Philippine Society of General Surgeons, Inc.

3rd FLOOR PCS BUILDING, 992 EDSA QUEZON CITY

Telephone (63 2) 8 671 2004 / 0917 802 2903 / 0918 908 1795
www.psgs.org.ph Email: psgs.secretariat@gmail.com

OPERATIVE EXPERIENCE
LIST OF AT LEAST 100 OR MORE MAJOR OPERATIVE PROCEDURES

NAME OF CANDIDATE: _____________________________________________________

TRAINING INSTITUTION: _____________________________________________________

Diagnosis
Seq Date of Surgery Surgeon & Patient Complete Histopath
No. Initials of Patient Procedure Assistants Outcome results (case number;
Age/Sex (Date) histopath number, status of
Case No. Pre-op Post-op LN; pathologic stage)

1. HEAD & NECK (Minimum - 15)

1.1. Thyroidectomy – MUST have performed at least 10 operations independently or under direct supervision
1.2. Parotidectomy - MUST have at least 1 independently performed or under direct supervision
1.3. Neck dissection (Modified/Radical/Selective) - MUST have at least 1 independently performed or under direct supervision
1.4. Maxillectomy/Mandibulectomy
1.5. Others
1.6. If a candidate cannot comply with the requirements above, 1st assist in their senior year (4th & 5th year) in 3 similar operations will be considered as 1 operation performed
under direct supervision

1.
2.
3.
4.
5.

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7.
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10.
11.
12.
13.
14.
15.

2. BREAST (Minimum - 10)

2.1. MUST have performed at least 10 operations independently or under direct supervision
- Modified Radical Mastectomy
- Conservative Breast Surgery
o Wide Excision / lumpectomy with SLND / ALND
2.2. Total/Simple/Subcutaneous mastectomy
2.3. Others
2.4. If a candidate cannot comply with the requirements above, 1st assist in their senior year (4th & 5th year) in 3 similar operations will be considered as 1 operation performed
under direct supervision
16.
17.
18.
19.
20.
21.
22.
23.
24.
25.

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3. ESOPHAGUS, STOMACH, DUODENUM (Minimum - 5)
3.1. Esophageal surgery
3.2. Gastric surgery
- Gastric resection of any variety at least 1
o Gastrectomy SHALL include either total, partial or wedge resection
- Patching
3.3. Duodenal surgery
3.4. Others
3.5. If a candidate cannot comply with the requirements above, 1st assist in their senior year (4th & 5th year) in 3 similar operations will be considered as 1 operation performed
under direct supervision
26.
27.
28.
29.
30.

4. SMALL & LARGE BOWEL, RECTUM (15)

4.1. Adhesiolysis
4.2. Enterostomy
4.3. Bowel resection with or without anastomosis
4.4. Omentectomy
4.5. Colectomy (10)
- MUST have performed at least 10 operations independently or under direct supervision
4.6. LAR or APR - 1
4.7. Others
4.8. If a candidate cannot comply with the requirements above, 1st assist in their senior year (4th & 5th year) in 3 similar operations will be considered as 1 operation performed
under direct supervision
31.
32.
33.
34.
35.
36.

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38.
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45.

5. APPENDECTOMY (10)
5.1. Adult or Pedia
5.2. Open or Lap
5.3. Complicated or Uncomplicated
5.4. Minimum of 10 independently performed surgeries either for simple or complicated appendicitis.
5.5. OTHERS
5.6. If a candidate cannot comply with the requirements above, 1st assist in their senior year (4th & 5th year) in 3 similar operations will be considered as 1 operation performed
under direct supervision
46.
47.
48.
49.
50.
51.
52.
53.
54.
55.

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6. HEPATOBILIARY, GALLBLADDER, PANCREAS, SPLEEN AND PORTAL HYPERTENSION (Minimum - 25)
6.1. MUST have performed at least 25 operations independently or under direct supervision with at least 5 laparoscopic cholecystectomies
6.2. Cholecystectomy (Open and/or Laparoscopic)
6.2.1. Without CBD Exploration
6.2.2. With CBD Exploration (Minimum 1)
6.3. Bilio-Enteric Bypass
6.4. T-tube Choledochostomy
6.5. Sphincterotomy/Sphincteroplasty
6.6. Distal pancreatectomy
6.7. Whipple's operation
6.8. Splenorrhaphy/Splenectomy
6.9. Devascularization procedure
6.10. Shunting procedure
6.11. Hepatic resection
6.12. Others
6.13. If a candidate cannot comply with the requirements above, 1st assist in their senior year (4th & 5th year) in 3 similar operations will be considered as 1 operation performed
under direct supervision
56.
57.
58.
59.
60.
61.
62.
63.
64.
65.
66.
67.
68.
69.
70.
71.

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73.
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78.
79.
80.

7. TRAUMA (10)
7.1. Exploratory Laparotomy for intra-abdominal injuries
7.2. Exploratory Thoracotomy
7.3. Major Vessel repair
7.4. Neck Exploration for trauma
7.5. Major Amputation (limb)
7.6. Non-operative management for abdominal trauma may be considered as long as the case reported is well-documented to include the case abstract and the imaging modalities
utilized are available for verification
7.7. If a candidate cannot comply with the requirements above, 1st assist in their senior year (4th & 5th year) in 3 similar operations will be considered as 1 operation performed
under direct supervision
81.
82.
83.
84.
85.
86.
87.
88.
89.
90.

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8. Hernia (5)
8.1. Inguinal and abdominal wall (open or lap)
8.2. If a candidate cannot comply with the requirements above, 1st assist in their senior year (4th & 5th year) in 3 similar operations will be considered as 1 operation performed
under direct supervision
91.
92.
93.
94.
95.

9. SURGICAL SUBSPECIALTY OPERATIONS (Minimum - 5)

9.1. Performing / Assisting in a minimum of 5 major sub-specialty surgeries except AP and abdominal wall hernia for pedia surgery
96.
97.
98.
99.
100.

_________________________________________ _________________________________________
APPLICANT CHAIRMAN

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