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Skills Questionnaire

Name: Adeyinka Olanrewaju Usman


We’d like to get a rough idea of your level of expertise and comfort in performing these tasks. It’s not meant to
be an all-encompassing record of every procedure you’ve undertaken and the exact date on which it was
performed, but a general estimate of how familiar you are with the procedure, and whether you’ve done it
recently or ages ago. Thank you!
Please Rate The Following Areas As : None / Basic / Experienced

Rating

Overall General Medicinal skills Experienced

Overall General Surgical skills Basic

Experience covering OOH None

Emergency Surgical Skills None

Dedicated Emergency and Critical Care None

Referral work (please state area of None


specialism)

PLEASE RATE YOUR SURGICAL SKILLS USING THE FOLLOWING GUIDE:

1 = VERY CONFIDENT PERFORMED MANY TIMES AND HAPPY TO TEACH OTHERS

2 = CONFIDENT PERFORMED SEVERAL UNASSISTED

3 = OBSERVED/ PERFORMED UNDER SUPERVISION AND COMFORTABLE PERFORMING ON OWN

4 = ONLY OBSERVED AND HAPPY TO HAVE A GO WITH ASSISTANCE FROM EXPERIENCED VET

5 = NEVER OBSERVED AND NOT CONFIDENT, WOULD WANT TO OBSERVE/ASSIST EXPERIENCED VET

Procedure Rating Number of Roughly when


Procedures last
Performed in Performed
the past year /Observed
e.g 1 month
ago, 1 year ago
etc.
Cat Castrates 2 20 1 month ago
Queen Spays 2 10 1 month ago

Dog Castrates 2 40 1 week ago

Bitch Spays 2 10 3 months ago

Large Bitch Spays 2 2 3 months ago

Cryptorchid surgery 3 2 3 months ago

C - Section 4 1 1 year ago

Pyometra 3 4 1 year ago

Wound Repair/Stitch - ups 2 20 1 month ago

Complicated Stitch- ups 4 5 3 months ago

Thyroidectomy 5 0 Never

Dental Extractions 5 0 Never

Cat Abscesses 2 15 3 months ago

Rabbit Abscess 2 5 3 months ago

Drain a Cat’s Chest 5 0 Never

Unblock a Cat 4 2 3 months ago

Lumpectomy 5 0 Never

Surgical Oncology / Difficult Tumour 5 0 Never


Removals
Mammary Strip 5 0 Never

Liver Biopsy 5 0 Never

Bowel Biopsy 5 0 Never

Pancreas Biopsy 5 0 Never

Cystotomy 4 2 1 year ago

Splenectomy 5 0 Never

Ex- Lap 3 4 3 months ago

Enterotomy 4 1 3 months ago

Enterectomy 4 1 3 months ago

Foreign Body Removal 3 5 6 months ago


Gastric Dilatation-Volvulus 5 0 Never

Gastropexy 5 0 Never

Ophthalmic Surgery 5 0 Never

Enucleations 5 0 Never

Cherry Eye 4 5 6 months ago

Aural Resection 3 10 3 months ago

Thoracic Surgery 3 2 1 year ago

Cardiology Surgery 5 0 Never

Orthopaedic Surgery 4 2 3 months ago

Simple Pinnings 4 2 3 months ago

External Fixations 3 5 3 months ago

Cruciates 5 0 Never

Dermatology 3 15 2 months ago

Work up Pruritus 3 5 3 months ago

Stabilise Diabetic patient 3 1 3 months ago

Hyperthyroidism 5 0 Never

Hypothyroidism 5 0 Never

Hyperadrenocorticism 5 0 Never

Addisons 5 0 Never

Work up Anaemic patient 3 2 3 months ago

Diabetes 4 1 3 months ago

Work up Diabetic Ketoacidosis 4 1 3 months ago

Work up PU- PD 4 1 3 months ago

Eye complaints ( eye ulcers) 4 1 3 months ago

Ear Infections 3 5 3 months ago


Diagnostic Tools : Please rate your use as: None / Basic / Experienced
Rating
In House Lab Experienced
Biochemistry Experienced
Haematology Experienced
Electrolyte Experienced
Digital x-ray / x-ray Experienced
Abdomen x-ray Experienced
Chest x-ray Experienced
Limb x-ray Experienced
Ultrasound Basic
Abdominal Scan Basic
Cardiac Scan Basic
Endoscopes None
GI Endoscopy None
Bronchoscopy None

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