Direction 2 Direction 4 Direction 1 3 5 Prevention of Contamination Poor Fair Good Very Good Excellent 1 2 3 4 5 NA Poor technique Needed some Independently resulted in avoidable guidance to displayed gross contamination contain meticulous from bowel contents contamination but preventive demonstrated measures against most appropriate intraperitoneal techniques to contamination (e.g., minimize soiling took measures to manage the operative field, removal of specimen and soiled instruments) Substantial Some Direction Direction Minimal Direction 1 2 3 4 5 NA Creation of Anastomosis (stapled or hand-sewn) OR stoma Poor Fair Good Very Good Excellent 1 2 3 4 5 NA Complete reliance on Some guidance Independently faculty for appropriate needed in creating established mucosal apposition, anastomosis due to excellent avoidance of tension, concern for apposition of or torsion apposition of layers, bowel layers and tension on the proper orientation anastomosis, or of bowel ends to orientation of the prevent torsion of bowel OR some the mesentery guidance needed for OR excellent position/creation of position and stoma to avoid creation of stoma tension and allow for proper maturation Substantial Some Minimal Direction Direction Direction 1 2 3 4 5 NA
Direction 1 2 Direction 3 4 Direction 5 Prevention of Contamination Poor 1 Fair 2 Good 3 Very Good 4 Excellent 5 NA Poor technique resulted in avoidable gross contamination from bowel contents Needed some guidance to contain contamination but demonstrated most appropriate techniques to minimize soiling Independently displayed meticulous preventive measures against intraperitoneal contamination (e.g., took measures to manage the operative field, removal of specimen and soiled instruments) Substantial Direction 1 2 Some Direction 3 4 Minimal Direction 5 NA Creation of Anastomosis (stapled or hand-sewn) OR stoma Poor 1 Fair 2 Good 3 Very Good 4 Excellent 5 NA Complete reliance on faculty for appropriate mucosal apposition, avoidance of tension, or torsion Some guidance needed in creating anastomosis due to concern for apposition of layers, tension on the anastomosis, or orientation of the bowel OR some guidance needed for position/creation of stoma to avoid tension and allow for proper maturation Independently established excellent apposition of bowel layers and proper orientation of bowel ends to prevent torsion of the mesentery OR excellent position and creation of stoma Substantial Direction 1 2 Some Direction 3 4 Minimal Direction 5 NA