Endoscopic Injection Therapy To Correct Reflux (Deflux) F/R

Endoscopic Injection Therapy To Correct Reflux (Deflux)
1. I am resident and informing attending of my goals2. I am resident and did case - now will self reflect3. I am attending directing resident reflections4. I am resident reviewing my attending comments
Institution*
Fellow/Resident Trainee*
PGY
Fellow/Resident Trainee e-mail*
Attending*
Attending e-mail*
Date Surgery is Planned*

MonthDayYear
As a Resident my goals for this next case are:*
CEV-ule Endoscopic Injection Therapy

1 =	attending had to show and tell me
2 =	attending had to actively help me
3 =	attending only passively help me
4 =	attending only supervised me

Rows	4	3	2	1	na
knows surgery procedure steps
knows names of instruments used
has completed all pre-procedure preparations
confirm enough Deflux is on hand
good stance at cysto table
professional:respectful & effectively communicates

Rows	4	3	2	1	na
knows surgery procedure steps
knows names of instruments used
has completed all pre-procedure preparations
confirm enough Deflux is on hand
good stance at cysto table
professional:respectful & effectively communicates

Rows	4	3	2	1	na
inspect trigone
assess orifice(s) HD grade
enter tunnel(s)
monitor implant location as inject inside tunnel(s)/peri-orifice(s)
supplemental injection(s)
assess orifice(s) for: loss of HD
review

Rows	4	3	2	1	na
inspect trigone
assess orifice(s) HD grade
enter tunnel(s)
monitor implant location as inject inside tunnel(s)/peri-orifice(s)
supplemental injection(s)
assess orifice(s) for: loss of HD
review