Poorly prepared to perform this procedure and/or included critical performance errors that endangered the safety of the patient or the outcome of the procedure.

Resident appears inexperienced in performing this procedure. Frequent problems regarding technique, execution, smoothness, efficiency, and forward planning.

Performance reflects an intermediate stage of development. Performance of procedural elements is variable but acceptable for the amount of experience with this procedure. Not yet at the level expected for graduating residents.

Resident is ready to perform this operation safely, effectively and independently assuming resident consistently performs procedure in this manner.

One of the best performances I have ever seen. Above the level expected of graduating residents.