Skills Checklist Surgery Trauma CC Surgeon Self-Assessment "*" indicates required fields X/TwitterThis field is for validation purposes and should be left unchanged.This field is hidden when viewing the formFirst NameThis field is hidden when viewing the formLast NameThis field is hidden when viewing the formEmail* This field is hidden when viewing the formToday's Date* MM slash DD slash YYYY InstructionsInstructions: Please indicate by an "x" below those privileges which are commensurate with your clinical ability, training and experience, and for which you maintain current clinical competence. Surgical Procedures General Surgery Surgical Endocrinology Neurological Emergencies and management Skull Fractures and Closed Head Injuries Management Acute Care, and complex urgent OB and GYN surgery Dermatologic Surgery emergencies Gastric Surgery and GI Imaging Management Burn and Trauma Management Critical Care Unit Procedures and Patient Management Adult and pediatric Hepatic Small Bowel Transplantation Expert Traumatology Witness Fracture, Sprains Dislocation Management Spinal Cord Injuries Management CNS Infections Abdominal Pain and Abdomen Surgery GI Obstruction Surgery Cardiovascular Imaging / Emergencies Sepsis and Shock Management Surgical Complications Management Rectal and Perianal Disorders Vascular Disorders Benign and Malignant Breast Disorders Hepatopancreaticobiliary Disorders Pulmonary and Mediastinal Disorders Gastrointestinal Hemorrhage Esophageal Disorders Perioperative and Postoperative Care Surgical Critical Care Intensivist Acute Care Trauma Surgeries Endotracheal Tube intubation Pericardiocentesis and Ultrasonographic Evaluations Coordinating surgical staff, and specialists required for surgery Other
