From: Ureteroscopy and cystoscopy training: comparison between transparent and non-transparent simulators
Global rating scale of operative performance | |||||
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Please circle the number corresponding to the candidate’s performance in each category, irrespective of training level. | |||||
1 | 2 | 3 | 4 | 5 | |
Respect for tissue | Scope frequently pushed into urothelial wall. Used unnecessary force with guidewire. | Scope occasionally pushed into urothelial wall. Used unnecessary force with guidewire. | Careful handling of tissues, but occasionally caused inadvertent tissue damage. | Careful handling of tissues, but on one occasion caused inadvertent tissue damage. | No trauma to urothelial wall with scope. Consistently handled tissues appropriately. |
Time and motion | Many unnecessary moves. | Occasional unnecessary moves. | Some unnecessary moves, but time more efficien.t | Efficient time/motion but one unnecessary move. | Clear economy of movement and time is maximized. |
Instrument handling | Repeatedly makes tentative or awkward moves with instruments by inappropriate use of instruments. | Occasionally makes tentative or awkward moves with instruments by inappropriate use of instruments. | Competent use of instruments, but occasional stiff or awkward movements. | Used appropriate instruments, but made one awkward movement. | Fluid movements with instruments and no awkwardness. |
Knowledge of instruments | Frequently asked for wrong instruments or used inappropriate instruments. | Occasionally asked for wrong instrument or used inappropriate instruments. | Knew the names of most instruments and used instruments appropriately. | Knew the names of the instruments, but used one inappropriately. | Obviously familiar with instruments and their names. |
Flow of operation | Frequently stopped and seemed unsure of next move. | Occasionally stopped and seemed unsure of next move. | Demonstrated some forward planning with reasonable progression. | Demonstrated forward planning with only one unsure episode. | Well planned operation with effortless flow of movements. |
Use of assistants | Frequently poorly placed or failed to use assistants. | Occasionally poorly placed or failed to use assistants. | Used assistants well most of the time. | Only once failed to use assistants. | Strategically used assistants to the best advantage at all times. |
Knowledge of procedure | Needed specific instruction at all steps. | Needed specific instruction at most steps. | Knew all important steps, but needed one instruction. | Knew all important steps of operation. | Familiar with all aspects of operation. |