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Tools for Orthopedic Surgery Self-Assessment
(Please answer as honestly as you can in order for us to assess better which orthopaedic trauma surgical project would best fit your skills and experience)
  1. Experience in working in conflict situations or war context- please list down all relevant work experience related to this question)
  1. Ex. Syria
/ Yes/No / Dates / Which organization/hospital / Which Country/project / How many orthopaedic trauma cases did you manage per month
  1. Experience in working in urban conflict
If yes, please list down all relevant work experience related to this question
  1. Ex. Port-au-Prince, Haiti
/ Yes/No / Dates / Which organization/hospital / Which Country/project / How many orthopaedic trauma cases did you manage per month
  1. Experience with use of external fixations in open fractures- If so, which external fixation systems are you familiar with? Please underline your answer(s).
Synthes / AO / Ilizarov
Gexfix / Zimmer / Tippex
Hoffman (Any generation)/Stryker
Others – name the system you are familiar with if it is not one of the above
/ Yes/No
  1. Please state the number of times that you have applied an external fixator in the following fractures:
Open fracture of the humerus ------
Open fracture of radius ------
Open fracture of the radius ulna ------
Open fracture of the femur ------
Open fracture of the tibia ------
Open fracture of the ankle ------
Pelvic fracture ------ / Number of times you have performed external fixations in the following fractures in the last 5 years
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  1. Please state the number of times you have personally performed the following for closed fractures
Casting of a closed fracture of the humerus ------
Casting of a closed fracture of the radius ------
Casting of a closed fracture of the ulna ------
Casting of a closed fracture of the radius ------
Traction and casting of a femoral neck fracture -
Traction and casting of a femoral fracture ------
Casting of a tibial fracture ------
Application of hip spica ------ / Number of times you have performed casting for the following fractures in the last 5 years
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  1. Please state the number of times that you have personally used the SIGN nail
Closed fracture of the femur ------
Closed fracture of the tibia ------ / Number of times you have inserted the SIGN nail for closed fractures in the last 5 years
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  1. Please state the number of times you have performed internal fixation on the following fractures
Closed fracture of the humerus ------
Closed fracture of the radius ------
Closed fracture of the ulna ------
Fracture of the patella ------
Fracture of the tibia ------
Intertrochanteric Fractures of the Femur ------
Please state your experience with the following internal fixation materials:
Dynamic Hip Screw ------
Gamma Nail ------ / Number/ year for the last 5 years
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  1. Which internal fixation systems are you familiar with and are using on a regular basis? Please underline all answers which are applicable.
Synthes / Stryker / Zimmer
Other systems you are familiar with. Please state which system.
  1. A. Describe your experience with an electric drill.
B. Describe in detail your experience with a manual drill. If you have no experience please state this also.
  1. Please state the number of amputations that you have performed
Finger or Toe------
Hand ------
Forearm ------
Humerus ------
Forequarter ------
Syme’s ------
Below the knee ------
Above the knee ------ / Number performed in the last 5 years
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  1. Please state the number of tendon repairs that you have performed/year in the last 5 years
/ ______/year
  1. Please state the number of skin grafts that you have performed per year in the last 5 years
/ ______/year
  1. Please state the number of flap coverage operations that you have performed per year in the last 5 years
/ ______/year

14.Are you able to use the C arm yourself or are you dependent on the technician to manipulate and position the C arm?

/ Please describe your experience with the C arm in this column.
  1. What is your experience with physiotherapy? Do you give advice to the physiotherapist? Do you work alone and decide the physiotherapy for your patients?
/ Please describe in detail your experience with physiotherapy or working with a physiotherapist.

16.Please describe how you teach your operating room nurse on the use of the different orthopaedic materials during the operation. If you have no experience, please describe this also.

/ Please describe in detail your collaboration with the OT scrub nurse assisting you during your previous operations

17.Describe your teaching and training experience in orthopaedic surgery. If you do not have any experience in this, please also describe it.

18. Please describe your experience with osteomyelitis. If you do not have experience in this, please also state this.

19. Describe your experience in sterilization of your orthopaedic instruments. If you have no experience, please state this.

20. Describe your experience in supervising the operating room. Include the number of staff you are supervising and your daily responsibilities.

21. Describe your experience in supervising the orthopaedic surgery ward. Include the number of staff you are supervising and your daily responsibilities.

22. Describe your experience in supervising the outpatient surgery ward. Include the number of staff you are supervising and your daily responsibilities

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Surgical skills self-assessment tool for career development