and | | | | | |Inadequate presentation to patient of risks, benefits, and alternatives |
|alternatives to procedure (informed consent). | | | | | |to procedure (informed consent). |
|Excellent dexterity/tissue handling. | | | | | |Poor dexterity/tissue handling. |
|Was surgically efficient in operative maneuvers. | | | | | |Performed prolonged or wasted maneuvers. |
|Followed sterile technique. | | | | | |Frequently ignored sterile technique. |
|Fully understood instruments and their names. | | | | | |Did not understand instruments and their names. |
|Was fully aware of possible discomforts/risks related to | | | | | |Was inattentive to possible discomforts/risks related to procedure. |
|procedure. | | | | | | |
|Excellent suturing technique. | | | | | |Poor suturing technique. |
|Was confident in knowledge of pertinent anatomy. | | | | | |Had vague knowledge of pertinent anatomy. |
|Excellent technical surgical competence. | | | | | |Limited surgical competence; had to stop for instruction at most steps. |
|Provided appropriate postoperative care, including recognition & | | | | | |Provided inappropriate postoperative care, including poor recognition & |
|management of complications. | | | | | |management of complications. |
|Respects Tissue | | | | | |Did not respect tissue |
|Time and Motion | | | | | | |
|Instrument Handling | | | | | | |
|Use of both hands | | | | | | |
|Was confident in handling complications | | | | | |Did not know where to begin with complications |
Samples of Good Behavior: 1 hand ................
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