Table 2 Global rating scale

Preparation for procedure

Did not organize equipment well. Had to stop procedure frequently to prepare equipment.

Equipment generally organized. Occasionally had to stop and prepare items.

All equipment neatly organized, prepared, and ready for use.

Respect for tissue

Frequently used unnecessary force on tissue or caused damage.

Careful handling of tissue but occasionally caused inadvertent damage.

Consistently handled tissues appropriately with minimal damage.

Time and motion

Many unnecessary moves.

Efficient time/motion but some unnecessary moves.

Clear economy of movement and maximum efficiency.

Instrument handling

Repeatedly made tentative or awkward moves with instruments.

Competent use of instruments but occasionally appeared stiff or awkward.

Fluid moves with instruments and no awkwardness.

Flow of procedure

Frequently stopped procedure and seemed unsure of next move.

Demonstrated some forward planning with reasonable progression of procedure.

Obviously planned course of procedure with effortless flow from one move to the next.

Knowledge of procedure

Deficient knowledge.

Knew all important steps of procedure.

Demonstrated familiarity with all aspects of procedure.

Performance

Very poor.

Competent.

Clearly superior.