Station Distal Radius Fracture Volar Plate Application
Global Rating Scale of Operative Performance
To be completed at each station by faculty observer
Please circle the number for each category, irrespective of the trainee's PGY level.
Instrument ID and Handling
1 / 2 / 3 / 4 / 5
Could not name instruments, selected wrong instrument(s); handled instrument
inappropriately / Could name some, not all instruments; hesitated or changed mind in
selecting instruments; handled them appropriately most of the time / Named all instruments;
easily selected correct
instruments; used them appropriately all of the time
Quality of Incision
1 / 2 / 3 / 4 / 5
Poor technique,
skin compromised
multiple passes / Moderately good technique,
skin roughly handled,
difficulty with depth / Excellent technique,
single pass in one plane,
excellent depth
Quality of Pronator Quadratus Elevation
1 / 2 / 3 / 4 / 5
Poor technique,
Muscle damage,
Exposure of DRUJ / Moderately good technique / Excellent technique,
Muscle could be "closed."
Reduction of Fracture
1 / 2 / 3 / 4 / 5
NOT Reduced.
Medial column offset by > 5mm / Moderately good reduction,
Imperfect but probably functional / Excellent reduction,
Length and angles nearly anatomic
Plate Application
1 / 2 / 3 / 4 / 5
Off Center > 10 mm
Proximal or Distal / Plate on center but only "Fair" Fit / On Center
Good Fit
Motion and Flow
1 / 2 / 3 / 4 / 5
Many unnecessary moves,
frequent stops + starts,
frequently grasped, regrasped tissue / Some unnecessary moves
reasonably efficient, smooth progression, occasional regrasping tissue / Clear economy of movement,
easy flow/rhythm throughout, minimal regrasping of tissue
Score (6 - 30): ______
Table2.OSATS global rating scale for extraarticular fracture fixation exercise
The resident number and proctor number were recorded, and a score from 1 to 5 was circled corresponding to the candidate’s performance in each category.
OSATS = Objective Structured Assessment of Technical Skill.