EENT, ORAL Procedures (THROAT, HEAD, NECK)
Name:
Date: Month January February March April May June July August September October November December Day 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 Year 2008 2009 2010 2011 2012
Level 1
Time spent on Procedure:
Scrub Circulate
Procedure: ____________________ Microlaryngoscopy Tonsil/Adenoidectomy Uvula Pasty (UPPP) Tongue Reduction Arch Bars Teeth Extraction
Level 2
Procedure: ____________________ Laser Partial Mandibulectomy Maxillary Osteotomy Orbital Fractures ORIF Mandible Zygoma Fractures Excision Submaxillary Gland Parotidectomy Tracheostomy TMJ-Scope Clef Lip Repair Cleft Palate Repair
Level 3
Procedure: ____________________ Larngectomy Radical Neck Dissection
Other:
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