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| Month | Day | Year | | | | |
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Time Stamp Data
Case Start/Dissection
Time begins when the participant makes first contact with the gallbladder with an instrument. |
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| Hrs. | Mins. | AM/PM | | | | |
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Division
Time begins when the clip applier is inserted into the trocar. |
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| Hrs. | Mins. | AM/PM | | | | |
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Removal
Time begins when the electrocautery hook is inserted into the trocar. |
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| Hrs. | Mins. | AM/PM | | | | |
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Case End
Time ends when the gallbladder is completely freed from the liver. (Do not record placement into the bag, removal from the abdomen or other tasks following removal) |
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| Hrs. | Mins. | AM/PM | | | | |
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Task Specific Checklist
If faculty member performs all or a portion of any of the following tasks, or if the task is not completed (ie. critical view not obtained prior to clip placement), the task should be listed as "Not Accomplished"
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Global Assessment
Rank each assessment category in accordance with study concordance guidelines.
GA1
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