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OR Surgical
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Proficiency Scale
1 =
No Experience
2 =
Need Training
3 =
Able to perform with supervision
4 =
Able to perform independently
Assessment Section
General Surgery
✔ Abdominal Perineal Resection
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★
★
★
★
★
✔ Appendectomy/Cholecystectomy
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★
★
★
★
★
✔ Breast Biopsy
*
★
★
★
★
★
✔ Colon Resection/Surgery
*
★
★
★
★
★
✔ Gastrectomy
*
★
★
★
★
★
✔ Gastric Bypass/Roux-en-Y
*
★
★
★
★
★
✔ Hemorrhoidectomy
*
★
★
★
★
★
✔ Herniorrhaphy - Inguinal, Ventral, Femoral, Umbilical
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★
★
★
★
★
✔ Laparoscopic General Surgeries
*
★
★
★
★
★
✔ Laparoscopic Nissen Fundoplication
*
★
★
★
★
★
✔ Mastectomy
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★
★
★
★
★
✔ Splenectomy
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★
★
★
★
✔ Thyroidectomy
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★
Cardiovascular
✔ Aorta Repair
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★
★
★
★
★
✔ Aorto-Bifemoral/Femoral-Pop Bypass Graft
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★
★
★
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★
✔ Cardiac Bypass Surgery
*
★
★
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★
✔ Carotid Endarterectomy
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★
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★
✔ Endoscopic Vascular Procedures
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✔ Femoral Popliteal Bypass Graft
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✔ Laparoscopic Cardiac Surgery
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★
✔ Robotic Assisted Cardiac Surgery
*
★
★
★
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★
✔ Valve Replacement/Repair
*
★
★
★
★
★
✔ Ventricular Assist Device
*
★
★
★
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★
Thoracic
✔ Endoscopic Thoracic Procedures
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✔ Esophagogastrectomy
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★
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★
✔ Mediastinotomy/Sternotomy
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★
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★
✔ Thoracoscopy/Nuss Procedure
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★
★
★
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✔ Thoracotomy
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Orthopedic
✔ Total Joint Replacement
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✔ Closed Reduction of Fracture
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✔ External Fixator
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✔ Cannulated Hip Screws
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★
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★
✔ Bankhart Procedure
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✔ Birmingham Procedure
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✔ Carpal Tunnel Release
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✔ Arthroscopy
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✔ Anterior Cruciate Ligament Reconstruction
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Neurological
✔ Craniotomy
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✔ Stereotactic Guided Brain Biopsy
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✔ Laminectomy
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✔ Laparoscopic Anterior Laminectomy
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✔ Insertion of Vagal Nerve Stimulator
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✔ Insertion of VP Shunt
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✔ Spinal Fusion
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✔ Anterior Cervical Discectomy with Fusion
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✔ Posterior Cervical Laminectomy
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Genitourinary
✔ Vasicaurethropexy
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✔ Marshall Marchetti
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✔ Circumcision
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✔ Cystoscopy/Cystogram/Pyelogram
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✔ Prostatectomy
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✔ Nephrectomy
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✔ Orchidectomy/Orchidopexy
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✔ Ureterostomy
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✔ Laparoscopic Assisted GU Procedures
*
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✔ Robotic Assisted GU Procedures
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Gynecological
✔ Abdominal Hysterectomy
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✔ Anterior Posterior Repair
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✔ C-Section
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✔ D & C
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✔ Laparoscopic Assisted Hysterectomy
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✔ Robotic Assisted GYN Procedures
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✔ Vaginal Delivery
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✔ Vaginal Hysterectomy
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Ear/Nose/Throat
✔ Endoscopic ENT Procedures
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✔ Laryngectomy
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✔ Mastoidectomy
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✔ Myringotomy with Insertion of Tubes
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✔ Radical Neck
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✔ Septoplasty
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✔ Tonsillectomy & Adenoidectomy
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✔ Tracheostomy
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★
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✔ Tympanoplasty
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★
★
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Craniofacial/Oral/Plastics
✔ Craniectomy
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✔ Craniofacial Reconstruction
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✔ Dental Surgery
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✔ Leforte 1 Maxillary/Sagittal Osteotomy
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✔ ORIF Mandibular Fracture
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✔ Otoplasty
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✔ Reconstruction of Ear
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✔ Removal of Arch Bars
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✔ Repair of Cleft Lip, Nose, Palate
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✔ Rhinoplasty
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Plastic
✔ Blepharoplasty
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★
✔ Breast Reconstruction with Implant
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✔ Breast Reduction Mammoplasty
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★
✔ Face Lift
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✔ Mastectomy with Tram Flap Reconstruction
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✔ Split Thickness Skin Graft
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✔ Suction Lipectomy
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Transplants
✔ Heart
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✔ Lung
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✔ Liver
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✔ Pancreas
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✔ Eye
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✔ Organ Donation
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Ophthalmology
✔ Cataract Extraction with Implant
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✔ Vitrectomy
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✔ Scleral Buckle
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✔ Cataract Aspiration; Anterior Vitrectomy
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✔ Corneal Transplant
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General Surgery
✔ Anal Fistulectomy/Anoplasty
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✔ Appendectomy/Cholecystectomy
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★
★
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★
✔ Biopsy (Mass, Muscle, Lymph Node)
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★
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✔ Bronchoscopy
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✔ Colostomy
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✔ Gastric Bypass/Roux-en-Y
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✔ Esophagoscopy
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✔ Exploratory Laparotomy
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✔ Flexible Sigmoidoscopy
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✔ Fundoplication
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✔ Gastrostomy
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★
✔ Herniorrhaphy
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✔ Insertion of Port-a-Cath, Hickman, Broviac
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✔ Laparoscopic General Surgery Procedures
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✔ Liver Biopsy
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✔ Percutaneous Endoscopic Gastrostomy
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✔ Thoracoscopy/Nuss Procedure
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Genitourinary
✔ Circumcision
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✔ Cystoscopy/Cystogram/Pyelogram
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✔ Hydrocelectomy
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✔ Nephrectomy
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✔ Orchidectomy/Orchidopexy
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✔ Repair of Hypospadias
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✔ Retrograde Pyelogram
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✔ Ureterostomy
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Neuro
✔ Craniotomy
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✔ Insertion of Vagal Nerve Stimulator
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✔ Insertion of VP Shunt
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✔ Laminectomy
*
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Cardiac/Vascular
✔ Arterial Switch
*
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★
✔ ASD/VSD Repair
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★
✔ Atrial Septectomy
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✔ Bidirectional Glenn
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✔ BT Shunt
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✔ ECMO Insertion/Decannulation
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✔ Fontan Procedure
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✔ Norwood Procedure
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✔ Pacemaker
*
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✔ PDA Ligation
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✔ Repair of Coarctation of Aorta
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✔ Ross Procedure
*
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✔ Tetralogy of Fallot Repair
*
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✔ Valve Repair/Replacement
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✔ Ventricular Assist Device
*
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Transplant
✔ Heart
*
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✔ Kidney
*
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★
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✔ Liver/Pancreas
*
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✔ Lung
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✔ Organ Donation
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★
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Ophthalmology
✔ Corneal Transplant
*
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★
★
★
★
✔ Dacrocystorhinostomy
*
★
★
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★
✔ Excision of Chalazion
*
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★
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✔ Eye Muscle Surgery
*
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✔ Levator Resection
*
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★
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✔ Orbitotomy of Eye
*
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★
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✔ Repair of Ptosis
*
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Ear/Nose/Throat
✔ Cochlear Implant
*
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★
★
★
✔ Laryngotracheoplasty
*
★
★
★
★
★
✔ Myringotomy with Tubes
*
★
★
★
★
★
✔ Septoplasty
*
★
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★
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★
✔ Suspension Microlaryngoscopy
*
★
★
★
★
★
✔ Tonsillectomy & Adenoidectomy
*
★
★
★
★
★
✔ Tracheostomy
*
★
★
★
★
★
✔ Turbinate Reduction
*
★
★
★
★
★
✔ Tympanoplasty/Tympanostomy
*
★
★
★
★
★
Craniofacial/Oral/Plastics
✔ Craniectomy
*
★
★
★
★
★
✔ Craniofacial Reconstruction
*
★
★
★
★
★
✔ Dental Surgery
*
★
★
★
★
★
✔ Leforte 1 Maxillary/Sagittal Osteotomy
*
★
★
★
★
★
✔ Mandibular Osteotomy
*
★
★
★
★
★
✔ ORIF Mandibular Fracture
*
★
★
★
★
★
✔ Otoplasty
*
★
★
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★
✔ Reconstruction of Ear
*
★
★
★
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★
✔ Repair of Cleft Lip, Nose, Palate
*
★
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★
✔ Rhinoplasty
*
★
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★
✔ Skin Graft
*
★
★
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Orthopedics
✔ Acetabuloplasty/Triple Innominate
*
★
★
★
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★
✔ Arthroscopy of Knee, Wrist, Shoulder
*
★
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★
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✔ Closed Reduction, Percutaneous Pin
*
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✔ External Fixator (Ilizarov/Orthofix)
*
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★
✔ ORIF Shoulder, Humerus, Tibia, Femur
*
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★
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★
✔ Osteotomy/VDRD/Calcaneal/Metatarsal
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✔ Spinal Fusion/Spinal with Instrumentation
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✔ Tendoachilles Lengthening
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OR Equipment
✔ Electrocautery (ESU)
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✔ Laparoscopy Systems
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✔ OR Fracture Tables
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✔ List Types
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✔ Orthopedic Total Joint Systems
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✔ Power Equipment
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✔ Robotics Systems
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✔ List Types
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✔ Spinal Fusion Instrumentation
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★
Professional Knowledge and Skills
✔ Malignant Hyperthermia Protocol
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★
✔ Infection Prevention
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✔ Isolation Precautions
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✔ National Patient Safety Goals/Core Measures
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✔ Universal Protocol
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Electronic Medical Records (EMR)
✔ Epic
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✔ Picis
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✔ Cerner
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✔ Eclipsys
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✔ McKesson
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✔ Meditech
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✔ Other Computerized System
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✔ Computerized Physician Order Entry
*
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✔ EMR Conversion
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Age-Specific Competencies
✔ Infant (Birth - 1 year)
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★
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✔ Preschooler (ages 2-5 years)
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✔ Childhood (ages 6-12 years)
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✔ Adolescents (ages 13-21 years)
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✔ Young Adults (ages 22-39 years)
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✔ Adults (ages 40-64 years)
*
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★
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✔ Older Adults (ages 65-79 years)
*
★
★
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✔ Elderly (ages 80+ years)
*
★
★
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★
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