1 / 13

A Basic S urgical S kills C urriculum for PGY1 Training

This document outlines the curriculum for PGY1 surgical skills training at Loma Linda University, based on evaluations from 2011-2012. The program focuses on foundational skills, encompassing four modules: soft tissue handling, power tool operation, bone handling, and basic arthroscopy. Each module includes hands-on experience with materials like fresh pork belly and sawbones, supervised by faculty. Feedback from participants highlighted the course's effectiveness, and suggestions for future improvements emphasize expanding modules and refining assessments to better prepare residents for surgical practice.

dorie
Télécharger la présentation

A Basic S urgical S kills C urriculum for PGY1 Training

An Image/Link below is provided (as is) to download presentation Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author. Content is provided to you AS IS for your information and personal use only. Download presentation by click this link. While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server. During download, if you can't get a presentation, the file might be deleted by the publisher.

E N D

Presentation Transcript

  1. A Basic Surgical Skills Curriculum for PGY1 Training Our 2012 experience M. Daniel Wongworawat, MD Professorand Program Director Loma Linda University

  2. Disclosures • Committee/Board Appointments • AAOS • Chair, Central Evaluations Committee (OITE/OSAE/OSIE) • ASSH • Self-Assessment Examination Committee • San Bernardino County Medical Society • Vice President • ABOS/AAOS/AOA/CORD • PGY-1 Surgical Skills Taskforce • Editorial Board • Senior Editor, Clinical Orthopaedics and Related Research • Stock ownership • Stryker, Medtronic, Amgen

  3. Overview • Needs assessment based on semi-annual program evaluation meeting in 2011/2012 • Focus on low-tech options • Course objectives • Perform sharp and dull dissection • Place deep, dermal, subcuticular sutures and secure knots • Operate power drill, saw, wire driver • Place K-wires, lag screws, compression plates, locking plates, tension bands • Operate basic arthroscopy equipment

  4. Methods • Content divided into four modules • Supervised by faculty members • Tasks deconstructed into components • One day per week, over four weeks • Modules Soft tissue handling Power tool operation Bone handling Arthroscopy

  5. Soft tissue handling • Fresh pork belly

  6. Soft tissue handling • Fresh pork belly • Muscle fascial planes • Dermal layer • Incision • Scissor dissection along planes • Suture placements • Simple • Mattresses • Inverted dermals • Subcuticular • Knot tying

  7. Power tool operation • Introduction to: • Stryker cordless • K-wire driver/collets • Drill chuck • Quick release chuck • Oscillating saw

  8. Basic bone handling • K-wire and oscillating saw skills • 10-cc syringe Numbers as targets Transverse wire placement Oblique wire placement Sawbones humerus Saw cuts Neck fractures Supracondylar fractures Wire fixation Visualized Under towel-wrapped envelope

  9. Basic bone handling • Concepts discussion • Screw placement • Lag technique • Plate fixation • Neutralization • Compression • Locked • Tension band placement

  10. Basic arthroscopy • Scope operation • 30° angle • Triangulation • Instrument handling • Knot tying board • Visualized knot tying • Visualized through clear cannula • Visualized on monitor

  11. Post course evaluations, 2012 • Good feedback from learners • Goals met • Suggestions for improvement • Include closed reduction techniques • Include splinting and casting • Expand modules • Increase time dedication

  12. Future direction • Expansion of modules • Dedicated month • Improvement of assessments checklist • Checklist validation • … introduction to PGY-1 Surgical Skills Taskforce • Joint project of AAOS/ABOS/AOA/CORD • Led by J. Lawrence Marsh

  13. Thank You

More Related