Procedure-Specific Criteria Please assess performance and indicate the degree of prompting for each item. The assessment for each item may differ from the prompting score for that item. Exposure Poor 1 Fair 2 Good 3 Very Good 4 Excellent 5 NA Poor planning of incision and flap elevation Satisfactory incision planning and appropriate tissue plane for flap elevation most of the time Excellent incision planning and precise flap elevation in correct plane Substantial Direction 1 2 Some Direction 3 4 Minimal Direction 5 NA Mobilization of Thyroid Poor 1 Fair 2 Good 3 Very Good 4 Excellent 5 NA Poor technique demonstrated in mobilization of thyroid lobe Satisfactory mobilization of lobe with occasional inefficient handling of vessels Precise and efficient mobilization with careful handling of vessels Substantial Direction 1 2 Some Direction 3 4 Minimal Direction 5 NA Recurrent Laryngeal Nerve Poor 1 Fair 2 Good 3 Very Good 4 Excellent 5 NA Poor knowledge of anatomy and technique in nerve protection Some lapses in technique to avoid injury Excellent knowledge of anatomy, shows caution in identification/ protection of nerve
Substantial Direction 1 2 Some Direction 3 4 Minimal Direction 5 NA Identification of Parathyroid Glands Poor 1 Fair 2 Good 3 Very Good 4 Excellent 5 NA Poor knowledge of anatomy and dissection technique Satisfactory knowledge of anatomy, occasional insufficient and/or aggressive dissection Excellent knowledge of glands, and careful, meticulous dissection Substantial Direction 1 2 Some Direction 3 4 Minimal Direction 5 NA Utilization of Pathology Poor 1 Fair 2 Good 3 Very Good 4 Excellent 5 NA Poor understanding of role of pathology Some lapses in ability to utilize pathology findings Excellent demonstration of role of pathology in intraoperative management Substantial Direction 1 2 Some Direction 3 4 Minimal Direction 5 NA General Criteria Instrument Handling Poor 1 Fair 2 Good 3 Very Good 4 Excellent 5 NA Tentative or awkward movements, often did not visualize tips of instrument or clips poorly placed Competent use of instruments, occasionally appeared awkward or did not visualize instrument tips Fluid movements with instruments consistently using appropriate force, keeping tips in view, and placing clips securely
Respect for Tissue Poor 1 Fair 2 Good 3 Very Good 4 Excellent 5 NA Frequent unnecessary tissue force or damage by inappropriate instrument use Careful tissue handling, occasional inadvertent damage Consistently handled tissue carefully (appropriately), minimal tissue damage Time and Motion Poor 1 Fair 2 Good 3 Very Good 4 Excellent 5 NA Many unnecessary Efficient time and motion, some unnecessary moves Clear economy of motion, and maximum efficiency Operation Flow Poor 1 Fair 2 Good 3 Very Good 4 Excellent 5 NA Frequent lack of forward progression; frequently stopped operating and seemed unsure of next move Some forward planning, reasonable procedure progression Obviously planned course of operation and anticipation of next Overall Performance (not included in calculation of mean Rating of very good or higher indicates technically proficient performance (i.e., resident is ready to perform operation independently, assuming resident consistently performs at this level) Poor Fair Good Very Good Excellent Please indicate the weaknesses in this resident’s performance: