Close urethra fistula
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1. I am resident and informing attending of my goals
2. I am resident and did case - now will self reflect
3. I am attending directing resident reflections
4. I am resident reviewing my attending comments
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Institution
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Albany Medical Center
Australlia Royal Children's Hospital
Brown University - Alpert School of Medicine
Cardinal Glennon Children's Hospital
Children's Hospital of Atlanta
Children's Hospital of Michigan
Children's Hospital of Philadelphia
Children's Hospital of Pittsburgh (UPMC)
Children's Hospital of Richmond at VCU
Cincinnati Children's Hospital Medical Center
Cleveland Clinic Foundation
Dell Children's (Austin, Texas)
Hasbro Children's Hospital (Brown Univ.)
Lurie Children's Hospital of Chicago
Maine Medical Center - Pediatric Urology
Nationwide Children's Hospital
Northwestern Memorial Hospital
Riley Children's Hospital of Indiana
Ronald McDonald Childrens Hospital (Loyola University, Chicago)
Santiago, Chile Cortés Hospital
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UAB - Children's Hosptial of Alabama
UAB - Department of Urology
University of Minnesota, Department of Urology
University of Missouri Div. Urology (Columbia)
Sick Kids of Toronto
SIU School of Medicine
St. Louis Children's Hospital
Texas Children's Hospital (Baylor College of Medicine)
University British Columbia
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Vanderbilt Children's Hospital
Fellow/Resident Trainee
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PGY
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2
1
Fellow/Resident Trainee e-mail
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Attending
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Date Surgery is Planned
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As a Resident my goals for this next case are:
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CEV-ule being developed
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Assess Resident skill level shown
1 =
attending had to show and tell me
2 =
attending had to actively help me
3 =
attending only passively helped me
4 =
attending only supervised me
Resident: % case I did
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<25%
25-50%
50-75%
>75%
Attending: % case trainee did
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<25%
25-50%
50-75%
>75%
Resident: skill level I showed
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shown and told
active help
passive help
supervision only
Attending: skill level trainee showed
Please Select
shown and told
active help
passive help
supervision only
Resident: self-assess the global surgery skills you showed
4
3
2
1
na
knows surgery procedure steps
use of microneedle holder
knows names of tissues handled
tissue dissection
knows names of instruments used
knows sutures used
posture at OR table
respectful & communicates well
Attending: click boxes which differ from those of your Resident's above (not all need to be clicked)
4
3
2
1
na
knows surgery procedure steps
use of microneedle holder
knows names of tissues handled
tissue dissection
knows names of instruments used
knows sutures used
posture at OR table
respectful & communicates well
Resident: self-assess the surgery skills you showed
4
3
2
1
na
strategy
identify all fistula(e)
calibrate meatus/urethra
glans suture & setup penis retractor
catheterize urethra
circumscribe fistula(e)
elevate wide skin/dartos flaps
dissect down to urethra
transect fistula and pen-mark margin
layered closure
slide dartos flaps over fistula
close skin
crede confirms stream
dressing
Attending: click boxes which differ from those of your Resident's above (not all need to be clicked)
4
3
2
1
na
strategy
identify all fistula(e)
calibrate meatus/urethra
glans suture & setup penis retractor
catheterize urethra
circumscribe fistula(e)
elevate wide skin/dartos flaps
dissect down to urethra
transect fistula and pen-mark margin
layered closure
slide dartos flaps over fistula
close skin
crede confirms stream
dressing
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I am the attending and certify this information is correct
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