Division
of
Head and Neck, Breast, Esophagus, and Soft Tissue Surgery

(General Surgery I)

Department of Surgery

College of Medicine
Philippine General Hospital
University of the Philippines Manila

The GSI Residency Training Program

GSI Surgical Trainee's Record of Operation

Name of Surgical Trainee:Email:
Year Level:Inclusive Dates of Training in GSI:

1. Place # inside box, as surgeon and as assistant surgeon.
2. For specifications and "others", type in the text field provided.
3. After you are through, click on "submit" button.

Operation			Surgeon	Assistant Surgeon
1. Breast Surgery
A. Needle Evaluation
B. Open Biopsy
C. Excision
D. Incision and Drainage
E. Subtotal Mastectomy
F. Total Mastectomy
G. Modified Radical Mastectomy
H. Classical Radical Mastectomy
I. Reconstructive Surgery (Specify)
J. Others (Specify)
2. Thyroid Surgery
A. Needle Evaluation
B. Subtotal Thyroidectomy
C. Total Thyroidectomy
D. Neck Dissection (Specify)
E. Others (Specify)
3. Head and Neck Surgery
A. Indirect Laryngoscopy
B. Needle Evaluation
C. Open Biopsy
D. Excision
E. Neck Dissection (Specify)
F. Oral Surgery (Specify)
G. Mandibular Surgery (Specify)
H. Maxillectomy Surgery (Specify)
I. Salivary Gland Surgery (Specify)
J. Reconstructive Surgery (Specify)
K. Others (Specify)
4. Skin and Soft Tissue Surgery
A. Needle Evaluation
B. Open Biopsy
C. Excision
D. Wide Excision
E. Amputation
F. Reconstructive Surgery (Specify)
G. Others (Specify)
5. Esophageal Surgery
A. Endoscopy
B. Esophagostomy
C. Esophageal Resection
D. Esophageal Bypass (Specify)
E. Others (Specify)
6. Appendiceal Surgery
A. Appendectomy
B. Explor. Lap., Appendectomy
C. Others (Specify)
7. Hernial Surgery
8. Others (Specify)

Place in the box below anything that can not be filled up in the form above:

GSI Residency Training Program