UT SOUTHWESTERN DEPARTMENT OF SURGERY
2013-2014 TECHNICAL SKILLS COURSE OUTLINE
Course title:
Open II Knot-tying and Suturing Skills-Intermediate
Course director:
Daniel J. Scott, MD, FACS
Specialty:
Surgery
Kristine Gilberg-Fisher, RN,BSN Clinical Educator SCMIS
Additional course faculty:
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:
29
1st group:
1/29/14 (14)
2nd group:
Neurosurgery
Rotators
2/05/14 (13)
Individual
Session (2)
Expected attendance:
30
Sessions assigned to each trainee
1
Duration of each session
Trainees per session
2-4
hr(s)
14/13/2
Other assigned sessions:
Duration of each session
1
Trainees per session
1
When other sessions are held?
hr(s)
Scheduled by participant
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:
Skills training
Proficiency levels reached on Tasks 1-6, as verified by a proctor
according to score sheets. Timeline: Entire curriculum completed in
one month.
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?
Self-practice component(s):
Skills Training
Estimated time requirements for self-practice:
Training Location(s):
3-5
Prior to initial session
hrs
Skills Lab
Educational Scope:
☒
Skills
Components:
☐
Intermediate suturing skills
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)
All trainees will attend one 2 hour assigned session. During this session, an introduction to the open
intermediate tasks and the curriculum will be afforded and an orientation to the video materials, the models,
and the scoring system will be provided. Trainees will perform 1 repetition of each of the 6 tasks as a pretest.
After pre-testing, trainees will be expected to self-practice on the open intermediate 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.
UT SOUTHWESTERN DEPARTMENT OF SURGERY
2013-2014 TECHNICAL SKILLS COURSE OUTLINE
Proctors will be available to assist in training and to provide additional feedback as needed.
Once proficiency has been achieved, each trainee will notify the Clinical Nurse Educator, who will verify
achievement of proficiency on all 6 open intermediate tasks according to the documentation on the score
sheets. Each trainee will then schedule a 1 hour post-test session with the proctor and will perform 1
repetition of each task while being graded by the proctor. Score sheets will be collected and filed.
Methods for giving feedback to learners (Formative and Summative):
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. Trainees will also
be given a report of their pre and post-test scores and improvement for the skills component.
Methods of assessment of learners:
SCMIS established metrics for skills training
Methods for remediation:
Anyone who cannot achieve proficiency at post test on any of the tasks will be remediated. Remediation
consists of 10 additional repetitions of the task that meet criteria for proficiency. A remediation post test will
be given by a proctor. Retesting of that task must have a score of 90% of possible points to pass.
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)
200
Daisies
30
2-0 silk ties (0.2 boxes/ trainee)
6 boxes
4-0 silk ties (0.1 boxes/ trainee)
3 boxes
PVC pipe (attached to square board)
15
Soda can
20
Pennies
600
Tubing
1 spool