Obstetric/Gynecological Surgery
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: ____________________ Diagnostic_Laparoscopy Anterior-Posterior_Repair D_and_C D_and_C_with_Cervical_Biopsy Excision_Lesion_Vulva Barthilon_Cyst Laser-Cervix Leep_Procedure Cesium_Implant Hysteroscopy Genital_Warts Cervical_Cerclage Vaginal_Delivery
Level 2
Procedure: ____________________ Total_Abdominal_Hysterectomy TAH-BSO Supra_Cervical_Hysterectomy Salpingo-oophorectomy Laparoscopic_Salpingo-oophorectomy open_Tubal Laparoscopic_Tubal Endometrim_Ablation Myomectomy Ectopic_Pregnancy Laser-Laparoscopic C-Sections C-Section c tubal
Level 3
Procedure: __________________ Laparoscopic_Assisted_Vaginal_Hysterectomy
Other:
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