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Skills and Procedures Form - General Surgery
Procedures
Please list the approximate number performed within the past 24 months
General
Plastic
Vascular
Arteriovenous shunt
Arterial resection
Aortic resection
Thoracic
C-Section
Hysterectomy
D&C
Breast
Pulmonary
Bronchoscopy
Flexible
Fiberoptic
Laparoscopic
Cholecystectomy
Hernioplasty
Nissen fundoplication
GI endoscopy
Head/neck
Liver
Pediatrics
Minor orthopedics
Amputations
Ventilator Care
Other
Laser Certification
List Specific Types
Please list any limitations or comments on information provided above:
I affirm that all information provided on this page is true and accurate.
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Date
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