= Skills Checklist =

Interventional Radiology

Please rank the following skills on a scale of 1 to 4

1 = No theory and/or experience
2 = Limited experience
3 = Experienced/minimal support needed to perform
4 = Proficient

  • Age

  • General Skills

  • Circulating – Assist with Insertion/Removal/Repair of:

  • Scrub - Assist with Insertion/Removal/Repair of:

  • Scrub the Following Procedures

  • Date Format: MM slash DD slash YYYY