Poor Fair Good Very Good Excellent 1 2 3 4 5 NA Complete reliance on Required some Excellent faculty instruction for direction to identify identification of identification of segment of bowel lesion, affected lesions and for resection, area of bowel, or associated findings perceived extent of metastases by (metastases, local disease with visualization or inflammation, guidance palpation infection, etc.) Substantial Minimal Direction Some Direction Direction 1 2 3 4 5 NA Dissection Poor Fair Good Very Good Excellent 1 2 3 4 5 NA Unable to safely Reasonable Meticulous and dissect or mobilize development of efficient affected segment of planes of dissection independent bowel. Injured but needed dissection of adjacent structures moderate guidance bowel segment to maintain from peritoneal progress and attachments, protect adjacent adhesions or structures adjacent organs Substantial Some Minimal Direction Direction Direction 1 2 3 4 5 NA Extent of Resection Poor Fair Good Very Excellent 1 2 3 Good 4 5 NA Selected resection sites Required some Appropriately selected that would have left assistance in optimal proximal and residual disease (would selecting optimal distal resection sites have removed too much points of (adequate margins for healthy bowel, or would resection to cancer, inflammation or have left grossly ischemic safely remove perforation), expert bowel ends for disease handling of mesentery to anastomosis or stoma maintain blood supply creation) and achieve adequate lymphadenectomy (if applicable) Substantial Some Minimal NA
Poor 1 Fair 2 Good 3 Very Good 4 Excellent 5 NA Complete reliance on faculty instruction for identification of lesions and associated findings (metastases, local inflammation, infection, etc.) Required some direction to identify segment of bowel for resection, perceived extent of disease with guidance Excellent identification of lesion, affected area of bowel, or metastases by visualization or palpation Substantial Direction 1 2 Some Direction 3 4 Minimal Direction 5 NA Dissection Poor 1 Fair 2 Good 3 Very Good 4 Excellent 5 NA Unable to safely dissect or mobilize affected segment of bowel. Injured adjacent structures Reasonable development of planes of dissection but needed moderate guidance to maintain progress and protect adjacent structures Meticulous and efficient independent dissection of bowel segment from peritoneal attachments, adhesions or adjacent organs Substantial Direction 1 2 Some Direction 3 4 Minimal Direction 5 NA Extent of Resection Poor 1 Fair 2 Good 3 Very Good 4 Excellent 5 NA Selected resection sites that would have left residual disease (would have removed too much healthy bowel, or would have left grossly ischemic bowel ends for anastomosis or stoma creation) Required some assistance in selecting optimal points of resection to safely remove disease Appropriately selected optimal proximal and distal resection sites (adequate margins for cancer, inflammation or perforation), expert handling of mesentery to maintain blood supply and achieve adequate lymphadenectomy (if applicable) Substantial Some Minimal NA