UT SOUTHWESTERN DEPARTMENT OF SURGERY 2013-2014 TECHNICAL SKILLS COURSE OUTLINE Course title: Laparoscopic I: Southwestern Stations Basic Laparoscopic Skills Online Biliary Curriculum-SAGES Web Learning Center Course director: Daniel J. Scott, MD, FACS Specialty: Surgery Additional course faculty: Kristine Gilberg-Fisher, RN, BSN Clinical Educator Deborah Hogg, BS Clinical Study Coordinator Seifu Tesfay, RN, MS SCMIS Manager Participants: PGY 1 Surgery residents (excluding Oral Surgery) - 22 Rotators: Neurosurgery residents - 2 # participants for course: Curriculum dates: 24 1st group: 9/04/13 2nd group: 9/18/13 Rotators: 10/13 Expected attendance: 25 Sessions assigned to each trainee 1 Duration of each session 2 Trainees per session Skills Only hr(s) 11,11,2 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: SAGES MIS-Biliary Basic Module with a passing score of 70% 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: Must complete wed based curriculum 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): SAGES MIS-Biliary Basic Module Estimated time requirements for self-study: 2-4 Phase of course where self-study completed: Training Self-practice component(s): Skills Training Estimated time requirements for self-practice: 5-10 hrs hrs Phase of course where self-study completed: Training Location(s): Skills Lab SAGES MIS Biliary Basic Module (internet based instruction) Educational Scope: ☒ Skills Components: ☒ Cognitive Components: ☒ Basic laparoscopic skills Laparoscopic cholecystectomy Judgment Components: Laparoscopic cholecystectomy Learning Objectives: Acquire proficiency in basic laparoscopic skills. Acquire knowledge concerning laparoscopic cholecystectomy, including indications for surgery, relevant anatomy, complications, operative strategy, and perioperative care. 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) Each trainee will be required to have successfully completed the Open Basic Skills module prior to starting this module. All trainees will attend a single Wednesday morning session. During this session, an introduction to the skills tasks and the curriculum will be afforded and an orientation to the video materials, the simulators, and the scoring system will be provided. Trainees will view the FLS I, Southwestern Stations video tutorial and complete a cognitive pre-test. After orientation, trainees will be expected to self-practice on the tasks, with data on performance recorded for each repetition, until proficiency levels are reached for all tasks for the module. UT SOUTHWESTERN DEPARTMENT OF SURGERY 2013-2014 TECHNICAL SKILLS COURSE OUTLINE 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 tricks for performing the tasks. Proctors will be available to assist in training and to provide additional feedback as needed. Once a trainee has achieved proficiency on all tasks within the module, the trainee will notify the education coordinator, who will verify achievement of proficiency for the module. The trainee will then schedule a 30 minute post-test session with the proctor and will perform one repetition of each task while being graded according to proficiency levels by the proctor. Trainees will be expected to view the SAGES MIS Biliary Basic Module and successfully complete the post-test with a minimum score of 70%. (Neurosurgery residents are excluded from Biliary module) 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 tricks for performing the 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: 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. Anyone who does not achieve a 70% score or greater on the on-line SAGES MIS-Biliary Basic Module test will be remediated by reviewing the on-line curriculum until 70% score is achieved. 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: Southwestern Stations on the Storz Video trainers (VT) 5 Letters for Checkerboard Drill Red Foam (for Endostitch) 50 pieces 2-0 Polysorb Endostitch 50 reloads Endostitch Handles/Instruments 15 Endodissect 16 Endoshears 4 Endograsp 2