UT SOUTHWESTERN DEPARTMENT OF SURGERY
2013-2014 TECHNICAL SKILLS COURSE OUTLINE
Course title:
Laparoscopic Inguinal Hernia Repair
Course director:
Mark Watson, MD, FACS
Specialty:
Surgery
Additional course faculty:
Daniel Scott, M.D.
General Surgery
Participants:
PGY 4 Surgery residents
# participants
for course:
13
Curriculum dates:
8/28/13
Expected attendance:
13
Sessions assigned to each trainee
1
Duration of each session
2
Trainees per session
13
hr(s)
Other assigned sessions:
Duration of each session
Trainees per session
When other sessions are held?
hr(s)
UT SOUTHWESTERN DEPARTMENT OF SURGERY
2013-2014 TECHNICAL SKILLS COURSE OUTLINE
Course Completion Verification - How do you know when a trainee has completed each component of
the course and the overall course itself? Please specify for each course component, if applicable – for
example, assigned reading component verified by written testing and skills component verified by
attending 2 course-instructor led sessions.
☒
☐
Attendance based:
based on trainee attending all of the designated sessions
☐
Entire course - course solely based on attendance
☒
Part of course - attendance to designated sessions required in
addition to other components listed below
Repetition based:
based on the trainee performing a specific number of repetitions
Components:
# of Repetitions:
☐
Proficiency based:
based on the trainee performing a specified number of repetitions
Components:
Method for
determining:
☐
Written testing:
based on passing a written test
Components:
☐
Documentation of watching videos/CD's/web-based materials:
based on proctor or
instructor verification that the trainee has watched the specified materials
Components:
☐
Other (specify):
Components:
UT SOUTHWESTERN DEPARTMENT OF SURGERY
2013-2014 TECHNICAL SKILLS COURSE OUTLINE
Self-study or self-practice (Is self-study or self-practice an expectation of this course?)
☒
No
☐
Yes
Self-study component(s):
Estimated time requirements for self-study:
hrs
Phase of course where self-study completed:
Self-practice component(s):
Estimated time requirements for self-practice:
hrs
Phase of course where self-study completed:
Training Location(s): SCMIS Lab
Resources (Textbooks, CD-ROMs, Videos, etc):
Interactive CD-ROM or laparoscopic inguinal hernia repair
BCR training video
Educational Scope:
☒
☒
☒
Skills
Components:
Cognitive
Components:
Judgment
Components:
Peritoneal dissection for inguinal hernia repair, laparoscopic
port insertion, placement of polypropylene mesh with
tacking.
Teaching access and dissection of the pre-peritoneal space,
safe port insertion, safe dissection of peritoneum and
spermatic cord, identification of important structures in the
retroperitoneum, insertion of polypropylene mesh, fixing
polypropylene mesh utilizing tacking device, cognitive
teaching set up and preparation of patient for laparoscopic
inguinal hernia surgery, standing anatomy, pre-peritoneal
space as it applies to repair of inguinal hernia.
Identifying appropriate patients for laparoscopic inguinal hernia
repair vs. open inguinal hernia repair, understanding appropriate
indications for conversion to open inguinal hernia repair.
UT SOUTHWESTERN DEPARTMENT OF SURGERY
2013-2014 TECHNICAL SKILLS COURSE OUTLINE
Learning Objectives:
Understanding a selection of appropriate patient candidate for laparoscopic inguinal hernia repair.
Understanding insertion of access for dissection of pre-peritoneal space. Safe insertion of laparoscopic
instruments. Safe dissection of peritoneum and the pre-peritoneal space for mesh application. Safe insertion
of mesh into the pre-peritoneal space. Appropriate positioning and fixation of mesh to myopectineal floor.
Summary of Curriculum, Teaching Methods, and Resource Utilization:
(For each component, please specify what material will be taught during each session, how will the
material be taught, and what teaching materials will be used. Please also specify the overall format for the
course including expectations required for successful course completion)
Faculty introduction of VCR video training session.
Introduction of CD-ROM for laparoscopic inguinal hernia repair.
Faculty demonstration of pre-peritoneal dissection model on video trainer.
Faculty demonstration of insertion of polypropylene mesh and fixation utilizing rubber model and video
trainer.
Skill session. Two resident teams assisting during pre-peritoneal dissection on video trainer model.
Two residents assisting for insertion of polypropylene mesh and fixation.
Visual evaluation of appropriate placement of mesh on rubber model.
Methods for giving feedback to learners (Formative and Summative):
Immediate faculty feedback by observation, faculty comments on individual performance.
Methods of assessment of learners:
Direct observation by faculty of peritoneal dissection and mesh placement.
Methods for remediation:
Continued one-on-one practice sessions with faculty
Methods of course evaluation:
Post-test questionnaires completed by trainees at the end of the course and faculty evaluations of skills
sessions
UT SOUTHWESTERN DEPARTMENT OF SURGERY
2013-2014 TECHNICAL SKILLS COURSE OUTLINE
Materials:
Hernia rubber model
Peritoneal dissection model
Rubber mesh placement model
Laparoscopic instruments
Tackers
Mesh
Dissection balloons