Plastic Surgery
Name:
Date: Month January February March April May June July August September October November December Day 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 Year 2008 2009 2010 2011 2012
Level 1
Time spent on Procedure:
Scrub Circulate
Procedure: ____________________ Breast Implants Augmentation Breast Lift Suction Lipectomy Blepharoplasty Laser Resurfacing Rhinoplasty Tissue Expanders/Breast Tissue Expanders/Neck,arm,etc. Excision BCC/SCC Decubitus Ulcer Exsion Lesion Scar Revision Fat Injection
Level 2
Procedure: ____________________ Nipple Reconstruction-First Stage Nipple Reconstruction-Scond Stage Removal of Breast Implants Breast Reduction Breast Reconstruction Abdominoplasty Rhytidectomy (Face Lift)
Level 3
Procedure: ____________________ Syndactyle Repair
Other:
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