1. The Title of the Procedure Goes Here: Subtitle Here. Photo/Image of procedure Name of contributing surgeon(s) Institution, City, State Date

2. Insert Content Here PREPARATIONS For Room For Surgeon For Patient Procedure Name: Insert Content Here Insert own image if desired

3. ROOM Preparation Checklist for: Insert Content Here OPERATING ROOM:

4. Insert Appropriate Item Title Here Room Preparations: 1.List steps or more details 2.Of the item here 3.Doesn’t need to be numbered Insert still image Or series of images with powerpoint animations. More information can be placed here to correspond with image(s) above.

5. Please wait while video is loading. Insert Appropriate Item Title Here Room Preparations:

6. SURGEON Preparation Checklist for: Insert Content Here SURGEON:

7. Insert Appropriate Item Title Here Room Preparations: 1.List steps or more details 2.Of the item here 3.Doesn’t need to be numbered Insert still image Or series of images with powerpoint animations. More information can be placed here to correspond with image(s) above.

8. Please wait while video is loading. Insert Appropriate Item Title Here Room Preparations:

9. PATIENT Preparation Checklist for: Insert Content Here PATIENT:

10. Insert Appropriate Item Title Here Room Preparations: 1.List steps or more details 2.Of the item here 3.Doesn’t need to be numbered Insert still image Or series of images with powerpoint animations. More information can be placed here to correspond with image(s) above.

11. Please wait while video is loading. Insert Appropriate Item Title Here Room Preparations:

12. This slide is intentionally left blank.

13. COMPONENTSSTEPS 1. Component Title Insert brief steps here. 2. Component Title Insert brief steps here. 3. Component Title Insert brief steps here. 4. Component Title Insert brief steps here. 5. Component Title Insert brief steps here. 6. Component Title Insert brief steps here. 7. Component Title Insert brief steps here. 8. Component Title Insert brief steps here. 9. Component Title Insert brief steps here. Procedure Sequence Procedure Name:

14. Insert Component Title Component #: Briefly list the steps Of this component In this box.

15. Component 1: Insert Title Here During this component you should recognize that, in the operating room, you will be required to: Insert appropriate content here Objectives Insert anatomical fact appropriate to this component. Anatomical Fact:

16. Reserve this space for a real-time video of this component. This is more detailed and includes audio narration of the component. Video Overview Component 1: Insert Title Here

17. Name of Step Goes Here Step 1: Include important information regarding this specific step. Don’t leave anything out. Be explicit. Detailed. *Duplicate slides when necessary. Specific information regarding the photo above, goes here. You can have more than one image fade in after each other. Photo/Image

18. Name of Step Goes Here Step 2: Include important information regarding this specific step. Don’t leave anything out. Be explicit. Detailed. *Duplicate slides when necessary. Specific information regarding the photo above, goes here. You can have more than one image fade in after each other. Photo/Image

19. This slide is intentionally left blank.

20. Anatomical information, instruments, simulations, sutures & more. & Knowledge Skills

21. Insert Appropriate Item Title Here Knowledge & Skills: 1.List steps or more details 2.Of the item here 3.Doesn’t need to be numbered Insert still image Or series of images with powerpoint animations. More information can be placed here to correspond with image(s) above.

22. Please wait while video is loading. Insert Appropriate Item Title Here Knowledge & Skills:

23. Show you are ready to perform the procedure. Readiness Quiz

24. Show Your Readiness Readiness Quiz: Reserve this slide for the link to the readiness quiz.

25. This slide is intentionally left blank.

26. Acknowledgements Procedure Name: Organize this slide to list those who have helped and contributed to the making of this module. If you have a grant, list it here.