CCST Surgical Rotation Goals & Requirements

The Accreditation Review Council for Surgical Technology and Surgical Assisting has updated the surgical rotation requirements. Below, please find the new clinical requirements our students must follow, annotated as Core Curriculum for Surgical Technology 6th edition.

Case Requirements

These are the minimum-desired criteria. Case requirements may be adjusted for specialties available at their host facility. Other types of cases may be added, depending on preceptor and procedure availability.

Students are to understand that only VALIDATED First Scrub* and Solo cases will be counted towards the 120-case requirements. Failure to achieve these levels will result in failure of the course.

  1. The total number of cases the student must complete is 120.
  2. Students are required to complete 30 cases in General Surgery. Twenty of the cases must be in the First Scrub Role.
  3. Students are required to complete 90 cases in various surgical specialties. Sixty of the cases must be in the First Scrub Role and evenly distributed between a minimum of five surgical specialties. However, 15 is the maximum number of cases that can be counted in any one surgical specialty.
  4. The surgical technology program is required to verify, through the surgical rotation documentation, the student’s progression in First and Second Scrubbing surgical procedures of increased complexity as he/she moves towards entry-level graduate abilities.
  5. Diagnostic endoscopy cases and vaginal delivery cases are not mandatory. But, up to 10 diagnostic endoscopic cases and five vaginal delivery cases can be counted towards the maximum number of Second Scrub Role cases.
  6. Observation cases must be documented, but do not count towards the 120 required cases.

*Please see Scrub Role Definitions for descriptions of all roles.

Counting Cases

Cases will be counted according to surgical specialty. Examples:

  • Trauma patient requires a splenectomy and repair of a LeFort I fracture. Two cases can be counted and documented since the splenectomy is general surgery and the LeFort I is oral-maxillofacial surgical specialty.
  • Patient requires a breast biopsy followed by mastectomy. It is one pathology, breast cancer and the specialty is general surgery; therefore, it is counted and documented as one procedure-one case.
Surgical SpecialtyTotal # of Cases RequiredMinimum # of First
Scrub Cases Required
Maximum # of Second Scrub Cases that can be Applied Toward 120 Cases
General Surgery302010

Surgical Specialties:

  • Cardiothoracic
  • ENT
  • Eye
  • GU
  • Neuro
  • Ob-Gyn
  • Oral/Maxillofacial
  • Orthopedics
  • Peripheral vascular
  • Plastics
  • Procurement/Transplant

Diagnostic Endoscopy:

  • Bronchoscopy
  • Colonoscopy
  • Cystoscopy
  • EGD
  • ERCP
  • Esophagoscopy
  • Laryngoscopy
  • Panendoscopy
  • Sinoscopy
  • Ureteroscopy
  Ten diagnostic endoscopy cases may be applied toward the second case scrub cases.
Labor & Delivery  Five vaginal delivery cases may be applied toward the second scrub cases.