Open Ventral Hernia
Evaluator:
Status:
Program:
Subject :
Please rate this resident's performance during this operative procedure. The caption
above each item provides descriptive anchors for 3 of the 5 points on the rating scale.
N/A (Not Applicable) should only be selected when the resident did not perform that part
of the procedure. Your evaluation will be provided to the resident verbatim.
MMC Inpatient
O
St. John’s Inpatient
MMC Outpatient
(23 hour )
O
O
St John’s Outpatient
(23 hour )
O
Hospital Medical Record Number
Date of Procedure
MM/DD/YY
OPRS Case Difficulty
Indicate the difficulty of the case:
1
Straightforward anatomy, no
related prior surgeries or
treatment
O
2
Intermediate difficulty
O
3
Abnormal anatomy, extensive
pathology, related prior
surgeries or treatment (for
example radiation), or obesity
O
Degree of Prompting or Direction
1
2
Substantial direction by
attending. Resident
performs all steps but the
attending provides
constant direction to the
resident and surgical
team.
3
Some direction by
attending. Resident
performs all steps but the
attending provides
occasional direction to the
resident and /or to the
surgical team.
O
Minimal direction by
attending. Resident
performs all steps and
directs the surgical team
independently with
minimum or no direction
from the attending, to
either the resident or to
the surgical team.
O
O
Procedure Specific Criteria
Incision
5
Excellent
4
Very Good
Excellent
planning of
incision, taking
into
consideration
planned
procedure and
prior surgery;
drew with
marking pen
O
3
Good
2
Fair
Demonstrated
understanding
of most
principles in
planning and
making
incision.
O
1
Poor
NA
Poor incision
planning
O
O
O
O
Exposure
5
Excellent
Precise &
efficient
dissection to
posterior
rectus sheath
& mobilization
4
Very Good
3
Good
Satisfactory
dissection &
mobilization
with occasional
inefficient
handling of
2
Fair
1
Poor
Poor dissection
technique/use
of tissue
plains
NA
of fascia (3-5
cms from
hernia edge) to
expose hernia
neck
O
instruments &
need to
reposition
retractors
/assistants;
incomplete
exposure of
posterior fascia
O
O
O
O
O
Identification of Hernia Sac
5
Excellent
4
Very Good
Excellent &
accurate
identification
and reduction
of sac and
contents
O
3
Good
2
Fair
Satisfactory
(required some
direction) location
and reduction of
sac and
identification of
entire defect
O
O
1
Poor
NA
Complete
reliance on
faculty
instruction for
identification of
defect and sac
O
O
O
2
Fair
1
Poor
NA
Repair – Insertion of Mesh
5
Excellent
4
Very Good
Excellent
(independent)
orientation of
mesh,
positioning
(smooth side to
bowel) &
placement of
sutures (four
corner) without
tension or
redundancy
O
3
Good
Satisfactory
(required some
direction)
orientation of
mesh,
positioning and
placement of
sutures without
tension or
redundancy.
O
O
Inadequate
orientation of
mesh,
positioning,
and suturing
with complete
reliance on
faculty
instruction for
identification of
defect and
sac
O
O
O
General Criteria
Instrument Handling
5
Excellent
4
Very Good
Fluid
movements
with
instruments,
no stiffness or
awkwardness
3
Good
2
Fair
1
Poor
Competent
use of
instruments
occasionally
appeared
awkward
O
O
NA
Tentative or
awkward
movements or
inappropriate
instrument
use.
O
O
O
O
Respect for Tissue
5
4
3
2
1
Excellent
Very Good
Good
Fair
Poor
Consistently
handled tissue
appropriately,
minimal tissue
damage
Careful tissue
handling,
occasional
inadvertent
tissue damage
O
O
NA
Frequent
unnecessary
tissue force or
damage by
inappropriate
instrument use
O
O
O
O
Time and Motion
5
Excellent
4
Very Good
Clear economy
of motion, and
maximum
efficiency
O
Operation Flow
3
Good
2
Fair
1
Poor
Efficient time &
motion, some
unnecessary
moves
O
O
NA
Many
unnecessary
moves
O
O
O
5
Excellent
4
Very Good
Obviously
planned course
of operation, and
anticipation of
next steps
O
3
Good
2
Fair
Some forward
planning,
reasonable
procedure
progression
O
1
Poor
NA
Frequently
stopped
operating and
seemed unsure
of next move
O
O
O
O
Overall Performance
5
Excellent
4
Very Good
3
Good
2
Fair
1
Poor
NA
O
O
O
O
O
O
Please indicate the weaknesses in this resident’s performance:
Please indicate the strengths in this resident’s performance: