Cervical
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Appendix B: Confidence and need for additional training. For each surgical procedures in this table, please report two things: (1) How well did your residency training prepare you to perform each procedure? And (2) How much additional training do you still need to confidently perform each operation? In each column, simply circle or check () the correct phrase. (1) On completion of your residency, how competent were you (or will you be) to perform... (2) On completion of your residency, how much additional training did you need (or will you need) to perform . . . Application of tongs and cervical closed reduction Posterior cervical laminectomy Not at all A little Somewhat competent Very competent No further training required A little training required Some training required Significant training required Not at all A little Somewhat competent Very competent Posterior C1-2 fusion with screws Not at all A little Somewhat competent Very competent Posterior cervical wiring fusion Not at all A little Somewhat competent Very competent Posterior C3-7 screw/plate/or rod fusion Occipito-cervical fusion with rods/screws/plates Trans-oral odontoidectomy Not at all A little Somewhat competent Very competent No further training required No further training required No further training required No further training required A little training required A little training required A little training required A little training required Some training required Some training required Some training required Some training required Significant training required Significant training required Significant training required Significant training required Not at all A little Somewhat competent Very competent No further training required A little training required Some training required Significant training required Not at all A little Somewhat competent Very competent Anterior cervical discectomy +/fusion without plating (1 level) Anterior cervical plating (1 level) Not at all A little Somewhat competent Very competent No further training required No further training required A little training required A little training required Some training required Some training required Significant training required Significant training required Not at all A little Somewhat competent Very competent Anterior cervical corpectomy and reconstruction Thoraco-lumbar Primary lumbar discectomy Not at all A little Somewhat competent Very competent No further training required No further training required A little training required A little training required Some training required Some training required Significant training required Significant training required Not at all A little Somewhat competent Very competent Discectomy for recurrent disc Not at all A little Somewhat competent Very competent Two level lumbar laminectomy Not at all A little Somewhat competent Very competent Lumbar posterior non-instrumented Not at all A little Somewhat competent Very competent No further training required No further training required No further training required No further training required A little training required A little training required A little training required A little training required Some training required Some training required Some training required Some training required Significant training required Significant training required Significant training required Significant training required Cervical fusion Posterior pedicle screw fixation (T8-S1) Upper thoracic (T1 to T8) pedicle screw fixation Sublaminar wires or hooks Not at all A little Somewhat competent Very competent No further training required A little training required Some training required Significant training required Not at all A little Somewhat competent Very competent No further training required A little training required Some training required Significant training required Not at all A little Somewhat competent Very competent Anterior thoracic discectomy Not at all A little Somewhat competent Very competent Anterior L1 corpectomy and reconstruction. Other Surgery for spinal metastases Not at all A little Somewhat competent Very competent No further training required No further training required No further training required A little training required A little training required A little training required Some training required Some training required Some training required Significant training required Significant training required Significant training required Not at all A little Somewhat competent Very competent Surgery for cervical burst with spinal cord injury Surgery for thoracic fracture with spinal cord injury Surgery for syringomyelia Not at all A little Somewhat competent Very competent No further training required No further training required A little training required A little training required Some training required Some training required Significant training required Significant training required Not at all A little Somewhat competent Very competent No further training required A little training required Some training required Significant training required Not at all A little Somewhat competent Very competent Release of tethered cord Not at all A little Somewhat competent Very competent Surgery for intradural neoplasm Not at all A little Somewhat competent Very competent No further training required No further training required No further training required A little training required A little training required A little training required Some training required Some training required Some training required Significant training required Significant training required Significant training required Please list three clinical conditions you’re likely to encounter, but which your residency has not equipped you to manage confidently.
