Provides the following clinical skills under the direct supervision of the surgeon: Provides visualization of the operative site including appropriate placement and securing of retractors with or without padding, packing with sponges, digital manipulation of tissue, suctioning, irrigating, or sponging, manipulation of suture materials, proper use of body mechanics to prevent obstruction of the surgeon's view. Uses appropriate techniques to assist with hemostasis: clamping and or cauterizing vessels or tissue, tying and/or ligating clamped vessels or tissue, applying hemostatic clips, applying local hemostatic agents, applying tourniquets, applying vessel loops, applying noncrushing clamps, applying direct digital pressure.