Instrument Handling Poor Fair Good Very Good Excellent 1 2 3 4 5 NA Tentative or Competent use Fluid movements awkward of instruments, with instruments movements, often occasionally consistently using did not visualize appeared appropriate force, tips of instrument awkward or did keeping tips in or clips poorly not visualize view, and placing placed instrument tips clips securely Respect for Tissue Poor Fair Good Very Good Excellent 1 2 3 4 5 NA Frequent Careful tissue Consistently unnecessary handling, handled tissue tissue force or occasional carefully damage by inadvertent (appropriately), inappropriate damage minimal tissue instrument use damage Time and Motion Poor Fair Good Very Good Excellent 1 2 3 4 5 NA Many Efficient time and economy of unnecessary motion, some motion, and moves unnecessary maximum moves efficiency Operation Flow Poor Fair Good Very Good Excellent 1 2 3 4 5 NA Frequent lack of Some forward Obviously forward planning, planned course progression; reasonable of operation and frequently stopped procedure anticipation of operating and progression next steps seemed unsure of next move Overall Performance (not included in calculation of mean score)
Instrument Handling Poor 1 Fair 2 Good 3 Very Good 4 Excellent 5 NA Tentative or awkward movements, often did not visualize tips of instrument or clips poorly placed Competent use of instruments, occasionally appeared awkward or did not visualize instrument tips Fluid movements with instruments consistently using appropriate force, keeping tips in view, and placing clips securely Respect for Tissue Poor 1 Fair 2 Good 3 Very Good 4 Excellent 5 NA Frequent unnecessary tissue force or damage by inappropriate instrument use Careful tissue handling, occasional inadvertent damage Consistently handled tissue carefully (appropriately), minimal tissue damage Time and Motion Poor 1 Fair 2 Good 3 Very Good 4 Excellent 5 NA Many unnecessary moves Efficient time and motion, some unnecessary moves economy of motion, and maximum efficiency Operation Flow Poor 1 Fair 2 Good 3 Very Good 4 Excellent 5 NA Frequent lack of forward progression; frequently stopped operating and seemed unsure of next move Some forward planning, reasonable procedure progression Obviously planned course of operation and anticipation of next steps Overall Performance (not included in calculation of mean score)
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