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. The remaining 10 cases may be performed i neither the First or Second Scrub Role.
  3. Students must complete a minimum of 90 cases in various surgical specialties, excluding General Surgery; 60 of which must be performed in the First Scrub Role. The additional 30 cases may be performed in either the First or Second Scrub Role.
  4. a. A minimum of 60 surgical specialty cases must be performed in the First Scrub Role and distributed among a minimum of four surgical Specialties.
  5. A minimum of 10 cases in the First Scrub Role must be completed in each of the required minimum of four surgical specialties (40 cases total required).
  6. The additional 20 cases in the First Scrub Role may be distributed among any one surgical specialty or multiple surgical specialties.
  7. The remaining 30 surgical specialty cases may be performed in any surgical specialty either in the First or Second Scrub Role.
  8. 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.
  9. Diagnostic endoscopy cases must be documented in the category of "Diagnostic Endoscopy" rather than by specialty.
  10. Vaginal delivery cases must be documented in the category of "Labor & Delivery" rather than in the OB/GYN specialty.
  11. Case experience in the Second Scrub Role is not mandatory.
  12. Observation cases must be documented, but do not count toward the 120 required cases.
  13. Counting cases--cases will be counted and documented according to surgical specialty (exception being diagnostic endoscopic 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.