Assessment - Objective Scoring of Technical Vascular Skills

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Trainee

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Year of residency

Operative Performance Rating System (OPRS)

as modified for this course (referred to the home page of the American Board of Surgery)

1. Suturing patch/graft.

1. Poor. Sutures from adventitia to intima on artery; inappropriate thickness/spacing of bites.

2. Fair.

3. Good. Generally pierces patch/graft and vessels at 90 degrees and passes from intimal surface out of artery.

4. Very good.

5. Excellent. Independently sews with correct needle angle and at the correct orientation throughout the anastomosis.

2. Instrumental handling.

1. Poor. Tentative or awjward movements, often did not visualize tips of instrument or clips poorly placed.

2. Fair.

3. Good. Competent use of instruments, occasionally appeared awkward or did not visualize instrument tips.

4. Very good.

5. Excellent. Fluid movements with instruments consistently using appropriate force, keeping tips in view, and placing clips securely.

3. Respect for tissue.

1. Poor. Frequent unnecessary tissue force or damage by inappropiate instrument use

2. Fair.

3. Good. Careful tissue handling, occasional inadvertent damage.

4. Very good.

5. Excellent. Consistently handled tissue carefully (appropriately), minimal tissue damage.

4. Time and motion.

1. Poor. Many unnecessary moves.

2. Fair.

3. Good. Efficient time and motion, some unnecessary moves.

4. Very good.

5. Excellent. Clear economy of motion, and maximum efficiency.

5. Operative flow.

1. Poor. Frequent lack of forward progression; frequently stopped operating and seemed unsure of next move.

2. Fair.

3. Good. Some forward planning, reasonable procedure progression.

4. Very good.

5. Excellent. Obviously planned course of operation and anticipation of next steps.

Time to complete the suture in minutes.

End Product Rating Score (EPRS)

1. Suture spacing.

1. Poor. Bites inconsistent in size and depth,, with the wide graps.

2. Fair.

3. Good.

4. Very good.

5. Excellent. Consistently equal and appropiate spacing.

2. Suture eversion.

1. Poor. Inadequate

2. Fair.

3. Good.

4. Very good.

5. Excellent. Superior performance.

3. Quality of suture of ACI corner.

1. Poor. Inadequate

2. Fair.

3. Good.

4. Very good.

5. Excellent. Superior performance.

4. Quality of suture of ACC corner.

1. Poor. Inadequate

2. Fair.

3. Good.

4. Very good.

5. Excellent. Superior performance.

Comments.

Assessment – Objective Scoring of Technical Vascular Skills

Operative Performance Rating System (OPRS)

End Product Rating Score (EPRS)