Current status · 2026-07-15

Surgical First Assistant

Remediation required
Next step
  • Replace the placeholder “Download as PDF” link (drive.google.com/file/d/YOUR_FILE_ID) with the real file.
  • Fix the quiz “Part of” metadata that mislabels the parent as “Setting Up the Operating Room.”
  • Build the psychomotor assessment rubric and add references.

Appropedia  ·  Google Doc

PassScope, learner, and promised outcomefound in Google DocsPlaybook v3 §§1–6
  • Worksheet Learner Profile/Persona fully define the trainee perioperative nurse and resource floor.
PassPlaybook design traceabilityfound in Google DocsPlaybook v3 §§1–6
  • Worksheet 3.3b task deconstruction is complete and granular.
GapFinished instruction and evidencePlaybook v3 §§8.1–8.2 + clinical quality
  • The practice page's 'Download as PDF' button links to the placeholder https://drive.google.com/file/d/YOUR_FILE_ID/view - live development residue.
PartialKnowledge assessment and feedbackPlaybook v3 §§8.3–8.6
  • Questions are correct SFA items, but every quiz's 'Part of' metadata reads 'Setting Up the Operating Room', naming a different module.
  • A cumulative summative quiz exists with feedback, but no passing threshold is stated.
PartialPractice and performance readinessPlaybook v3 §§9–10
  • Steps 3-7 include detail, but articulated steps 1-2 have empty cells and the table is incomplete.
  • Practice concentrates on core assisting actions, but completeness can't be fully judged.
  • No performance-assessment rubric is published for the practice steps yet.
GapAppropedia publication integrityLive publication quality
  • The practice page's PDF external link is the unresolved placeholder https://drive.google.com/file/d/YOUR_FILE_ID/view.
PartialClinical safety, currency, and governanceClinical release requirement
  • No named clinical reviewer, review date, or currency check is present.
  • Questions are correct SFA items, but every quiz's 'Part of' metadata reads 'Setting Up the Operating Room', naming a different module.
  • 'Psychomotor Skills Practice Instructions' is duplicated in the nav and the cumulative-quiz target is malformed ('Cumulative Assessmentments Quiz').
PartialTesting, deployment, and honest releasePlaybook v3 §§8.6, 9.4, 10.4, 11
  • Assessments exist but no passing threshold or psychomotor standard is stated.
  • A partial public package is published, but lacks the rubric, videos, CRF, and a working download.
Full 63-criterion detail (rolls up to the eight chips above)

Gate A — Playbook design and auditable ground truth

A1Pass
Target learner is defined for independent learning.Worksheet Learner Profile/Persona fully define the trainee perioperative nurse and resource floor.
A2Pass
Procedure/skill scope and team ownership are explicit.Worksheet Kickoff scopes surgical first-assisting and names the developer/team (Lilian Dodzo).
A3Pass
Pre-procedure specification is complete when clinically applicable.Worksheet 3.1 Pre-procedure Specifications complete.
A4Pass
Post-procedure specification is complete when clinically applicable.Worksheet 3.2 Post-procedure Specifications complete.
A5Pass
The procedure has been deconstructed at the right granularity.Worksheet 3.3b task deconstruction is complete and granular.
A6Pass
Task flow was reviewed and enacted.Deconstruction carries action/decision and good-skill/antiskill detail.
A7Pass
Required knowledge was deliberately scoped.Worksheet 4.1 Initial Knowledge Set and 4.2 In/Out scope the knowledge.
A8Pass
Objectives and teaching plan trace to included knowledge.Worksheet 4.3 traces objectives and teaching plan to the knowledge set.
A9Pass
Knowledge-assessment design is fit for the objective.Worksheet specifies assessment methods per topic.
A10Pass
Every procedural step has a deliberate psychomotor disposition.Worksheet 5.1 assigns a psychomotor disposition to each step.
A11Pass
Included psychomotor steps specify practice and assessment.Worksheet 5.1 specifies practice and assessment.
A12Pass
Simulator specification exists exactly when the selected practice requires it.Worksheet records a deliberate simulator decision (Simulator Endstate specified).
A13Pass
Design artifacts are synchronized and auditable.Design worksheets are present and internally consistent.
A14Pass
Final design gate supports safe independent progression.The design set is complete and coherent.

Gate B1 — Finished learner-facing instruction

B1Pass
Learner-facing orientation matches A1–A2.Root page states audience, prerequisites, purpose, scope, and expected outcomes.
B2Pass
Learning objectives are assessable and fulfilled.Twelve objectives use observable verbs and map to nine content sections and topical quizzes.
B3Pass
Content covers the necessary clinical lifecycle.The TOC covers the clinical lifecycle: preop verification, intraop support, suturing, monitoring, postop handover, and low-resource adaptation.
B4Pass
Content is internally coherent and uniquely about this module.Instructional content is coherent and uniquely about the Surgical First Assistant role.
B5Partial
Clinical content is current and expert-reviewed.No named clinical reviewer, review date, or currency check is present.
B6Partial
Claims are supported by usable evidence.No inline citations near clinical claims and no populated References section.
B7Partial
Teaching media are finished and necessary.No diagrams/images/videos accompany media-suited topics; content is text-only in development.
B8Partial
Self-directed instructions are actionable.Practice steps 3-7 are actionable, but steps 1-2 have empty cells and the guide is incomplete.
B9Gap
No development residue remains.The practice page's 'Download as PDF' button links to the placeholder https://drive.google.com/file/d/YOUR_FILE_ID/view - live development residue.
B10Pass
The module is openly accessible.Appropedia pages are publicly reachable with no login.

Gate B2 — Knowledge and judgment assessment

K1Pass
Assessment coverage traces to objectives/content.Nine topical quizzes plus a cumulative assessment trace to the nine content sections.
K2Pass
Formative and used summative questions are valid and unambiguous.Questions have clear stems, four plausible options, and error-based distractors.
K3Pass
Every answer option has explanatory feedback.Every answer option carries an explanatory feedback line.
K4Pass
Feedback supports formative remediation.Feedback corrects the specific misconception in context.
K5Pass
Assessment renders and functions end to end.Quiz markup renders as numbered questions; no opener is escaped in nowiki.
K6Partial
Assessment identity is correct.Questions are correct SFA items, but every quiz's 'Part of' metadata reads 'Setting Up the Operating Room', naming a different module.
K7Pass
Formative sampling and placement support the claimed outcome.Each topic quiz carries 4-6 questions giving adequate per-topic coverage.
K8N/A
Applicable judgment assessment is complete.The module promises assisting skills that support the surgeon, not an independent diagnostic-judgment outcome.
K9Partial
Optional summative assessment is valid when used.A cumulative summative quiz exists with feedback, but no passing threshold is stated.

Gate B3 — Psychomotor practice and assessment

P1Pass
Practice set traces to the task deconstruction.The practice-page steps trace to the worksheet's task deconstruction.
P2Partial
Practice instructions are complete and repeatable.Steps 3-7 include detail, but articulated steps 1-2 have empty cells and the table is incomplete.
P3Partial
Practice concentrates on learning-value steps.Practice concentrates on core assisting actions, but completeness can't be fully judged.
P4Partial
Performance assessment matches the skill.No performance-assessment rubric is published for the practice steps yet.
P5Partial
Competency criteria are observable and complete.No competency anchors or tolerances are present; the rubric is not yet built.
P6Partial
Feedback and remediation are usable.The Common Errors/Guidance columns give some correction, but no remediation loop or threshold.
P7N/A
Required simulator/trainer is buildable and fit for purpose.A hands-on surgical-assisting skill needs no fabricated simulator.
P8Partial
Demonstration videos fulfill the practice need.No full-practice demonstration videos are present.
P9Partial
Verification/readiness instrument fulfills its promise.A peer-review-app link is provided, but no matching skill checklist/rubric is published.
P10Partial
A usable observed-assessment pathway exists.A practice page exists and a peer-review link is provided, but no published rubric completes the observed pathway.

Gate C — Appropedia publication integrity

C1Pass
Canonical root exists and resolves correctly.The canonical root resolves and renders the module page.
C2Pass
Full dependency inventory is complete.Dependency inventory is enumerable: ten quiz subpages, the practice page, and an external resource.
C3Pass
Navigation is correct and reversible.Curriculum nav and 'Return to main' provide reversible navigation.
C4Partial
No broken, misleading, duplicate, or orphan internal dependency exists.'Psychomotor Skills Practice Instructions' is duplicated in the nav and the cumulative-quiz target is malformed ('Cumulative Assessmentments Quiz').
C5Gap
External links resolve to the intended resource.The practice page's PDF external link is the unresolved placeholder https://drive.google.com/file/d/YOUR_FILE_ID/view.
C6N/A
Videos and interactive media actually play.No videos or interactive media beyond quizzes to verify.
C7Pass
Rendered page matches source intent.Headings, tables, templates, and quiz controls render; no escaped markup appears.
C8Pass
Page and curriculum status are honest and consistent.The 'In Development' banner honestly matches the incomplete state.
C9Partial
Metadata and licensing are complete.License/author/org present, but the 'part-of' field on every quiz names another module.
C10Partial
References are reachable and identifiable.No reachable references are provided where clinical claims are made.
C11Pass
Core experience is accessible, mobile-ready, and low-bandwidth usable.Plain text and responsive tables; low-bandwidth and mobile friendly.
C12N/A
Claimed translations are governed.English only; no translations claimed.

Gate D — Testing, deployment, and clinical transition

D1N/V
Every applicable knowledge, simulator, practice, media, and assessment layer was tested and revised with representative users/reviewers.No evidence of representative-user or reviewer testing.
D2Partial
Assessment thresholds support their claimed transitions.Assessments exist but no passing threshold or psychomotor standard is stated.
D3N/V
Supervision and clinical-use boundary are explicit.No explicit supervision or first-clinical-use boundary is stated.
D4N/V
A clinical-performance evaluation pathway and ready-to-use instrument exist.No clinical-performance evaluation instrument is published or linked.
D5N/V
A Case Report Form supports first clinical cases.No Case Report Form is present or linked.
D6N/V
Clinical-confidence assessment is handled according to its optional status.No optional clinical-confidence assessment is present.
D7N/V
Ongoing governance is assigned.No content owner, review date, or issue-reporting path is stated.
D8Partial
The public package can support third-party evaluation.A partial public package is published, but lacks the rubric, videos, CRF, and a working download.