UT SOUTHWESTERN DEPARTMENT OF SURGERY
2013-2014 TECHNICAL SKILLS COURSE OUTLINE
Course title:
Open I Basic Knot-tying and Suturing Skills
Course director:
Daniel J. Scott, MD, FACS
Specialty:
Surgery
Additional course faculty:
Kristine Gilberg-Fisher, RN,BSN Clinical Educator SCMIS
Victoria Green, MPA, Clinical Educator SCMIS
Deborah Hogg, BS Clinical Study Coordinator SCMIS
Seifu Tesfay, RN, MS SCMIS Manager
Brendan Sayers, PA, SCMIS
Participants:
PGY 1 Surgery residents - 27
Neurosurgery Rotators - 2
# participants
for course:
Curriculum dates:
1st group:
29
6/21/13 AM (14)
2nd group:
6/21/13 PM (13)
Individual
Session
Neurosurgery: (2)
Expected attendance:
29
Sessions assigned to each trainee
1
Duration of each session
2-4
14,13,
1x2
hrs
Duration of each session
1
hrs
Trainees per session
1
Trainees per session
Other assigned sessions:
When other sessions are held?
Upon reaching proficiency
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:
Training on the 12 tasks to proficiency level
Proctored post-test with scores within 80% of pre-determined
proficiency levels
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):
Preview demonstration videos
Estimated time requirements for self-study:
0.5
hrs
During what phase of the course is self-study to be completed?
Prior to initial session
Self-practice component(s):
Repeating tasks 1-12 until proficiency is reached (2
consecutive repetitions at proficiency).
Estimated time requirements for self-practice:
Training Location(s):
10-15
hrs
Skills Lab
Educational Scope:
☒
Skills
Components:
☐
Knot-tying, instrument and needle handling, interrupted,
running and subcuticular suturing
Cognitive
Components:
☐
Judgment
Components:
Learning Objectives:
To master basic skills necessary for the majority of open surgical procedures including knot-tying, needle
driver handling and suturing.
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)
During orientation in June, PGY 1 interns will be oriented to the skills curriculum. All trainees will attend one
4 hour assigned session. The session includes introduction to the open skills tasks curriculum with an
orientation to the video materials, the models, and the scoring system. Trainees will perform 1 repetition of
each of the 12 tasks as a pre-test.
After pre-testing, trainees will be expected to self-practice on the open basic tasks, with data on performance
recorded for each repetition, until proficiency levels are reached for all tasks for all modules. Training will be
conducted in a self-study fashion and trainees will be encouraged to repetitively watch the video tutorials
during training to review appropriate techniques and suggestions for performing the tasks. Proctors will be
available to assist in training and to provide additional feedback as needed.
UT SOUTHWESTERN DEPARTMENT OF SURGERY
2013-2014 TECHNICAL SKILLS COURSE OUTLINE
Each trainee will receive a scheduled post-test time in September. This scheduled time is sent out one month
in advance and each trainee is given the opportunity to reschedule if necessary. At this time, documented
proficiency is checked by the proctor and the trainee performs one repetition of each of the 12 tasks in
succession. Performance is documented by the proctor
Methods for giving feedback to learners (Formative and Summative):
Training will be conducted in a self-study fashion and trainees will be encouraged to watch the video
tutorials during training to review the appropriate techniques and suggestions for improving tasks.
Proctors will be available to assist in training and to provide additional feedback as needed.
Methods of assessment of learners:
SCMIS established metrics for skills training
Methods for remediation:
If the trainee does not pass any component of the post-test he or she will be required to practice that task
until proficiency is met and re-test only on the tasks failed. These guidelines are detailed in the Post Testing
remediation policy.
Methods of course evaluation:
Post-test questionnaires completed by trainees at the end of the course
Materials:
Knot-tying boards
20
FLS suture models (penrose drains)
100
Daisies (1 each)
20
2-0 silk ties (0.2 boxes/ trainee)
6 boxes
3-0 Polysorb (3.5 boxes/ trainee)
105 boxes