Apps by Covenant Data Systems, LLC
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Medical

Zwisch Surgery

Covenant Data Systems, LLC

Free download In-app purchases unconfirmed
Open on Apple

About this app

The operating room (OR) remains primarily a master/apprentice-based learning environment for surgical residents. This app puts into practice a simple model for teaching and assessing residents in the OR to guide faculty and resident interaction and to help determine a trainee's earned level of autonomy for a given procedure. It is based on an original paper published out of Northwestern University Feinberg School of Medicine and the University of Kentucky College of Medicine (Debra A. DaRosa, PhD, Joseph B. Zwischenberger, MD, Shari L. Meyerson, MD, et al. A Theory-Based Model for Teaching and Assessing Residents in the Operating Room, Journal of Surgical Education, Volume 70(1), 2012.) The resident surgeon initiates the assessment by logging the date, type of procedure, attending surgeon and hospital. (S)he is then asked to self rate their level of participation (Zwisch option) and the degree of difficulty of the procedure. This information is transmitted by SMS to the attending surgeon who then provides his or her Zwisch option, degree of difficulty, operative performance, and procedural milestone data for the same case, with no knowledge of the resident's contribution. The attending surgeon's assessment is then stored along with the resident's assessment for future analysis. The app is functional only for university programs that have adopted this assessment tool.

Latest release

What’s New

Version 2.4.2 Apr 6, 2021

We are now allowing Attending Physicians and Surgeons to edit their responses and evaluations of previously completed cases.

Audience growth

Ratings growth

Steady
7-day gain +0
Ratings / day 0.0
30-day gain +0
US rating-count history
0 ratings
0 Aug 16, 2026 · 0 ratings Aug 16, 2026

Baseline captured. Growth appears after the crawler observes a changed rating count.

Momentum comes from crawler snapshots for the tracked storefront. “Viral growth signal” means unusually fast recent rating gains; it is an indicator, not download data.

Price tracking

Price intelligence

1 captured event
Current Free
Historical low Free
Paid → free
Price history
Current Free
Free Aug 16, 2026 · Free Aug 16, 2026

First snapshot captured. The trend line starts after the next crawler price observation.

  1. First observed Aug 16, 2026 · 2:49 PM Free

Screenshots

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