[1] In the United States, the American College of Surgeons supports the concept that, ideally, the first assistant at the operating table should be a qualified surgeon or a resident in an approved surgical training program.
[9] Residents who have appropriate levels of training should be provided with opportunities to assist and participate in operations.
The American College of Surgeons maintains that a physician who assists with an operation should be trained to participate in and actively assist the surgeon in safely completing the operation.
[2] A qualified practitioner is defined as any licensed practitioner with sufficient training to conduct a delegated portion of a procedure without the need for more experienced supervision, according to the ACS Statements on Principles.
They may, in accordance with state laws, help surgeons to make incisions and close surgical sites, manipulate or remove tissues, implant surgical devices or drains, suction the surgical site, place catheters, clamp or cauterize vessels or tissue, and apply dressings.