Cases will be counted according to surgical specialty. For example:
- Trauma patient requires a splenectomy and repair of a LeFort I fracture. Two cases can be counted and documented since the splenectomy is general surgery specialty and repair of LeFort I is oral-maxillofacial surgical specialty.
- Patient requires a breast biopsy followed by mastectomy. It is one pathology, breast cancer, and the specialty is general surgery; therefore, it is counted and documented as one procedure - one case.
- Endoscopic cases that convert to an open case (i.e., laparoscopic cholecystectomy converted to an open cholecystectomy) are counted and documented as one procedure - one case.
Diagnostic endoscopy cases and vaginal delivery cases are not mandatory. But up to 10 diagnostic endoscopic cases and five vaginal delivery cases can be counted towards maximum number of Second Scrub Role cases.
Observation cases must be documented, but do not count towards the 120 required cases.