Table 1 Items that were changed and the reasons for modification

1

I am familiar with most of the instrumentation in different specialties.

I am familiar with most of the instrumentation in different sub-specialties medical subjects. (e.g. neurosurgery, orthopedics)

The concept of specialty in Chinese OR context usually use the term “sub-specialty” to describe and give some examples.

5

I am familiar with the technological equipment used in the OR.

I am familiar with all kinds of regular technological equipment in the OR. (e.g. electrosurgery, operating lamp, operating table)

Giving some examples of the regular technological equipment to make the item clearer

35

I maintain current knowledge of, and incorporate relevant organizational policies into practice.

I understand relevant organizational policies and could put them into practice. (e.g. Medical insurance policy, Charging standards.)

Especially emphasize the understanding of organizational policies and give some examples.

37

I maintain knowledge of, and incorporate relevant standards into my practice.

I understand and could work based on the standard of all relevant professional official guidance on practice.

Especially emphasize the standards that mean the guidance or consensus in professional areas.

39

I keep up with the technical changes in procedures and equipment.

I keep up with the technical changes in procedures and equipment. (e.g. Application of intelligent OR, Robotic surgical instrument management and operation cooperation, Magnetic navigation surgical coordination)

Giving some examples of the technical changes in procedures and equipment to make them clearer.