Operative Assessment Tool

Date:

Operation:                                                       Other __________________________

Please assess on scale from 1-5 (5 = outstanding, 3 = adequate, 1 = failing, N/A = not assessed) (competency assessed)

1.                  The resident had adequate knowledge of the patient history. (1)

2.                  The resident had adequate knowledge regarding the indications for the procedure. (2)

3.                  The resident demonstrated knowledge of the anatomy. (2)

4.                  The resident had good familiarity with the sequencing of the operation. (2)

5.                  The resident demonstrated good operative technique. (1)

6.                  Post-operative orders and notes were appropriate. (4)

7.                  The resident spoke to the family in a compassionate/empathetic way following the procedure. (1)

8.                  The resident demonstrated professionalism in his interactions with OR personnel. (5)

9.                  The resident communicated effectively with the staff. (4)